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TRANSBRONCHIAL NEEDLE ASPIRATION(TBNA) WITH RAPID ON-SITE EVALUATION: A PROSPECTIVE STUDY ON ADEQUACY, FEASIBILITY AND COST VIABILITY

Umair Ahmad Sahi, Qurban Ali, Syed Safiullah

Background- TBNA is widely used is widely used for the diagnosis of hilar and mediastinal injuries. ROSE that is rapid on-site evaluation of TBNA can be used to decide the sufficiency of TBNA spreads that can hinder the requirement for repetition of same techniques, therefore maintaining a strategic distance from included expense. There is lack of information in Jinnah hospital indicating adequacy and viability in cost of ROSE. Subsequently, this research was done to survey the viability, plausibility and cost ramifications of ROSE helped TBNA. Techniques- Forty back to back TBNA patients were enlisted and ROSE was performed. By applying the study of comparative design these finding were thoroughly analyzed. Findings- If ROSE was not utilized then according to research 45% of patients would be kept under repetitive bronchoscopy, because of insufficiency of material. Insufficient smears were commonly found in the early stages of aetiologies than dangerous ones. Conclusion- It can be concluded that ROSE can be used to expand the yield of TBNA and also very helpful in avoiding the rehash strategies. It is easy, cost viable and practical in Pakistan. Keywords: Transbronchial needle aspiration, Bronchoscopy, Rapid on-site evaluation.

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