To compare the analgesic efficacy and hemodynamic stability in femoral block and fascia iliaca block in pre-operative pain management of patients with hip fractures.

The study comprised of hundred patients (50 in each group) of theage group 18-90 years, of either sex, suffering from hip fracture categorizedunder American Society of Anaesthesiologists (ASA) physical status I, II&III, after the conditions of the inclusion and exclusion criteria weresatisfied. They were divided into 2 groups using the computerized randomizationtechnique as follows: **Group A (N=50)**Femoral Nerve Block wasperformed using 0.25% bupivacaine (According to the weight) with 8mgdexamethasone under combined ultrasonography and peripheral nerve stimulationguidance and **Group B (N=50)**Fascia iliaca Nerve Block wasperformed using 0.25% bupivacaine (according to the weight) with 8mgdexamethasone 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.

 Theaim of the study is to compare analgesic efficacy and hemodynamic stability infemoral nerve block versus fascia iliaca block as pain management in hipfractures during the pre-operative period, with objectives  todetermine Time of onset and duration of sensory block, time of onset andduration of motor block, Range and duration of analgesia, Efficacy of analgesiausing VAS assessment scale at rest and at movement and the number of rescueanalgesics required in these patients, Hemodynamic stability in terms of heartrate, blood pressure, saturation for a period of 24 hours.

Resultof our study showed that in the pre- operative period, prolonged duration ofanalgesia with better hemodynamic stability is better achieved in femoral nerveblock group than the fascia iliaca block group. Femoral nerve blockadministration resulted in lower VAS both at rest and during passive hipflexion of 15 degree, longer duration of sensory and motor block, Longerduration of analgesia and decreased amount of rescue analgesics as compared tofascia iliaca block. Though fascia iliaca block gives a better pain reliefduring the first two hours longer and better pain control in given by femoralblock. Both the blocks provided good hemodynamic stability. Thus we concludethat femoral nerve block is better than fascia iliaca block in pain managementpre-operatively for hip fractures, whereas fascia iliaca can be preferred justbefore surgery for positioning and for pain relief during the surgicalincision.