Lung India (Jan 2023)

Guidelines for endobronchial ultrasound-transbronchial needle aspiration (EBUS-TBNA): Joint Indian Chest Society (ICS)/Indian Association for Bronchology (IAB) recommendations

  • Anant Mohan,
  • Karan Madan,
  • Vijay Hadda,
  • Saurabh Mittal,
  • Tejas Suri,
  • Irfan Shekh,
  • Randeep Guleria,
  • Abdul Khader,
  • Prashant Chhajed,
  • Devasahayam J Christopher,
  • Rajesh Swarnakar,
  • Ritesh Agarwal,
  • Ashutosh Nath Aggarwal,
  • Shubham Aggarwal,
  • Gyanendra Agrawal,
  • Irfan Ismail Ayub,
  • Muniza Bai,
  • Bhvya Baldwa,
  • Abhishek Chauhan,
  • Rakesh Chawla,
  • Manu Chopra,
  • Dhruva Choudhry,
  • Raja Dhar,
  • Sahajal Dhooria,
  • Rakesh Garg,
  • Ayush Goel,
  • Manoj Goel,
  • Rajiv Goyal,
  • Nishkarsh Gupta,
  • B G Manjunath,
  • Hariharan Iyer,
  • Deepali Jain,
  • Ajmal Khan,
  • Raj Kumar,
  • Parvaiz A Koul,
  • Ajay Lall,
  • M Arunachalam,
  • Neha K Madan,
  • Ravindra Mehta,
  • N Loganathan,
  • Alok Nath,
  • Vivek Nangia,
  • Amita Nene,
  • Dharmesh Patel,
  • V R Pattabhiraman,
  • Arun Raja,
  • Benin Rajesh,
  • Amith Rangarajan,
  • Vidushi Rathi,
  • Inderpaul Singh Sehgal,
  • Sujay H Shankar,
  • Girish Sindhwani,
  • Pawan K Singh,
  • Arjun Srinivasan,
  • Deepak Talwar,
  • Balamugesh Thangakunam,
  • Pawan Tiwari,
  • Rahul Tyagi,
  • V Naren Chandra,
  • V Sharada,
  • Rohit Vadala,
  • Kavitha Venkatnarayan

DOI
https://doi.org/10.4103/lungindia.lungindia_510_22
Journal volume & issue
Vol. 40, no. 4
pp. 368 – 400

Abstract

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Over the past decade, endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) has become an indispensable tool in the diagnostic armamentarium of the pulmonologist. As the expertise with EBUS-TBNA has evolved and several innovations have occurred, the indications for its use have expanded. However, several aspects of EBUS-TBNA are still not standardized. Hence, evidence-based guidelines are needed to optimize the diagnostic yield and safety of EBUS-TBNA. For this purpose, a working group of experts from India was constituted. A detailed and systematic search was performed to extract relevant literature pertaining to various aspects of EBUS-TBNA. The modified GRADE system was used for evaluating the level of evidence and assigning the strength of recommendations. The final recommendations were framed with the consensus of the working group after several rounds of online discussions and a two-day in-person meeting. These guidelines provide evidence-based recommendations encompassing indications of EBUS-TBNA, pre-procedure evaluation, sedation and anesthesia, technical and procedural aspects, sample processing, EBUS-TBNA in special situations, and training for EBUS-TBNA.

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