Radioprotection Measures during the Learning Curve with Hybrid Operating Rooms

Hybrid Operating Room Suites

“…34 They also found that patients treated in the hybrid OR required significantly less contrast media for their procedures and fluoroscopy times were significantly shorter. 34 Fidalgo Domingos and colleagues (2018) 35 measured values of absorbed radiation before the installation of a hybrid OR, after installation but before administration of a radioprotection seminar, and after administration of a radioprotection seminar� The highest average amount of absorbed radiation was observed in the hybrid OR before the radioprotection seminar was administered� The average radiation exposure for patients was significantly lower in the hybrid OR after the seminar. 35 After the implementation of a radiation dose protection program in a hybrid OR, researchers found the mean unprotected eye lens dose measured outside of the operator's lead glasses was reduced by between 55% and 79% for EVAR procedures� 36 The average interoperative radiation exposure for surgeons and assistants was significantly reduced when a protection sheet (a sterile, disposable drape that does not contain lead) was placed over the pelvis after surgical exposure of the femoral artery� 37 The protection sheet is meant to protect the operator from the surgery's scatter radiation.…”

O caminho das pedras no diagnóstico e tratamento da síndrome obstrutiva ilíaca venosa crônica

“…Para o tratamento endovascular, o uso de subtração digital, colimação e a técnica de road-map são importantes para diminuir o tempo de exposição à radiação do paciente e dos colaboradores presentes na sala. Deve-se lembrar que muitos pacientes estão em idade fértil, e todas as medidas de radioproteção devem ser observadas 34 . Na maioria dos casos, o procedimento é realizado apenas com o uso de anestesia local e sedação, mas, nos casos de acesso poplíteo e jugular, em que o procedimento pode ser desconfortável, e de OPTVI, em que o tratamento do segmento ocluído pode ser doloroso e demorado, pode ser necessária sedação profunda ou anestesia geral.…”

Team composition and staff roles in a hybrid operating room: A prospective study using video observations

“…The limitations associated with a hybrid OR are scarcely described, but when they are, they tend to focus on aspects such as room space requirements and increased costs during construction. The research focus within the context of hybrid ORs continues to be of medical and technical nature (Ahmad, Obeidi, Majd, & Brunkwall, ; Andres et al, ; Fidalgo Domingos et al, ; McAnelly, Kelleher, Ibrahim, & Antoniou, ; Tsuei et al, ; Ujiie, Effat, & Yasufuku, ). However, the team approach is mentioned as the most critical factor in the success for a hybrid OR (Kaneko & Davidson, ), but to our knowledge, no studies focusing on the team composition or on the staff roles have been conducted.…”

“…The limitations associated with a hybrid OR are scarcely described, but when they are, they tend to focus on aspects such as room space requirements and increased costs during construction. The research focus within the context of hybrid ORs continues to be of medical and technical nature (Ahmad, Obeidi, Majd, & Brunkwall, 2018;Andres et al, 2017;Fidalgo Domingos et al, 2018;McAnelly, Kelleher, Ibrahim, & Antoniou, 2017;Tsuei et al, 2018;Ujiie, Effat, & Yasufuku, 2017).…”