A hybrid operating room is an operating room equipped with equipment for medical imaging: a fixed C-arc, a computer tomograph or a magnetic resonance imaging. With the help of medical imaging equipment, it is possible to perform minimally invasive surgery, which is less traumatic for patients than standard surgery. Minimally invasive is the minimal intervention in the body or part of the human body with a catheter or endoscope through a small hole.
Medical imaging can be provided by mobile C-arc or angiographic equipment, ultrasound, endoscopy, CT and MRI, which can show the necessary parts or areas of the body.
The hybrid operating room is equipped with imaging equipment and a multifunctional surgical table makes it possible to diagnose and conduct therapy in one place with minimal time, reducing risks, increasing the safety of procedures and reducing costs.
Advantages of a hybrid operating room:
❖ The possibility of minimally invasive cardiovascular surgery
❖ High-precision surgery with control visualization in real time
❖ Reducing the risk of intra- and postoperative complications
❖ A complete picture of the patient's anatomy during surgery
❖ Due to the use of the patient movement system, significantly reduces the risk of possible complications and facilitates the work of staff
❖ The patient receives the best possible care
❖ Hybrid operating room can be used as a normal operating room for other surgical interventions
Clinical application:
Devices for medical imaging allow you to perform in one room almost the entire range of procedures - from cardiovascular, minimally invasive and combined interventions to open surgery - in one operating room.
❖ Cardiovascular surgery - thin vessels in the heart muscle
❖ Neurosurgery
❖ Thoracic surgery and endobronchial procedures
❖ Biopsy
❖ Surgery
❖ Orthopedic intensive care surgery
❖ Laparoscopic surgery
❖ Intensive care
In which diseases are surgical interventions performed better in a hybrid operating room?
Disease:
❖ Diseases of the coronary vessels
❖ Heart Attack
❖ Stroke
❖ Lameness
❖ Urgent surgery
❖ Stenosis
❖ Occlusion (thrombosis, embolism)
❖ Vascular tumors
❖ Vascular deformities
Planning a hybrid operating room:
Organization and location:
❖ Department of Radiology
❖ Department of Surgery
Operating room size and room preparation:
❖ Depending on the choice of medical imaging system, it is recommended to have a room of 70 square meters, including the equipment control room and excluding technical and preparatory premises.
❖ A team of 8-20 people, including anesthesiologists, surgeons, nurses, technicians, perfusionists and other support staff.
Preparing the room:
❖ In addition, it is necessary to provide a lead screen with a thickness of 2-3 mm or other materials to protect against radiation emitted by the medical imaging system.
❖ Depending on the medical imaging system chosen, the construction of the floor or ceiling must be strengthened to retain the extra weight of the medical imaging system. (Approximate weight 650-1800 kg)
❖ Equipping a hybrid operating room as a "clean" room with a ventilation and air conditioning system.
❖ Provision of hybrid operating room with medical gases: oxygen, compressed air and, if necessary, other medical gases.
Workflow in the operating room:
❖ Ensuring a smooth workflow.
❖ Final design of the room: space, medical and visual equipment.
❖ Interdependence between the requirements of different manufacturers of imaging and medical systems.
❖ Individual solution, configured according to the needs and preferences of the interdisciplinary team operating hybrid operating system.
lights, monitors and pendant systems. The hybrid operating room requires two types of light sources:
❖ Surgical (directional) light for open operations
❖ Scattered light for interventional procedures with the ability to adjust the brightness of diffused lighting for radioscopic or endoscopic operations.
Design and equipping of hybrid operating equipment:
❖ C-arm
❖ CT or MRI
❖ System operating table with replaceable microcarbon X-ray transparent countertops
❖ Surgical lights
❖ Visualization, integration and telemedicine system
❖ System of "clean" rooms
❖ Ventilation and air conditioning system
❖ Medical gases
❖ Other ancillary equipment
