Endobronchial Ultrasound-guided Transbronchial Needle Aspiration Under Local Anesthesia: Real-time Experience Over Two Years in a Tertiary Care Hospital in North India
Citation Information :
Kumar R, Mrigpuri P, Vikrant, Spalgais S. Endobronchial Ultrasound-guided Transbronchial Needle Aspiration Under Local Anesthesia: Real-time Experience Over Two Years in a Tertiary Care Hospital in North India. Indian J Chest Dis Allied Sci 2020; 62 (1):19-22.
Background: Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) is usually performed under deep sedation or conscious sedation. We describe the diagnostic yield and complications of EBUS-TBNA performed under local anesthesia.
Methods: Patients undergoing EBUS-TBNA at our center from February 2016 to April 2018 were evaluated retrospectively. All procedures performed under local anesthesia using lignocaine were assessed for sampling adequacy, diagnostic yield, cough during endoscopic procedure and complications.
Results: Thirty-four patients underwent EBUS-TBNA under local anesthesia. Mean age was 41.1 years with male to female ratio of 1:1. Mean (standard deviation) dose of lignocaine used was 311.6 (16.4) milligram and mean (standard deviation) duration of the procedure was 23.7 (3.78) minutes. Sample adequacy rate was 88.2%. The diagnostic yield of the procedure was 60%. In 91.1% of patients, cough was absent or did not interfere with EBUS-TBNA. Complications related to EBUS were observed in three (8.8%) patients and were minor and self-limiting. None of the patients required escalation of care.
Conclusion: EBUS-TBNA performed under local anesthesia was found to be safe and was associated with an acceptable diagnostic yield.
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