What type of anesthesia is used to perform endobronchial ultrasound (EBUS)?

Updated: Apr 24, 2019
  • Author: Narayan Neupane, MD; Chief Editor: Zab Mosenifar, MD, FACP, FCCP  more...
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EBUS is usually performed under procedural sedation and local anesthesia. Local anesthesia on airways is done by nebulizing 1% or 2% lidocaine and spraying lidocaine spray in the posterior pharynx. A 1-2 mL of 1% to 2% lidocaine can be installed through the working channel of bronchoscope during insertion and procedure, if needed. EBUS can be done under general anesthesia. The use of a laryngeal mask airway allows access to upper paratracheal nodes, which may not be accessible with an endotracheal tube in place. The size of the endotracheal tube should be at least No. 8 or larger, to accommodate the CP-EBUS bronchoscope. The patient should be NPO for at least 6 hours.

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