Endobronchial Ultrasound and Conventional Bronchoscopic Procedures Workshop

PROGRAM DIRECTOR: Dr. Ahmed Aljohaney, MD
Date: Wednesday, 15 March 2017
Time: 14:30-19:00
Meeting Room: AL MURJAN, AL MAJA

CONDUCTED BY:
GENERAL:

• Attendance is limited to 25 participants.
• Pre-registration is required, seats are limited, will be reserved on first come first served basis
• Registration is FREE for all who register for the GulfThoracic Congress 2017, please present your congress badge. (Note: Students are not eligible for the pre-congress workshops.)

OBJECTIVES:
At the end of this workshop, participants are expected to:

• To inform delegates about the exact role of EBUS and briefly review the literature.
• To provide a clear understanding of the tools and techniques involved.
• To demonstrate the practice of EBUS-TBNA and provide an opportunity for delegates to perform the procedure on a phanthom
• To demonstrate the practice of other conventional bronchoscopic procedures such as conventional TBNA, TBN core biopsies and others
• At the conclusion of the workshop the participant will have a good understanding of basic principles of skills required to safely begin performing EBUS and other conventional bronchoscopic procedures in a clinical setting.
• To demonstrate the practice of ENB (Medtronic) in collaboration with Fujifilm

TARGET AUDIENCE:

This workshop is designed for the practicing Pulmonologist, Chest Surgeon and Interventional Bronchoscopy Assistants. The course is intentionally limited in the number of participants, in order to allow for maximum benefit of small group instruction and interaction with faculty in the hands-on sessions.

RATIONALE:
Chest imaging using chest radiograph (X-ray) and Computed Tomography (CT) have been the main stay of diagnosis in various infectious, inflammatory and neoplastic diseases. While, chest X-ray is the primary imaging modality for patient s with various clinical presentations. Chest CT on the other hand is preserved for more detailed assessment of abnormalities seen chest X-ray or when the chest X-ray fails to explain the clinical presentation.
Radiologists, clinicians and surgeons need to be familiar with imaging features of important diseases of the chest and further workup

SUMMARY:
In the last years endobronchial ultrasound (EBUS) has revolutionized the world of bronchoscopy. EBUS is a minimally invasive technique that allows visualization of tracheabronchial wall structures and other structures adjacent the airway such as blood vessels or lymphadenopathy. There are two types of EBUS: Linear and Radial. The linear EBUS consists of several transductors forming a curve in the distal extreme of the flexible bronchoscope that generate an image of 50 degrees in relation to the major axis of the bronchoscope, which allows for a punction to be directly observed in real time. The radial EBUS consists of a rotatory transductor in the distal extreme of a miniprobe that generates an image of 360 degrees around the major axis of the bronchoscope, but does not allow for real-time samples. The main indication of the radial EBUS is the diagnosis of peripheral lung opacities. EBUS should be considered as a primary method of evaluation of lymph nodes seen to be positive in PET scan and may replace the majority of surgical mediastinal staging/diagnostic procedures. Linear EBUS has become the heart of N lung cancer staging, avoiding the comorbidity and comorbility of mediastinoscopy. Nevertheless, pulmonologistsshould remain competent in performing conventional TBNA as a supplementary skill that is needed especially in the absence of newer technology at local hospitals.