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.
Create successful ePaper yourself
Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.
Answer: C
This patient should probably NOT have undergone the “exploratory” flexible bronchoscopy
that provided no diagnostic material or useful information for subsequent decision-making, and
did cause increased health care expenditures and patient discomfort. It would be unclear why
bronchoscopic lung biopsy or needle aspiration would not have been attempted using
fluoroscopic guidance. Possible non-bronchoscopic options are to proceed with
thoracoscopically guided needle aspiration, percutaneous CT-guided needle aspiration, or
percutaneous ultrasound-guided needle aspiration, recognizing there is a risk for
pneumothorax because of the location of the abnormality. Other bronchoscopic procedures that
could be considered include needle aspiration or biopsy using electronavigation, and needle
aspiration or biopsy using small caliber flexible bronchoscopy or guide-sheath. An open
thoracotomy can probably be avoided.
40
Change language