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BRONCHUS 2020 Interactive case discussion Cryo Transbronchial Biopsies - Dr. Sheetu Singh

BRONCHUS 2020 Interactive case discussion Cryo Transbronchial Biopsies - Dr. Sheetu Singh

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BRONCHUS 2020 Interactive case discussion Cryo Transbronchial Biopsies - Dr. Sheetu Singh

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  1. Interactive case discussion: CryoTransbronchial Biopsies Dr Sheetu Singh Director, Lung Center, RHL, Jaipur • Associate Editor, Thorax • Assistant Editor, Lung India • Editorial board, Respirology

  2. Incidence of various forms of ILD Am J RespirCrit Care Med 2017;195:801-13

  3. Limitations ILD India registry • Diagnostic criteria • Only 7.5% of patients had histopathology ILD India Registry: Dr Sheetu Singh

  4. Trans-bronchial lung biopsy Advantages • Relatively safe • Outpatient procedure • Bronchocentric diseases can be diagnosed (Sarcoid, HP) Disadvantages • Small pieces • Crush artefact • Not useful in diagnosing IPF

  5. Open/ VATS lung biopsy Advantages • Gold standard • Large pieces from multiple lobes Disadvantages • Prolonged ventilation • Anaesthesia related side effects • Prolonged air leak • Acute exacerbation of ILD

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