EBUS

Abstract

EBUS (EndoBronchial Ultrasound) or Ecobronchoscopy is a minimally invasive technique that uses Ultrasound, at the same time as endoscopic vision, to assess mediastinal alterations, allowing fine needle puncture. The EBUS allows a precise diagnosis in real time, since the samples obtained are analyzed in situ by the Pathological Anatomy Service.

In our hospital, this technique has been carried out since July 2019, having performed more than 100 procedures at the present time.

The patient is evaluated in our Pre-Anesthesia Consultation, where airway exploration is performed, assessment of the patient's cardiopulmonary situation, hemostasis, and the patient is instructed to withdraw or maintain his medication, in order to minimize the risk. of complications.

In our center the anesthetic technique of choice is General Anesthesia (TIVA-TCI), with the use of Neuromuscular Relaxant. We proceed to the placement of a Laryngeal Mask that will allow us the correct ventilation of the patient and the entrance of the EBUS, without interfering with the vision of the adenopathies/masses that must be biopsied. The procedure is performed with standard monitoring and BIS and the patient, if there are no complications, is extubated in the Techniques Room.

Most of our patients are outpatients, being transferred after the EBUS to the PACU, where after staying 3-4 hours they are discharged.