Training and certification in endobronchial ultrasound-guided transbronchial needle aspiration

Therese Maria Henriette Naur*, Lars Konge, Leizl Joy Nayahangan, Paul Frost Clementsen

*Corresponding author af dette arbejde

Publikation: Bidrag til tidsskriftReviewForskningpeer review

Abstract

Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) plays a key role in the staging of lung cancer, which is crucial for allocation to surgical treatment. EBUS-TBNA is a complicated procedure and simulation-based training is helpful in the first part of the long learning curve prior to performing the procedure on actual patients. New trainees should follow a structured training programme consisting of training on simulators to proficiency as assessed with a validated test followed by supervised practice on patients. The simulation-based training is superior to the traditional apprenticeship model and is recommended in the newest guidelines. EBUS-TBNA and oesophageal ultrasound-guided fine needle aspiration (EUS-FNA or EUS-B-FNA) are complementary to each other and the combined techniques are superior to either technique alone. It is logical to learn and to perform the two techniques in combination, however, for lung cancer staging solely EBUS-TBNA simulators exist, but hopefully in the future simulation-based training in EUS will be possible.

OriginalsprogEngelsk
Sider (fra-til)2118-2123
Antal sider6
TidsskriftJournal of Thoracic Disease
Vol/bind9
Udgave nummer7
DOI
StatusUdgivet - 1 jul. 2017

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