USG Obturator Nerve Block

This is a less-commonly performed technique in my practice, but it is very useful as a complement to spinal anesthesia in TURBT for tumors located on the lateral or posterolateral wall. It is easily done using an interfascial plane approach as described here.
All content represents my personal opinion, and is presented solely for educational purposes. It does not constitute professional medical advice.

[@asherkaz]

Great video. Thank you so much! Blessings from North Dakota!

[@Marcosls2015]

This is a fantastic lecture, thanks for sharing Dr Chin

[@timjen764]

Very informative sir. Thank you!

[@hosnemobarak9868]

Thanks.

[@sskfrey]

Great video thx

[@haridassguna4214]

great.. thanks

[@plimbu]

Dr. Ki-jinn just curious? most of the text books and videos always shows injection from lateral to medial. are there any disadvantage of doing from the lateral to medial? Few disadvantages that I have noticed while doing from the medial side is that we need to avoid the femoral vessels for which we have to be close to the probe during needle insertion which makes a much steeper angle as a result of which needle visiblity is poorer while doing the deeper block esp in patients with big legs.

[@KiJinnChin]

I think you can do whichever makes most sense to you in terms of ergonomics and avoiding stuff you don't want to hit on the way to the target. This is a general principle of all USG blocks that I subscribe to.