Please use this identifier to cite or link to this item:
Title: Transitioning to Combined EBUS EUS-B FNA for Experienced EBUS Bronchoscopist
Authors: Ng, Jeffrey 
Chan, Hiang Ping
Kee, Adrian 
Khoo, Kay Leong 
See, Kay Choong 
Keywords: Science & Technology
Life Sciences & Biomedicine
Medicine, General & Internal
General & Internal Medicine
endobronchial ultrasound
endoscopic ultrasound
lung cancer
mediastinal lymphadenopathy and training endoscopic ultrasound
Issue Date: 1-Jun-2021
Publisher: MDPI
Citation: Ng, Jeffrey, Chan, Hiang Ping, Kee, Adrian, Khoo, Kay Leong, See, Kay Choong (2021-06-01). Transitioning to Combined EBUS EUS-B FNA for Experienced EBUS Bronchoscopist. DIAGNOSTICS 11 (6). ScholarBank@NUS Repository.
Abstract: Endobronchial ultrasound (EBUS) combined with trans-esophageal endoscopic ultrasound bronchoscope guided fine need aspirate (EUS-B FNA) of mediastinal lymph nodes is an established procedure for diagnosis. The main barrier to a combined EBUS EUS-B FNA approach is availability of trained and accredited pulmonologist who can perform procedure safely and confidently. To address this gap, we undertook a training program for experienced EBUS bronchoscopists to train, learn, and incorporate combined EBUS EUS-B FNA into their procedural practice. Thirty-two patients were selected based on CT and or PET findings. Four experienced bronchoscopists participated by reading through learning material, observing 5 cases before performing EUS-B FNA under direct supervision. Forty-one lymph nodes and 6 non-nodal lesions were sampled. EUSAT assessment was performed by supervisor. Learning curves were derived from assessment scores. We observed that learning curve tends to plateau when participant can perform 3 or more consecutive cases with EUSAT score above 50. There were no complications. Our experience suggests that there is relative ease in transition to combined EBUS EUS-B TBNA procedures for mediastinal lymphadenopathy and lung cancer diagnosis and staging for experienced bronchoscopist using a program which incorporates direct supervision, EUSAT assessment, and extension of EUS B FNA training into daily real-world practice.
ISSN: 20754418
DOI: 10.3390/diagnostics11061021
Appears in Collections:Staff Publications

Show full item record
Files in This Item:
File Description SizeFormatAccess SettingsVersion 
Transitioning to Combined EBUS EUS-B FNA for Experienced EBUS Bronchoscopist.pdf1.1 MBAdobe PDF



Google ScholarTM



Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.