EndoBronchial Ultrasound EBUS Bronchoscopy – EBUS bronchoscopy is used to locate mediastinal lymph nodes or masses and take samples from them. Diseases that are not present in the lumen and not approachable by routine bronchoscopy are accessed with EBUS bronchoscopy, and it is done by an EBUS Bronchoscopy specialist in Jaipur.
Assessment is done prior to EndoBronchial Ultrasound (EBUS) Bronchoscopy
EBUS Bronchoscopy specialist in Jaipur a CT scan is preferable to a contrast CT scan is necessary before the procedure. This helps in locating the lymph nodes before the procedure. A blood test which includes complete blood count, serum creatinine level, bleeding profile, and viral markers are also done. COVID-19 PCR should be done before the procedure depending on the prevalence of the infection in the area. Blood thinners need to be stopped 5 days prior to the test.
Things to remember on the day of the procedure
Fasting of 6 hours for solid food and 4 hours for clear liquids is recommended. The routine medications should be continued for blood pressure. Diabetic patients should avoid their Insulin and hypoglycemic medicines on the day of the test.
Dr. Sheetu Singh is an EBUS Bronchoscopy specialist, she performed all the EBUS procedures in Jaipur. The procedure is performed through the mouth. In cases where there is limited mouth opening, a trial may be done through the nose. You may get some intravenous (IV) injections prior to the procedure. After a local spray, the scope is inserted through the mouth. Some local anesthesia is instilled at the vocal cords, after this, the vocal cords are crossed. Inside the windpipe, the lymph nodes are localized with the help of ultrasound. Once localized they are sized. The needle is then inserted and the material is sucked out under ultrasound guidance. The procedure usually takes 30-40 minutes.
Precautions after the procedure
The patient has to avoid any oral liquids or solids for another 2 hours after the procedure. A light meal is recommended after 2 hours. The common after-effects of the procedure are – pain in the throat, fever, coughing out of slight blood, sleepiness, and vomiting. These can be managed with symptomatic medicines. After observation for 2 hours, the patient can go home after judging the clinical condition. In cases where a patient is requiring oxygen, he/she may need to be admitted to the hospital for the same. After the procedure, if the patient has the following symptoms they should contact the doctor immediately – coughing out large amounts of blood, difficulty in breathing, and drop in oxygen saturation to <88%.
EBUS bronchoscopy does not have any long-term complications. The microbiology and pathology reports come in 3-5 days periods. If mycobacterial cultures are applied they usually take 4 weeks. EBUS bronchoscopy is a safe procedure with a minimal complication rate.