PS01.13: Transbronchial Lung Biopsy on Mechanical Ventilation: Is It Safe To Do?

Abstract

diagnoses in the first 162 T0 scans (3%), 4 of 5 were AAs. Of these cancers, 60% were stage I vs 63% in NLST.Conclusion: UIHSP demonstrated a right-shift in Lun-gRADS scores and a higher LC rate which raises the question: Do CMS guidelines properly align with LC risk in minority populations such as UIHSP? Moreover, UIHSP had a higher LungRADS 3 (15.4% vs 1.2%) and 4 (15.4% vs 4.6%). LC diagnostic rates were also 3x NLST (3% vs 1%). These are consistent with the known higher LC incidence and mortality among AA men compared to C men (incidence 87.3 vs. 72.5; mortality 70.1 vs. 57.8 per 100,000).

Pulmonary Toxoplasmosis Diagnosed on Transbronchial Lung Biopsy in a Mechanically Ventilated Patient

“…Although complications can occur, the benefits appear to exceed the risks in patients in whom a histological diagnosis is necessary, often obviating the need to perform a surgical lung biopsy. Asai et al noticed no significant difference in the rate of complications between mechanically and nonmechanically ventilated patient groups [28]. OLB is reserved for patients without a diagnosis after extensive testing.…”