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How do you approach a lung biopsy?

How do you administer Lidocaine effectively for lung biopsies?

Do you have pathology or cytotechnology in the room for assessment of adequacy?

Can you talk a little bit about how CT fluoro is used?

What is the advantage of having a CT scanner that can tilt the gantry?

How do you handle very small lesions when there aren't a lot of options?

What do you do for post biopsy follow up?

What are the challenges of trying to set a standard across a wide breadth of practitioners?

CME/CE Reflection: Module I

Describe the types of blood patches and use cases

Describe your technique for parenchymal blood patches

Can you describe the slightly different pleural blood patch?

Please describe your technique for the pleural blood patch

Can you elaborate on your technique for pleural blood patches?

How much blood are you using for pleural patches?

When are your blood patches typically being done - during or after biopsies?

What do you do in the case of a delayed pneumothorax?

Do you think chest tube placements have decreased since you've started using blood patches?

Are there any downsides to a parenchymal blood patch?

CME/CE Reflection: Module II

Tell us about how these patients are presenting to your practice

What does your workup look like and how are your patients sedated?

Tell us about how you numb the parietal pleura

Do you have pathology on site to evaluate the sample and determine if you have adequate tissue?

How do you approach patients with emphysema changes?

Do you replace the stylet between passes and do you image between passes?

How many cores do you take typically?

What do you do to prevent pneumothorax after you’re done with the biopsy?

Tell us the ways you use the hydrogel plug to prevent pneumothorax

Is the BioSentry hydrogel plug easy to use?

Which pneumothoraces are getting watched and which are getting intervened on?

CME/CE Reflection: Module III

Case Discussion-VIR Tips for Lung Biopsy Success