Endoscopic ultrasound is a highly effective technique for sampling peribronchial, mediastinal, and lung masses for diagnostic purposes. It plays a pivotal role in the minimally invasive staging of non–small cell lung cancer. Expanding applications of an endobronchial endoscope Evaluating the peribronchial lesions, pulmonary nodules Diagnosing various infections such as tuberculosis and sarcoidosis Characterizing suspicious mucosal lesions Determining the extension of early lung cancer Assessing the involvement of the tracheobronchial wall or mediastinum in cases of advanced malignancy The technique: It may be performed under conscious sedation or general anesthesia based on the anticipated length of the procedure.

In addition,  local anesthesia may be administered to minimize cough. A flexible bronchoscope is advanced for an initial airway exam. After sonographic confirmation of the…