The study comprised of hundred patients (50 in each group) of the age group 18-90 years, of either sex, suffering from hip fracture categorized under American Society of Anaesthesiologists (ASA) physical status I, II& III, after the conditions of the inclusion and exclusion criteria were satisfied. They were divided into 2 groups using the computerized randomization technique as follows: Group A (N=50) Femoral Nerve Block was performed using 0.25% bupivacaine (According to the weight) with 8mg dexamethasone under combined ultrasonography and peripheral nerve stimulation guidance and Group B (N=50) Fascia iliaca Nerve Block was performed using 0.25% bupivacaine (according to the weight) with 8mg dexamethasone under combined ultrasonography and peripheral nerve stimulation guidance. The study aims to compare the onset, duration of sensory and motor block, duration of analgesia, hemodynamic stability and need of rescue analgesia.

The aim of the study is to compare analgesic efficacy and hemodynamic stability in femoral nerve block versus fascia iliaca block as pain management in hip fractures during the pre-operative period, with objectives  to determine Time of onset and duration of sensory block, time of onset and duration of motor block, Range and duration of analgesia, Efficacy of analgesia using VAS assessment scale at rest and at movement and the number of rescue analgesics required in these patients, Hemodynamic stability in terms of heart rate, blood pressure, saturation for a period of 24 hours.

          Result of our study showed that in the pre- operative period, prolonged duration of analgesia with better hemodynamic stability is better achieved in femoral nerve block group than the fascia iliaca block group. Femoral nerve block administration resulted in lower VAS both at rest and during passive hip flexion of 15 degree, longer duration of sensory and motor block, Longer duration of analgesia and decreased amount of rescue analgesics as compared to fascia iliaca block. Though fascia iliaca block gives a better pain relief during the first two hours longer and better pain control in given by femoral block. Both the blocks provided good hemodynamic stability. Thus we conclude that femoral nerve block is better than fascia iliaca block in pain management pre-operatively for hip fractures, whereas fascia iliaca can be preferred just before surgery for positioning and for pain relief during the surgical incision.