Interventional Pulmonary Guidelines

These guidelines examine flexible bronchoscopy, endobronchial ultrasound-guided transbronchial needle aspiration, and transbronchial cryobiopsy.

Guideline in Focus

Acquisition and Handling of Endobronchial Ultrasound Transbronchial Needle Samples

September 2024

This guideline includes nine evidence-based recommendations to identify best practices for the collection, processing, and handling of EBUS-TBNA specimens.

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More interventional pulmonary guidelines

THORACIC ONCOLOGY

Management of Central Airway Obstruction | July 2024

CAO management depends on provider training and available local resources, making the clinical approach and outcomes highly variable. This guideline provides recommendations for management of symptomatic malignant and nonmalignant CAO.

THORACIC ONCOLOGY

Transbronchial Cryobiopsy for the Diagnosis of Interstitial Lung Diseases | April 2020

This CHEST guideline and expert panel report examines the literature on transbronchial cryobiopsy as it relates to diagnostic utility and safety to provide evidence-based and expert guidance to clinicians.

EBUS-TBNA

Technical Aspects of Endobronchial Ultrasound-Guided Transbronchial Needle Aspiration | March 2016

This CHEST hybrid document addresses the current knowledge of the technical aspects of linear endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA), including patient factors (sedation), procedural aspects (ultrasonographic features of lymph nodes, needle size, number of needle passes, use of suction, and presence of rapid on-site cytologic evaluation), and proceduralists’ aptitude (training).

Adult Bronchoscopy Training: Current State and Suggestions for the Future | August 2015

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Listen to the related podcast »

Use of Topical Anesthesia, Analgesia, and Sedation During Flexible Bronchoscopy in Adult Patients | November 2011

Developing new interventional pulmonary guidelines

CHEST develops trustworthy, evidence-based clinical practice guidelines on the diagnosis and treatment of chest disease states with the help of CHEST members, volunteers, leaders, and staff. Help create high-quality, relevant interventional pulmonary guidelines.

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CHEST^® Pulmonary advances the care of patients served by multidisciplinary clinicians across pulmonary and sleep medicine. Read the latest articles, and submit your own research.