DOI: https://doi.org/10.36347/sasjs.2026.v12i10.006

Pages: 841-849

Preoperative and postoperative fascia iliaca compartment block (FICB) are used as components of perioperative analgesic care for femoral and hip fracture repair, but the patient-centred and safety consequences of block timing require focused assessment. This prospective, single-centre, randomised comparative study included 68 adults aged 18–65 years with American Society of Anesthesiologists physical status I–III who underwent femoral or hip fracture repair at Irrua Specialist Teaching Hospital, Nigeria, between October 2021 and December 2022. Participants received 40 mL of 0.25% plain bupivacaine by anatomical FICB either before incision or at wound closure, with 34 participants in each group. The focused outcomes were satisfaction on a five-point Likert scale, reported FICB-related complications and drug-related side effects, and comparative perioperative haemodynamic findings. Satisfaction distributions differed significantly between groups (p<0.001, Fisher’s exact test). In the preoperative group, 2/34 participants (5.88%) reported excellent satisfaction, 29/34 (85.29%) very good satisfaction, and 3/34 (8.82%) good satisfaction; none reported poor or very poor satisfaction. In the postoperative group, 16/34 (47.05%) reported good satisfaction, 13/34 (38.23%) poor satisfaction, and 5/34 (14.70%) very poor satisfaction, with no excellent or very good responses. No FICB-related complication or drug-related side effect was reported in either group during the observed perioperative and postoperative periods. No statistically significant between-group differences were reported for pulse rate, blood pressure, mean arterial pressure, respiratory rate, or peripheral oxygen saturation. Preoperative anatomical FICB was associated with higher reported satisfaction without observed complications or detected differences in monitored physiological variables. Because the sample was small, single-centre, and lacked detailed numerical serial haemodynamic data and a specified sati