BI34 More Helpful hints for performing TBLB When infiltrates are diffuse and involving the lower lobe, prefer biopsies from the lateral segment because fluoroscopically, the position of the forceps is true in relation to the chest wall.
{"Image DocumentName": "Helpful hints for performing TBLB", "Image ImageDescription": "Inform the patient that there are no nerve endings in the airway, so the biopsy itself will not hurt . Use conscious sedation to improve patient comfort. Forewarn the patient to raise hand if pain is felt at any time during the procedure. Prefer biopsies from the lung periphery (as close to the pleura as possible) because bronchial vessels are smaller in the distal airways and forceps are most likely to pinch through bronchial mucosa to obtain representative tissue (contains alveoli and bronchioles) from lung parenchyma. Avoid the lingula and right middle lobe because of proximity to fissures and risk of pneumothorax. BI.", "Image XResolution": "37", "Image YResolution": "37", "Image ResolutionUnit": "Pixels/Centimeter", "Image Software": "SlidePlayer", "Image YCbCrPositioning": "Centered"}