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Related Concept Videos

Endoscopic Studies I: Bronchoscopy and Thoracoscopy01:30

Endoscopic Studies I: Bronchoscopy and Thoracoscopy

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Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
Bronchoscopy
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Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
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Endoscopic Studies II: Thoracocentesis01:26

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Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
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Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
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Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques01:30

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Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway...
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Tracheostomy Suctioning I: Pre-Procedural Steps01:26

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Tracheostomy suctioning is a critical procedure healthcare professionals perform to maintain a patent airway in patients with a tracheostomy tube. This procedure is necessary when secretions accumulate in the airway, causing respiratory distress. Here is a step-wise procedural guide for performing tracheostomy suctioning using an open system.
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First, gather all necessary equipment: a sterile suction catheter, a sterile disposable container, sterile gloves, a towel or...
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Tracheostomy Suctioning II: Procedure01:23

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Tracheostomy suctioning is a vital nursing procedure that involves removing secretions from the tracheostomy tube to maintain airway patency and prevent respiratory complications. Nurses need to understand the proper technique for tracheostomy suctioning to ensure patient safety and comfort. In this guide, we will outline the step-by-step process for performing tracheostomy suctioning, including preparing the sterile field, donning personal protective equipment (PPE), lubricating and connecting...
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Tracheostomy Care I: Pre-procedural Steps01:16

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A tracheostomy is a surgical technique that involves making an incision in the neck to provide access to the trachea. It is frequently used in medical conditions such as airway obstruction and prolonged mechanical ventilation. Effective nursing management is crucial for the long-term success of a tracheostomy.
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Related Experiment Video

Updated: May 4, 2026

Use of Electromagnetic Navigational Transthoracic Needle Aspiration E-TTNA for Sampling of Lung Nodules
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Teaching conventional transbronchial needle aspiration. A continuum.

Atul C Mehta1, Ko-Pen Wang

  • 11 Lerner College of Medicine, Respiratory Institute, Cleveland Clinic, Cleveland, Ohio; and.

Annals of the American Thoracic Society
|December 25, 2013
PubMed
Summary

Conventional transbronchial needle aspiration (C-TBNA) training remains essential despite advancements in endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA). C-TBNA offers a cost-effective, simple, and safe method for improving diagnostic yield in flexible bronchoscopy.

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Area of Science:

  • Pulmonology
  • Medical Education
  • Diagnostic Procedures

Background:

  • The debate on the necessity of conventional transbronchial needle aspiration (C-TBNA) training in the era of endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) is ongoing.
  • Proponents of EBUS-TBNA suggest abandoning C-TBNA training due to the perceived superiority and widespread adoption of EBUS-TBNA.

Discussion:

  • This editorial argues against abandoning C-TBNA training, highlighting its unique advantages.
  • C-TBNA is characterized by a short learning curve, making it accessible for trainees.
  • Its simplicity, affordability, and safety profile contribute to its continued relevance.

Key Insights:

  • C-TBNA significantly adds to the diagnostic yield of flexible bronchoscopy in a cost-effective manner.
  • The procedure has several unique indications where it remains the preferred or only option.
  • Maintaining C-TBNA in training curricula ensures a broader skill set for pulmonologists.

Outlook:

  • C-TBNA should remain an integral part of pulmonary fellowship training programs worldwide.
  • Continued training in C-TBNA ensures its availability and application for patient benefit.
  • Future training may involve integrating C-TBNA with EBUS-TBNA for comprehensive diagnostic capabilities.