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Tips to Consider before Creating a Hybrid OR 1. Create a multidisciplinary team across all specialties consisting of physicians, nurses, IT, and administrative directors. 2. Decide is this a cath lab that can function as an OR or an OR that has cath lab functionality. This will help you determine what to put in the room. 3. Use or create a room as big as you can. The room always begins to shrink as you add equipment. 4. Go on site visits and note the size and space restrictions of the room and equipment. What features do they use and what features offer little benefit? This will help you determine what equipment and features should be included in your hybrid OR. Lessons Learned A committee of about 15 people, headed by Dr. LaLonde and representing a cross-section of multiple disciplines and staff, diligently worked together for nearly a year to define the function of St. John Hospital’s hybrid OR, identify the requisite technology, and ultimately configure the space. The result is close to pristine. Committee members agree that site visits to view the technology in action was an invaluable part of the process. The visits also helped the committee members to visualize the space requirements for the room vis-à-vis the equipment, staff, cabinetry, and counter space that would need to be accommodated. The committee members unanimously agreed that “more is better” in terms of space. The room begins to shrink – particularly the ceiling space – as you add equipment. Dr. LaLonde advised, “It’s important to do your homework. Go on multiple site visits to see a hybrid room and to talk to the people who put the room together. See what mistakes they made – we can always learn from each other’s mistakes.” According to Michael Vicencio, applications specialist for cardiology, it’s equally important to raise adequate funding early on. “There are always technology add-ons. Get buy-in from the different disciplines up front since this will determine which equipment is selected for the room.” Technology Requirements The Artis zee ceiling-mounted C-arm system is the focal technology within St. John Hospital’s hybrid OR. Physicians are impressed with the 3D imaging provided by syngo DynaCT. “The more I can see, the clearer the image, the easier and better the outcomes are,” explained Dr. Rama. In addition, the flexibility and positioning capabilities of the ceiling-mounted system work best for the room – staff felt the system could be moved quickly and easily parked when not in use. Surgeons appreciate the design and automation of the system’s table and believe it will ideally support the types of procedures they will handle. Affordability is another key benefit of the ceiling-mounted system. The room is outfitted with an assortment of supporting equipment and features, as well. These include several booms, an array of lighting components, a video conference system with seven monitors, media streaming, and color balancing LED lights. However, the staff favorite is a video display with four LEDs that create a window effect. Here, a variety of tranquil, picturesque images help to soothe both the patients and OR staff. The Rewards Enthusiasm for the hybrid OR runs high among the staff at St. John Hospital – and with good reason. Dr. LaLonde summarized, “Everybody is very excited about doing cases in the hybrid room because it is beautiful – with amazing technology – and we’ve had nothing but excellent support from Siemens and excellent outcomes in every case we’ve done in there so far.” Contact sabine.wich@siemens.com Surgery Hybrid OR 74  AXIOM Innovations | December 2013 | www.siemens.com/angiography


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