OBJECTIVE: The primary objective of this study was to evaluate the utility, clinical impact, and work flow of a new trauma hybrid operating theater. SUMMARY BACKGROUND DATA: The potential utility and clinical benefit of hybrid operating theaters are increasingly postulated. Unfortunately, the clinical outcomes and efficiencies of these environments remain unclear. METHODS: All severely injured patients who were transferred to the hybrid suite for emergent intervention between 2013 and 2017 were compared to consecutive prehybrid patients. Standard statistical methodology was employed (P < 0.05 = significant). RESULTS: One hundred sixty-nine patients with severe injuries (mean ISS = 23; hemodynamic instability = 70%; hospital/ICU stay = 12 d; mortality = 14%) were transferred urgently to the hybrid suite. Most were young (38 yrs) males (84%) with blunt injuries (51%). Combined hybrid trauma procedures occurred in 18% of cases (surgery (82%) and angiography (11%) alone). Procedures within the hybrid suite included: laparotomy (57%), extremity (14%), thoracotomy/sternotomy (12%), angioembolization of the spleen/pelvis/liver/other (9%), neck (9%), craniotomy (4%), and aortic endostenting (6%). Compared with historical controls, use of the hybrid suite resulted in shorter arrival to intervention and total procedure times (P < 0.05). A clear benefit for survival was evident (42% vs. 22%). CONCLUSIONS: Availability of a hybrid environment for severely injured patients reduces time to intervention, total procedural duration, blood product transfusion and salvages a small subset of patients who would not otherwise survive. The cost associated with a hybrid suite remains prohibitive for many centers.
OBJECTIVE: The primary objective of this study was to evaluate the utility, clinical impact, and work flow of a new trauma hybrid operating theater. SUMMARY BACKGROUND DATA: The potential utility and clinical benefit of hybrid operating theaters are increasingly postulated. Unfortunately, the clinical outcomes and efficiencies of these environments remain unclear. METHODS: All severely injured patients who were transferred to the hybrid suite for emergent intervention between 2013 and 2017 were compared to consecutive prehybrid patients. Standard statistical methodology was employed (P < 0.05 = significant). RESULTS: One hundred sixty-nine patients with severe injuries (mean ISS = 23; hemodynamic instability = 70%; hospital/ICU stay = 12 d; mortality = 14%) were transferred urgently to the hybrid suite. Most were young (38 yrs) males (84%) with blunt injuries (51%). Combined hybrid trauma procedures occurred in 18% of cases (surgery (82%) and angiography (11%) alone). Procedures within the hybrid suite included: laparotomy (57%), extremity (14%), thoracotomy/sternotomy (12%), angioembolization of the spleen/pelvis/liver/other (9%), neck (9%), craniotomy (4%), and aortic endostenting (6%). Compared with historical controls, use of the hybrid suite resulted in shorter arrival to intervention and total procedure times (P < 0.05). A clear benefit for survival was evident (42% vs. 22%). CONCLUSIONS: Availability of a hybrid environment for severely injured patients reduces time to intervention, total procedural duration, blood product transfusion and salvages a small subset of patients who would not otherwise survive. The cost associated with a hybrid suite remains prohibitive for many centers.
Authors: Shenise Gilyard; Kaitlin Shinn; Nariman Nezami; Laura K Findeiss; Sean Dariushnia; April A Grant; C Matthew Hawkins; Gail L Peters; Bill S Majdalany; Janice Newsome; Zachary L Bercu; Nima Kokabi Journal: Semin Intervent Radiol Date: 2020-03-04 Impact factor: 1.513
Authors: Edoardo Picetti; Ronald V Maier; Sandra Rossi; Andrew W Kirkpatrick; Walter L Biffl; Philip F Stahel; Ernest E Moore; Yoram Kluger; Gian Luca Baiocchi; Luca Ansaloni; Vanni Agnoletti; Fausto Catena Journal: World J Emerg Surg Date: 2019-03-04 Impact factor: 5.469
Authors: Tyler J Loftus; Chasen A Croft; Martin D Rosenthal; Alicia M Mohr; Philip A Efron; Frederick A Moore; Gilbert R Upchurch; R Stephen Smith Journal: J Am Coll Surg Date: 2020-11-20 Impact factor: 6.532
Authors: Federico Coccolini; Raul Coimbra; Carlos Ordonez; Yoram Kluger; Felipe Vega; Ernest E Moore; Walt Biffl; Andrew Peitzman; Tal Horer; Fikri M Abu-Zidan; Massimo Sartelli; Gustavo P Fraga; Enrico Cicuttin; Luca Ansaloni; Michael W Parra; Mauricio Millán; Nicola DeAngelis; Kenji Inaba; George Velmahos; Ron Maier; Vladimir Khokha; Boris Sakakushev; Goran Augustin; Salomone di Saverio; Emanuil Pikoulis; Mircea Chirica; Viktor Reva; Ari Leppaniemi; Vassil Manchev; Massimo Chiarugi; Dimitrios Damaskos; Dieter Weber; Neil Parry; Zaza Demetrashvili; Ian Civil; Lena Napolitano; Davide Corbella; Fausto Catena Journal: World J Emerg Surg Date: 2020-03-30 Impact factor: 5.469
Authors: Edoardo Picetti; Sandra Rossi; Fikri M Abu-Zidan; Luca Ansaloni; Rocco Armonda; Gian Luca Baiocchi; Miklosh Bala; Zsolt J Balogh; Maurizio Berardino; Walter L Biffl; Pierre Bouzat; Andras Buki; Marco Ceresoli; Randall M Chesnut; Osvaldo Chiara; Giuseppe Citerio; Federico Coccolini; Raul Coimbra; Salomone Di Saverio; Gustavo P Fraga; Deepak Gupta; Raimund Helbok; Peter J Hutchinson; Andrew W Kirkpatrick; Takahiro Kinoshita; Yoram Kluger; Ari Leppaniemi; Andrew I R Maas; Ronald V Maier; Francesco Minardi; Ernest E Moore; John A Myburgh; David O Okonkwo; Yasuhiro Otomo; Sandro Rizoli; Andres M Rubiano; Juan Sahuquillo; Massimo Sartelli; Thomas M Scalea; Franco Servadei; Philip F Stahel; Nino Stocchetti; Fabio S Taccone; Tommaso Tonetti; George Velmahos; Dieter Weber; Fausto Catena Journal: World J Emerg Surg Date: 2019-11-29 Impact factor: 5.469