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Endocrine Procedures: Thyroid Ultrasound
Ultrasound-Guided Fine-Needle Aspiration of a Thyr ...
Ultrasound-Guided Fine-Needle Aspiration of a Thyroid Nodule
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Video Transcription
Video Summary
The video discusses the importance of performing thyroid nodule fine-needle aspiration (FNA) biopsy under ultrasound guidance. This improves diagnostic accuracy and reduces non-diagnostic results. For the procedure, the patient should be positioned with a pillow under their neck and shoulders to extend the neck. The necessary equipment includes alcohol prep pads or iodine solution for cleaning the neck, a sterile probe cover, and sterile gel for a clear image. A 25 or 27 gauge needle, attached to a 6 to 10 cc lower lock syringe filled with 1 to 2 ccs of air, is used for the biopsy. Lidocaine is injected as a local anesthetic, and the FNA procedure can be performed using parallel or perpendicular approaches with different ultrasound probes. The needle is inserted under ultrasound guidance with the bevel up, moved in a back and forth motion, and repeated for adequacy.
Asset Subtitle
Please note – not all hospitals and institutions use a sterile cover and gel during fine-needle aspiration. Please refer to your healthcare setting’s best practices.
Asset Caption
Please note – not all hospitals and institutions use a sterile cover and gel during fine-needle aspiration. Please refer to your healthcare setting’s best practices.
Keywords
thyroid nodule
fine-needle aspiration
ultrasound guidance
diagnostic accuracy
non-diagnostic results
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