A Survey of Endobronchial Ultrasound-guided Transbronchial Needle Aspiration (EBUS-TBNA) practices in India

Madan, Karan; Mittal, Saurabh; Tiwari, Pawan; Hadda, Vijay; Guleria, Randeep

doi:10.4103/lungindia.lungindia_497_21

Cited by 4 publications

(2 citation statements)

References 41 publications

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“…Anesthesia is very important to protect the patients to tolerate the operation of EBUS-TBNA [ 13 , 19 , 21 ]. In this study, the anesthesia method was mainly general intravenous anesthesia with spontaneous breathing, which was safe with little trauma of the patient and caused less adverse effects.…”

Section: Discussionmentioning

confidence: 99%

Clinical application of endobronchial ultrasonography-guided transbronchial needle aspiration biopsy—a single center, large sample, real-world study

Tang,

Zhu,

Zhong

et al. 2023

BMC Pulm Med

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Background Endobronchial ultrasonography-guided transbronchial needle aspiration biopsy (EBUS-TBNA) has been used for more than 10 years in China. Its clinical application and diagnostic value in different diseases with large sample was lack of report. Methods A retrospective analysis was performed about the application and diagnostic value of EBUS-TBNA in different disease of patients in Respiratory Intervention Center of Guangzhou Institute of Respiratory Health from January 2012 to July 2020. Results A total 5758 patients were included with 182 patients excluded for lack of information. Finally, data of 5576 patients (3798 males and 1778 females) were analyzed. For anesthetize, most patients were undergoing general anesthesia of intravenous with spontaneous breathing (69.4%), followed by general anesthesia of intravenous and inhalation with tracheal intubation and mechanical ventilation (17.9%) and conscious sedation and analgesia (12.8%). Lymph nodes were the main sites of biopsy obtained (76.4%). Tumors accounted for the highest proportion of disease (66.4%), followed by infection diseases (9.9%), sarcoidosis (3.9%), lymphoma (1.1%), and others (18.7%). The sensitivity of EBUS-TBNA for diagnosis of tumor was 89.7%, and 40.8% for infection diseases. There were significant differences in the puncture site and proportions of diseases between male and females (both p < 0.05). Higher diagnostic value was found in male patients (p < 0.05). Conclusion EBUS-TBNA has good diagnostic value for different mediastinal and central pulmonary space-occupying lesions diseases, with highest sensitivity for tumors. Higher diagnostic value was found in male patients.

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Section: Discussionmentioning

confidence: 99%

Clinical application of endobronchial ultrasonography-guided transbronchial needle aspiration biopsy—a single center, large sample, real-world study

Tang,

Zhu,

Zhong

et al. 2023

BMC Pulm Med

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“…If several insertions are necessary (in case of bad vision due to blood or mucus), the transoral route is advantageous. In two recent Indian surveys, the oral route was preferred in 93.3% of all EBUS-TBNA examinations, [ 30 ] whereas 94% of flexible bronchoscopy examinations were performed using the nasal route. [ 31 ]…”

Section: Transnasal or Oral Endoscope Insertion?mentioning

confidence: 99%

Controversies in endobronchial ultrasound

Dietrich,

Bugalho,

Carrara

et al. 2023

Endosc Ultrasound

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Endobronchial ultrasound (EBUS) is a minimally invasive highly accurate and safe endoscopic technique for the evaluation of mediastinal lymphadenopathy and mediastinal masses including centrally located lung tumors. The combination of transbronchial and transoesophageal tissue sampling has improved lung cancer staging, reducing the need for more invasive and surgical diagnostic procedures. Despite the high level of evidence regarding EBUS use in the aforementioned situations, there are still challenges and controversial issues such as follows: Should informed consent for EBUS and flexible bronchoscopy be different? Is EBUS able to replace standard bronchoscopy in patients with suspected lung cancer? Which is the best position, screen orientation, route of intubation, and sedation/anesthesia to perform EBUS? Is it advisable to use a balloon in all procedures? How should the operator acquire skills and how should competence be ensured? This Pro-Con article aims to address these open questions.

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Advantages and drawbacks associated with the use of endosonography in sarcoidosis

Prasad

Dhooria

Muthu

et al. 2023

Expert Review of Respiratory Medicine

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A Survey of Endobronchial Ultrasound-guided Transbronchial Needle Aspiration (EBUS-TBNA) practices in India

Cited by 4 publications

References 41 publications

Clinical application of endobronchial ultrasonography-guided transbronchial needle aspiration biopsy—a single center, large sample, real-world study

Clinical application of endobronchial ultrasonography-guided transbronchial needle aspiration biopsy—a single center, large sample, real-world study

Controversies in endobronchial ultrasound

Advantages and drawbacks associated with the use of endosonography in sarcoidosis

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