1. www.metcardio.org Setting up a hybrid suite: truth or myth? Giuseppe Biondi Zoccai, MD University of Modena and Reggio Emilia gbiondizoccai@gmail.com

2. www.metcardio.org LEARNING GOALS Scope of the problem What is a hybrid suite Why getting a hybrid suite

3. www.metcardio.org C’mon, c’mon - it’s either one or the other

4. www.metcardio.org TOO EARLY, OR TOO LATE?

5. www.metcardio.org WHAT DOES THE LITERATURE SAY?

6. www.metcardio.org THE FUTURE IS NOW

7. www.metcardio.org LEARNING GOALS Scope of the problem What is a hybrid suite Why getting a hybrid suite

8. www.metcardio.org SCOPE OF THE PROBLEM Cardiac and vascular procedures are performed by several different specialists, involving others as well: – Anesthesiologists, angiologists, cardiac surgeons, cardiologists, neurosurgeons, radiologists, and vascular surgeons

9. www.metcardio.org SCOPE OF THE PROBLEM These procedures are thus traditionally performed in altogether different settings, none of which is perfectly equipped: – Angiographic suite with state-of-the-art C-arm – Operating room with portable C-arm

10. www.metcardio.org LEARNING GOALS Scope of the problem What is a hybrid suite Why getting a hybrid suite

11. www.metcardio.org THE HYBRID ROOM

12. www.metcardio.org KEY FEATURES OF IDEAL HYBRID SUITE Efficient installation process Optimal room layout design Flexible, high-resolution fixed X-ray system State of the art hybrid operating room communications Latest surgical equipment

13. www.metcardio.org FOCUS ON ARCHITECTURE

14. www.metcardio.org FOCUS ON ARCHITECTURE

15. www.metcardio.org FOCUS ON ARCHITECTURE

16. www.metcardio.org FOCUS ON ROOM SPACE

17. www.metcardio.org FOCUS ON LAMINAR FLOWS

18. www.metcardio.org FOCUS ON THE TABLE

19. www.metcardio.org FOCUS ON THE TABLE

20. www.metcardio.org FOCUS ON THE TABLE

21. www.metcardio.org FOCUS ON THE C-ARM

22. www.metcardio.org FOCUS ON INTEGRATION

23. www.metcardio.org FOCUS ON STAFFING

24. www.metcardio.org FOCUS ON PROCEDURES

25. www.metcardio.org AN EXAMPLE: PHILIPS-MAQUET Flexible room design: Modular wall and ceiling elements allow hospitals to design every aspect of the operating room in line with their requirements. Modular and ergonomic: MAQUET operating tables can be used for any intervention and across multiple disciplines, making them a highly cost- effective investment. The tables are partially or fully synchronized with imaging equipment. A bright future: PowerLED lights set new standards of illumination quality, safety, convenience and operational efficiency. Everything within reach: Ceiling supply units save space, create a more orderly and ergonomic working environment, streamline workflows and increase efficiency – further enhancing the multidisciplinary use of the OR. Leading-edge OR Integration: AV CONFERENCE is the control centre for integrated operating theatres. It offers state of the art multimedia technology and equipment control.

26. www.metcardio.org LEARNING GOALS Scope of the problem What is a hybrid suite Why getting a hybrid suite

27. www.metcardio.org ADVANTAGES Time & space: the patient no longer needs to be moved to a different procedure or operating room to accommodate multiple heart and vascular procedures or surgeries Multidisciplinarity Integration of information and skills Enhanced safety and efficacy

28. www.metcardio.org IN OTHER WORDS Combines endovascular, cardiac catheterization, cardiac surgical, laparoscopic, and radiological capabilities Allows maximum flexibility and speed in the treatment of patients with even the most complex cardiac and vascular conditions

29. www.metcardio.org TAKE HOME MESSAGES

30. www.metcardio.org TAKE HOME MESSAGES Hybrid suites have evident clinical and economic advantages over standard angiographic and operating suites Customization is the key word for anyone wishing to set up a hybrid room Before choosing which one to buy and were to set it up, however, we must address and settle untoward turf wars

31. www.metcardio.org Thank you for your attention For any correspondence: gbiondizoccai@gmail.com For these and further slides on these topics feel free to visit the metcardio.org website: http://www.metcardio.org/slides.html gbiondizoccai@gmail.com http://www.metcardio.org/slides.html