Relevance of training in transbronchial fine-needle aspiration technique

Transbronchial fine-needle aspiration (TBFNA) is a valuable and low-risk procedure that provides access to mediastinal nodes. To learn if increased experience improved TBFNA performance, we compared overtime TBFNA diagnostic yields between a skilled bronchoscopist and another without experience on TBFNA technique. We found higher TBFNA yields in the experienced bronchoscopist (p<0.001); however, after some experience, the TBFNA reliability improved (p<0.02) and the use of the procedure increased (p<0.0001). Thus, to achieve acceptable TBFNA results, a training period is required that we estimate in about 50 procedures.