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A new hybrid operating the room at the Frankel Cardiovascular Center at the University of Michigan uses advanced technology.The OR can help surgeons perform complex heart surgeries easier and safer, and can accommodate certain procedures spontaneously.
The Robert and Ann Aikens hybrid suite has a spacious area capable of containing all required high-tech equipment without crowding the clinical staff and surgical trainees.Because of its design, hospital staff can quickly bring in or send out equipment easily whenever a procedure needs to be converted to a different one.
“The new suite will help us solidify our strength in the treatment of percutaneous valvular disease and complex electrophysiology interventions,” said Dr.Stanley Joseph Chetcuti, director of the cardiac catheterization laboratories and an interventional cardiologist at Michigan University.The high-tech OR is equipped with the following unique technologies to help clinical staff and patients:
- ARTIS pheno angiography system by Siemens cleared in March 2017 by US Food and Drug Administration.It is a floor-based robotic fluoroscope that captures high-quality images while limiting radiation exposure of the staff.The robotic C-arm is coated with an antimicrobial to prevent microbes from infecting the patient.In order to provide mobility for clinicians when performing procedures, the system’s cabling is routed inside the system and mounted on the floor.
- ARTIS pheno can also lower the number of contrast agents to match specific cases.
- Siemens’ zen40HDR flat panel detector and GIGALIX x-ray can capture quality images and record 2K video without using too much radiation.The dose of the radiation is automatically set by the system to reduce radiation exposure to everyone performing a procedure.
- Dosimeter badges are worn by clinicians to measure x-ray radiation in real-time so that they can switch places when needed.Clinicians can immediately see the impact of radiation exposure via real-time data feed.
- A control room located at the back of the hybrid OR can fit dozens of spectators.People can view the procedure from cameras installed on the walls of the OR while an instructor manages the zooming controls for important aspects.
"The Aikens Hybrid room ushers in a new era of cardiovascular care, the minimally invasive treatment of structural heart disease.With the explosion of new technology more and more state-of-the-art forms of therapy are evolving from open surgical interventions to percutaneous procedures,” said Dr.George Michael Deeb of the Herbert Sloan Collegiate Professor of Cardiac Surgery.
The Aikens hybrid OR is the third created suite in the Frankel CVC equipped with a Siemens ARTIS pheno.The first case performed in the hybrid OR was in July 2017.
Overview of the Operating Room
An operating room can be a scary place especially for a patient who is not familiar with the equipment and outfits used by surgeons.Surgeons use specific clothing including protective caps to cover their hair, masks to cover their mouths and noses, glasses to shield their eyes, gloves for their hands, long gowns, and protective shoe covers to prevent infection.Here are the common equipment found in a standard operating room, according to the University of Rochester Medical Center.
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- The operating table is at the center of the room which can be raised, lowered or titled in any direction.
- Several lights dominate the room to provide the necessary bright light and eliminate shadows during procedures.
- The machine at the head of the operating table provides anesthesia, the tubes assist the patient’s breathing, and the monitors control the mixture of gases in the breathing circuit.
- The cart next to the anesthesia machine keeps the equipment, medications, and other supplies needed by the anesthesiologists.
- Sterile surgical instruments are placed on a stainless steel table.
- Electronic monitors in adhesive patches are placed on the patient’s chest that records heart rate and respiratory rate.
- The elastic band-aid attached on the patient’s finger is called the pulse oximeter machine that measures the oxygen in the blood.
Patient Safety in the Operating Room
Safety of the patient is the top priority and it begins before entering the operating room.Surgical errors can lead to patients with temporary or permanent injuries before, or surgical procedure may be performed on the wrong patient, wrong body part, wrong side of the body, or wrong level of the correctly identified anatomic site.
A research study in 2012 revealed that each week from 1990 to 2010, surgeons leave a foreign object like a sponge or tower inside the patient’s body after the operation 39 times.The same study also reported that surgeons performed the wrong procedure on a patient 20 times and operated on the wrong body site 20 times.These surgical mistakes happened each week for 20 years.The researchers estimated that 4,004 surgical errors happen in the US each year based on the data gathered from the National Practitioner Data Bank, according to WebMD.