Please use this identifier to cite or link to this item:
https://doi.org/10.3390/diagnostics11061021
DC Field | Value | |
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dc.title | Transitioning to Combined EBUS EUS-B FNA for Experienced EBUS Bronchoscopist | |
dc.contributor.author | Ng, Jeffrey | |
dc.contributor.author | Chan, Hiang Ping | |
dc.contributor.author | Kee, Adrian | |
dc.contributor.author | Khoo, Kay Leong | |
dc.contributor.author | See, Kay Choong | |
dc.date.accessioned | 2021-11-19T05:47:44Z | |
dc.date.available | 2021-11-19T05:47:44Z | |
dc.date.issued | 2021-06-01 | |
dc.identifier.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. https://doi.org/10.3390/diagnostics11061021 | |
dc.identifier.issn | 20754418 | |
dc.identifier.uri | https://scholarbank.nus.edu.sg/handle/10635/206767 | |
dc.description.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. | |
dc.language.iso | en | |
dc.publisher | MDPI | |
dc.source | Elements | |
dc.subject | Science & Technology | |
dc.subject | Life Sciences & Biomedicine | |
dc.subject | Medicine, General & Internal | |
dc.subject | General & Internal Medicine | |
dc.subject | endobronchial ultrasound | |
dc.subject | endoscopic ultrasound | |
dc.subject | lung cancer | |
dc.subject | mediastinal lymphadenopathy and training endoscopic ultrasound | |
dc.subject | FINE-NEEDLE-ASPIRATION | |
dc.subject | ENDOSCOPIC ULTRASOUND | |
dc.subject | LUNG-CANCER | |
dc.subject | ULTRASONOGRAPHY | |
dc.type | Article | |
dc.date.updated | 2021-11-18T01:08:36Z | |
dc.contributor.department | DEPT OF MEDICINE | |
dc.description.doi | 10.3390/diagnostics11061021 | |
dc.description.sourcetitle | DIAGNOSTICS | |
dc.description.volume | 11 | |
dc.description.issue | 6 | |
dc.published.state | Published | |
Appears in Collections: | Staff Publications Elements |
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File | Description | Size | Format | Access Settings | Version | |
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Transitioning to Combined EBUS EUS-B FNA for Experienced EBUS Bronchoscopist.pdf | 1.1 MB | Adobe PDF | OPEN | None | View/Download |
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