Abstract:
Objective To explore the safety and feasibility of endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) under the general anesthesia, summing up the clinical experience.
Methods To collected 71 cases underwent EBUS-TBNA between January 2016 to December 2016 in Respiratory endoscopy center of Tangdu Hospital the Fourth Military Medical University. All patients reoperative chest CT or MRI tips for mediastinal lesions. 20 patients received conventional local dicaine inhibition anesthesia, and 51 patients intravenous anesthesia combined with laryngeal mask anesthesia. The clinical data were retrospectively reviewed.
Results All 71 patients under the conventional local dicaine inhibition anesthesia, frequent occurrence of movement, cough, groan in operation, 2 cases interrupt check, 1 case no specimen. The patients under the general anesthesia have less blood and time of operation, felt more comfortable; the complication was no significantly different.
Conclusion EBUS-TBNA biopsy under general anesthesia has better quality, less bad memories, and more acceptability by patients, and it deserves further application in clinic.
Key words:
General anesthesia,
Endobronchial ultrasound-guided transbronchial needle aspiration,
Mediastinal lessions
Xing Gu, Xigang Yan, Yan Wang, Yanmin Zhou, Yonghong Xie, Faguang Jin, Hongjun Zhang. Clinical experience of EBUS-TBNA in diagnosis of mediastinal diseases under general anesthesia[J]. Chinese Journal of Lung Diseases(Electronic Edition), 2017, 10(02): 137-140.