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. 2023 Jul-Aug;40(4):368-400.
doi: 10.4103/lungindia.lungindia_510_22.

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

Anant Mohan  1 , Karan Madan  1 , Vijay Hadda  1 , Saurabh Mittal  1 , Tejas Suri  1 , Irfan Shekh  1 , Randeep Guleria  1 , Abdul Khader  2 , Prashant Chhajed  3 , Devasahayam J Christopher  4 , Rajesh Swarnakar  5 , Ritesh Agarwal  6 , Ashutosh Nath Aggarwal  6 , Shubham Aggarwal  1 , Gyanendra Agrawal  7 , Irfan Ismail Ayub  8 , Muniza Bai  1 , Bhvya Baldwa  1 , Abhishek Chauhan  1 , Rakesh Chawla  9 , Manu Chopra  10 , Dhruva Choudhry  11 , Raja Dhar  12 , Sahajal Dhooria  6 , Rakesh Garg  13 , Ayush Goel  1 , Manoj Goel  14 , Rajiv Goyal  15 , Nishkarsh Gupta  13 , B G Manjunath  11 , Hariharan Iyer  1 , Deepali Jain  16 , Ajmal Khan  17 , Raj Kumar  18 , Parvaiz A Koul  19 , Ajay Lall  20 , M Arunachalam  1 , Neha K Madan  21 , Ravindra Mehta  22 , N Loganathan  23 , Alok Nath  17 , Vivek Nangia  24 , Amita Nene  25 , Dharmesh Patel  26 , V R Pattabhiraman  27 , Arun Raja  1 , Benin Rajesh  1 , Amith Rangarajan  1 , Vidushi Rathi  1 , Inderpaul Singh Sehgal  6 , Sujay H Shankar  1 , Girish Sindhwani  28 , Pawan K Singh  11 , Arjun Srinivasan  27 , Deepak Talwar  29 , Balamugesh Thangakunam  4 , Pawan Tiwari  1 , Rahul Tyagi  1 , V Naren Chandra  1 , V Sharada  1 , Rohit Vadala  1 , Kavitha Venkatnarayan  30
Affiliations

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

Anant Mohan et al. Lung India. 2023 Jul-Aug.

Abstract

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.

Keywords: EBUS-TBNA; guidelines; recommendations.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
International Association for the Study of Lung Cancer (IASLC) nomenclature for mediastinal lymph node stations
See this image and copyright information in PMC

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