AI Article Synopsis
- Endobronchial ultrasound (EBUS) is a safe and precise endoscopic method for diagnosing lymph node swelling and lung masses, improving lung cancer staging while minimizing the need for invasive surgeries.
- Despite its advantages, several questions remain regarding informed consent differences, the potential for EBUS to replace standard bronchoscopy, and the best practices for performing the procedure.
- The article discusses these ongoing challenges and seeks to clarify the best approaches for implementing EBUS in clinical settings.
Article Abstract
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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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11213616 | PMC |
| http://dx.doi.org/10.1097/eus.0000000000000034 | DOI Listing |
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