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Interventional Pulmonary Guidelines

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

Guideline in Focus

Central Airway Obstruction

Management of Central Airway Obstruction

July 2024

This CHEST guideline provides recommendations for management of symptomatic malignant and nonmalignant central airway obstruction.

More interventional pulmonary guidelines

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


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

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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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