Role of Endobronchial and Endoscopic Ultrasound in Pulmonary Medicine

Gompelmann, Daniela; Herth, Felix

doi:10.1159/000356921

Cited by 30 publications

(19 citation statements)

References 32 publications

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“…Furthermore, diagnosis of peripheral lung lesions has improved due to the introduction of endobronchial ultrasonography with a guide sheath (EBUS-GS) [4,5].…”

Section: Introductionmentioning

confidence: 99%

Usefulness of Endobronchial Ultrasonography With a Guide Sheath and Virtual Bronchoscopic Navigation for Ground-Glass Opacity Lesions

Ikezawa

Shinagawa

Sukoh

et al. 2017

The Annals of Thoracic Surgery

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“…Furthermore, diagnosis of peripheral lung lesions has improved due to the introduction of endobronchial ultrasonography with a guide sheath (EBUS-GS) [4,5].…”

Section: Introductionmentioning

confidence: 99%

Usefulness of Endobronchial Ultrasonography With a Guide Sheath and Virtual Bronchoscopic Navigation for Ground-Glass Opacity Lesions

Ikezawa

Shinagawa

Sukoh

et al. 2017

The Annals of Thoracic Surgery

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“…It is also used to diagnose unexplained accessible mediastinal adenopathy and lesions [2]. The procedure can be carried out under general anaesthesia with the use of airway adjuncts but is commonly performed under light conscious sedation in UK centres in an endoscopy room with a short-recovery area.…”

Section: Introductionmentioning

confidence: 99%

Endobronchial Ultrasound-Guided Transbronchial Needle Aspiration: Patient Satisfaction under Light Conscious Sedation

Jeyabalan

Medford²

2014

Respiration

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Background: Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) is an increasingly used mediastinal sampling technique. Many centres use conscious sedation in an ambulatory setting to optimise the flow of patients, save costs and shorten recovery time. The only EBUS-TBNA patient satisfaction study published so far used deep conscious sedation with propofol. To our knowledge, ours is the largest prospective study evaluating the experience of patients undergoing EBUS-TBNA using light conscious sedation without propofol. Objectives: To evaluate the patient tolerability of EBUS-TBNA under mild conscious sedation. Methods: Eighty-twoconsecutive patients between January 2011 and November 2011 requiring EBUS-TBNA under light conscious sedation for either mediastinal staging of lung cancer or the diagnosis of suspected mediastinal disease due to malignancy or granulomatous disease were invited to complete a questionnaire after the intervention. The collection of data included the diagnostic yield, the number and size of nodes sampled and the dose of sedative medication administered. Results: The average dose of sedative agents administered was 59.4 μg fentanyl and 3.2 mg midazolam. The sensitivity of EBUS-TBNA for the cancer staging, cancer diagnosis and granulomatous disease cohorts was 90.0, 94.1 and 87.5%, respectively. The most commonly reported symptom was a cough in 65 (93%) patients. Of these patients, 46 (71%) described the severity as being mild. All but 9 patients (61/70 or 87%) stated that they would definitely or probably undergo a repeat EBUS-TBNA. Conclusions: This single-centre UK study confirms that EBUS-TBNA under light conscious sedation is a well-tolerated procedure maintaining the expected diagnostic performance, with patients reporting a high degree of satisfaction with both the test and the information received beforehand.

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“…EBUS has become an important tool in daily practice for diagnosis and staging of lung cancer in the last decade (10). There are two types of probes used in EBUS: the RP and the convex probe (CP), which have technical differences and distinct diagnostic abilities.…”

Section: Endobroncial Ultrasound Radial Probe (Ebus Rp)mentioning

confidence: 99%

Current advances of endobronchial ultrasonography in the diagnosis and staging of lung cancer

Lin

Yang

et al. 2016

J. Thorac. Dis.

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The diagnosis and staging of patients with lung cancer has relied on tissue sampling.Endobronchial ultrasound (EBUS) is a minimally invasive procedure for the rapid and safe acquisition of tissue and can be done easily and repeatedly. EBUS transbronchial needle aspiration (TBNA) is now the standard for diagnosis of mediastinal and hilar lymphadenopathy and should be considered in patients who have a high probability of lymph node metastases without systemic involvement. EBUS also provides guidance for biopsy of peripheral lung lesions. Recent advances of EBUS with new techniques help to improve the diagnostic yield and decrease the complication rate and total procedure time.

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Role of Endobronchial and Endoscopic Ultrasound in Pulmonary Medicine

Cited by 30 publications

References 32 publications

Usefulness of Endobronchial Ultrasonography With a Guide Sheath and Virtual Bronchoscopic Navigation for Ground-Glass Opacity Lesions

Usefulness of Endobronchial Ultrasonography With a Guide Sheath and Virtual Bronchoscopic Navigation for Ground-Glass Opacity Lesions

Endobronchial Ultrasound-Guided Transbronchial Needle Aspiration: Patient Satisfaction under Light Conscious Sedation

Current advances of endobronchial ultrasonography in the diagnosis and staging of lung cancer

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