| Autor: |
Yochai Adir, Sonia Schneer, Omar Hakrush, Johad Khoury, Amir Abramovich |
| Rok vydání: |
2018 |
| Předmět: |
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| Zdroj: |
Interventional Pulmonology. |
| DOI: |
10.1183/13993003.congress-2018.pa404 |
| Popis: |
Background: Endobronchial ultrasound (EBUS), endoscopic ultrasound and endoscopic (esophageal) ultrasound using EBUS scope (EUS-B) guided transbronchial/trasesophageal needle aspiration has largely replaced mediastinoscopy as first choice procedure for tissue diagnosis of mediastinal lesions. All these procedures are generally done with conscious sedation, and in some cases, under general anesthesia. Some of the patients referred to tissue diagnosis are at high risk for sedation or for bronchoscopy. Aim: To describe our experience in EUS-B guided biopsies without intravenous sedation. Methods: Retrospective observational series describing awake (without intravenous sedation) EUS-B in patients with high risk for sedation or bronchoscopy, done in our interventional pulmonology unit. Results: During two years period, 10 patients underwent awake EUS-B. All patients received oropharyngeal lidocaine spray. FNA were done from lymph node stations 7 and/or 4 left paratrachial. The procedure was well tolerated in all patients. No complications or adverse events were described. None of the patients intended to undergo awake procedure was switched to conscious sedation or general anesthesia because of device intolerance. Four patients were diagnosed with lymphoma, three with sarcoidosis and two with lung carcinoma. In one case the pathologic result was non-satisfactory. Conclusion: Awake EUS-B is a safe, well tolerated procedure that can be done without sedation in patients with high risk for sedation. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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