Case of Ca Lung for EBUS and TBNA

Interventional bronchoscopy has undergone manifold advancements over the last decade, facilitating minimally invasive techniques for management of complex pulmonary lesions and disorders. One such technique is endobronchial ultrasound (EBUS). The indication and limitation of these procedures must be comprehensively assessed for the clinical condition. Chief concerns for the conduct of such cases include nonoperating room anesthesia (NORA), total intravenous anesthesia (TIVA), and dynamic airway scenario and their skillful management. Physiological effects of bronchoscopy and comorbid conditions must be thoroughly considered. Various oxygenation and ventilation techniques are practiced nowadays; however, their appropriate clinical application must be individualized as indicated. Short-acting anesthetic agents and bronchodilators are encouraged. Periprocedural vigilant monitoring of vitals, oxygenation and ventilation, and complications as well as smooth emergence with resumption of spontaneous ventilation is of paramount significance. Here, we present a case synopsis for a case of carcinoma lung posted for EBUS-guided intervention.