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What Is a CT Guided Needle Lung Biopsy?

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What Is a CT Guided Needle Lung Biopsy? What is a CT guided needle lung biopsy? Respiratory Service Medicine Group This leaflet has been designed to give you important information about your procedure, and to answer some common queries that you may have. What is a CT guided needle lung On the day of the test, please eat a light biopsy? breakfast and continue taking any prescribed medication as normal unless you are on This is a procedure (test) where a tiny warfarin, aspirin or clopidogrel. sample of tissue (biopsy) is taken from lungs for analysis. This helps doctors to find out If you are on anticoagulants such as Warfarin more about the health of your lungs. A or anti-platelets such aspirin or clopidogrel radiologist uses the computed tomography we recommend you discuss with your doctor (CT) scan images from a CT scan to guide as soon as possible the need to discontinue the needle to the area where the biopsy will your treatment. be taken. When you are admitted to the hospital a blood test will be taken to check that you do not have an increased risk of bleeding, if this Why do I need this test? has not been done in clinic Your consultant has suggested that you have You will need to stay in hospital after the this test after discussing your case with a biopsy for about four hours. Please bring an radiologist. Your previous CT scan and tests overnight bag with you to hospital as you may have shown something that your may need to stay overnight. We will discuss consultant would like to check further. Your this with you when your appointment is consultant will explain why he or she thinks made. you need this test and how it will benefit you. You can then decide if you want to go ahead with the procedure or not. What happens during the procedure? What happens if I don’t have the We will ask you to lie on the CT scanner bed test? and explain the best position for taking the biopsy. It may affect your treatment as your consultant may not have all the information A scan will be taken using a small marker needed for a diagnosis. such as a paper clip or a blue-tack, which is placed on the outside of your skin. This marker shows up in the scan images so we How do I prepare for the test? can decide the best place to take the biopsy. It is important that you make a list of all The skin is then cleaned with antiseptic medicines you are taking and bring it with solution and numbed with a local you to your appointment. If you have any anaesthetic. A biopsy needle is carefully questions at all, please ask your hospital inserted into the lung to take the biopsy. In doctor or nurse. It may help to write down order to take a good sample, this part of the questions as you think of them so that you test may be repeated two to three times. have them ready. It may also help to bring someone with you when you attend your appointment. How long does the procedure take? wall to suck out the trapped air. A small air leak will normally heal in a few days and The procedure will take 30-45 minutes. This does not need to be drained. includes the set-up time and the time to take the biopsy. There is also a risk of the needle causing some bleeding in your lung. If this happens then you will cough up some blood. If you Will it hurt? are coughing up a lot of blood, you will need to stay in hospital for observation, until it The local anaesthetic used to numb the area improves. may sting for a few seconds. You may also be aware of pressure from the biopsy needle If you start coughing up a lot of blood, as it takes the sample. become short of breath or have severe chest pain when you have gone home you will need to come back to the hospital What happens afterwards? immediately. We will take you back to the ward so you can It is possible that the results will not give your rest and where you can eat and drink as consultant enough information to make a usual. You will have a chest x-ray three to diagnosis. If this happens we may need to four hours after the biopsy. If this is normal repeat the CT guided needle lung biopsy or you can go home. If there are any recommend an alternative procedure. complications, we may ask you to stay in Female patients - If you are pregnant, or hospital overnight. think you may be pregnant, please tell us The results of the biopsy will not be available before the procedure immediately and will be sent to the consultant in charge of your care. Your consultant will discuss the results with you at Consent your next clinic appointment or by telephone We aim to make sure that every patient is if necessary. fully informed about the risks and benefits of a procedure or treatment. Before you have What are the risks of the the biopsy the radiologist will ask for your consent (permission) for the procedure. procedure? Please make sure that you understand the All medical procedures carry some risk and risks and benefits of the procedure and that it the possibility that complications may arise. has been explained to you before you give This procedure is considered low risk. your consent. Sometimes a pneumothorax (collapsed lung) Please ask if you have any questions. can occur. This happens when air leaks from the lung and becomes trapped between the lung and the chest wall. The risk of Can I drive after the biopsy? developing pneumothorax is about 1 in 5. If No. Someone else must drive you home after the air leak is large, a small tube (called a the test or accompany you on public chest drain) may be inserted into the chest transport. You should be able to drive again Concerns and Queries the next day if you feel well. If you have any concerns / queries about any of the services offered by the Trust, in the Are there any problems flying in an first instance, please speak to the person aircraft after a biopsy? providing your care. You should normally not fly for six weeks. If For Diana, Princess of Wales Hospital this is a problem then discuss it with your Alternatively you can contact the Patient doctor. Advice and Liaison Service (PALS) on (01472) 875403 or at the PALS office which What about returning to work? is situated near the main entrance. For Scunthorpe General Hospital If you work then you should be able to go back the day after your lung biopsy unless Alternatively you can contact the Patient advised otherwise. Advice and Liaison Service (PALS) on (01724) 290132 or at the PALS office which situated on C Floor. Are there any alternatives? Alternatively you can email: Some patients are suitable for a [email protected] bronchoscopy (a long narrow flexible tube is passed through the nose or mouth to reach the lungs) or a surgical procedure to reach Confidentiality the lung tissue. Please ask your consultant if Information on NHS patients is collected in a you would like to know more about the variety of ways and for a variety of reasons alternatives. (e.g. providing care and treatment, managing and planning the NHS, training and Do you need further information? educating staff, research etc.). Everyone working for the NHS has a legal Please contact us if you have any questions duty to keep information about you about the procedure or your appointment. confidential. Information will only ever be Scunthorpe General Hospital shared with people who have a genuine For Paula Clark – 01724 387741 (Dr Baugh) need for it (e.g. your GP or other professionals from whom you have been Dawn Williams – 01724 387982 (Dr Yasso) receiving care) or if the law requires it, for For Diana, Princess of Wales Hospital example, to notify a birth. Sandra Shepherd – 01472 302464 (Dr Please be assured however that anyone who O’Flynn) receives information from us is also under a legal duty to keep it confidential. Carolyn Watson 01472 302572 (Dr Chan) Jane Davis 01472 875515 (Dr Menon) Zero Tolerance - Violent, If you have any questions regarding moving Threatening and Abusive Behaviour and handling of patients within the Trust, you may speak to any member of the nursing The Trust and its staff are committed to staff, the designated keyworker within the providing high quality care to patients within department or the Trust Moving & Handling the department. However, we wish to advise Coordinator. all patients / visitors that the following inappropriate behaviour will not be tolerated: Northern Lincolnshire and Goole Swearing Hospitals NHS Foundation Trust Threatening / abusive behaviour Diana Princess of Wales Hospital Verbal / physical abuse Scartho Road Grimsby The Trust reserves the right to withdraw from 01472 874111 treating patients whom are threatening / abusive / violent and ensuring the removal of Scunthorpe General Hospital those persons from the premises. Cliff Gardens All acts of criminal violence and aggression Scunthorpe will be notified to the Police immediately. 01724 282282 Goole & District Hospital Risk Management Strategy Woodland Avenue Goole The Trust welcomes comments and 01405 720720 suggestions from patients and visitors that www.nlg.nhs.uk could help to reduce risk. Perhaps you have experienced something Date of issue: June 2013 whilst in hospital, whilst attending as an Review Period: June 2016 outpatient or as a visitor and you felt at risk.
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