The Essential cTBNA Bronchoscopist
The Essential Conventional TBNA Bronchoscopist© is the third of six volumes in The Essential Bronchoscopist™ Series. In addition to module-specific competency-oriented learning objectives and post-tests, it contains 30 multiple-choice question/answer sets pertaining to conventional transbronchial needle aspiration (cTBNA). Topics include mediastinal anatomy, proper equipment handling, patient preparation, procedural indications contraindications and complications, bronchoscopic techniques, nodal sampling strategies, lung cancer staging and classification, specimen collection, processing, and expected results for diagnosing malignant and benign mediastinal disorders.
The Essential Conventional TBNA Bronchoscopist© is the third of six volumes in The Essential Bronchoscopist™ Series. In addition to module-specific competency-oriented learning objectives and post-tests, it contains
30 multiple-choice question/answer sets pertaining to conventional transbronchial needle aspiration (cTBNA). Topics include mediastinal anatomy, proper equipment handling, patient preparation, procedural indications contraindications and complications, bronchoscopic techniques, nodal
sampling strategies, lung cancer staging and classification, specimen collection, processing, and expected results for diagnosing malignant and benign mediastinal disorders.
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The Essential cTBNA Bronchoscopist MODULE 1
LEARNING OBJECTIVES
After completing this module the reader should be able to:
1. Describe three specific indications for cTBNA in managing patients with lung
disorders.
2. Describe the specific locations of lymph node stations 7, 4R and 4L as well as
needle insertion sites to sample these lymph node territories.
3. Describe major vascular anatomic structures that are adjacent to lymph node
stations 7, 4R and 4L.
4. Describe three different cTBNA techniques (jab, piggyback, and needle to hub).
5. Describe ways to protect the flexible bronchoscope from needle-induced damage.
6. List at least four different complications from cTBNA
7. Specify the role and expected yield of cTBNA among and compared with other
diagnostic bronchoscopic procedures.
8. List three major factors that may improve or decrease the quality of cytology
smears after cTBNA nodal sampling.
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