Technical aspects of endobronchial ultrasound-guided transbronchial needle aspiration

• Verfasst von: Wahidi, Momen M. [VerfasserIn]
• Verfasst von: Herth, Felix [VerfasserIn]
• Verfasst von: Yasufuku, Kazuhiro [VerfasserIn]
• Verfasst von: Shepherd, Ray Wesley [VerfasserIn]
• Verfasst von: Yarmus, Lonny [VerfasserIn]
• Verfasst von: Chawla, Mohit [VerfasserIn]
• Verfasst von: Lamb, Carla [VerfasserIn]
• Verfasst von: Casey, Kenneth R. [VerfasserIn]
• Verfasst von: Patel, Sheena [VerfasserIn]
• Verfasst von: Silvestri, Gerard A. [VerfasserIn]
• Verfasst von: Feller-Kopman, David J. [VerfasserIn]
• Titel: Technical aspects of endobronchial ultrasound-guided transbronchial needle aspiration
• Titelzusatz: CHEST guideline and expert panel report
• Verf.angabe: Momen M. Wahidi, Felix Herth, Kazuhiro Yasufuku, Ray Wesley Shepherd, Lonny Yarmus, Mohit Chawla, Carla Lamb, Kenneth R. Casey, Sheena Patel, Gerard A. Silvestri, and David J. Feller-Kopman
• E-Jahr: 2016
• Jahr: [March 2016]
• Umfang: 20 S.
• Teil: volume:149
• Teil: year:2016
• Teil: number:3
• Teil: pages:816-835
• Teil: extent:20
• Fussnoten: Gesehen am 05.06.2020
• Titel Quelle: Enthalten in: Chest
• Ort Quelle: Amsterdam : Elsevier, 1935
• Jahr Quelle: 2016
• Band/Heft Quelle: 149(2016), 3, Seite 816-835
• ISSN Quelle: 1931-3543
• DOI: doi:10.1378/chest.15-1216
• Datenträger: Online-Ressource
• Sprache: eng
• Sach-SW: endobronchial ultrasound
• Sach-SW: evidence-based medicine
• Sach-SW: guidelines
• Sach-SW: transbronchial needle aspiration
• K10plus-PPN: 1699967032

Abstract

Background - Endobronchial ultrasound (EBUS) was introduced in the last decade, enabling real-time guidance of transbronchial needle aspiration (TBNA) of mediastinal and hilar structures and parabronchial lung masses. The many publications produced about EBUS-TBNA have led to a better understanding of the performance characteristics of this procedure. The goal of this document was to examine the current literature on the technical aspects of EBUS-TBNA as they relate to patient, technology, and proceduralist factors to provide evidence-based and expert guidance to clinicians. - Methods - Rigorous methodology has been applied to provide a trustworthy evidence-based guideline and expert panel report. A group of approved panelists developed key clinical questions by using the PICO (population, intervention, comparator, and outcome) format that addressed specific topics on the technical aspects of EBUS-TBNA. MEDLINE (via PubMed) and the Cochrane Library were systematically searched for relevant literature, which was supplemented by manual searches. References were screened for inclusion, and well-recognized document evaluation tools were used to assess the quality of included studies, to extract meaningful data, and to grade the level of evidence to support each recommendation or suggestion. - Results - Our systematic review and critical analysis of the literature on 15 PICO questions related to the technical aspects of EBUS-TBNA resulted in 12 statements: 7 evidence-based graded recommendations and 5 ungraded consensus-based statements. Three questions did not have sufficient evidence to generate a statement. - Conclusions - Evidence on the technical aspects of EBUS-TBNA varies in strength but is satisfactory in certain areas to guide clinicians on the best conditions to perform EBUS-guided tissue sampling. Additional research is needed to enhance our knowledge regarding the optimal performance of this effective procedure.