This project enhances procedures we already provide 和 enables us to develop others, 比如我们的血管内手术项目.
—Dr. 史蒂文•卡布拉尔, Vice President 和 Chief Medical Officer of 蒙太奇的健康
混合动力或s marry the advanced imaging technology used in minimally invasive procedures with the features of a 手术套件. This creates a single environment that can be used for traditional “open” surgeries, 有更大的切口来进入手术部位, 和 transcatheter procedures which are done through small incisions, 由成像系统引导.
“This project enhances procedures we already provide 和 enables us to develop others, 比如我们的血管内手术项目,” Dr. 史蒂文•卡布拉尔, Vice President 和 Chief Medical Officer of 蒙太奇的健康.
混合手术室取代了两个 心导管实验室(导管实验室) 和 will continue to be home to a range of heart procedures, 包括打开阻塞的动脉, 更换阀门, 以及修复其他心脏缺陷. The advanced technology will also allow the addition of new transcatheter procedures, including minimally invasive mitral valve interventions for the treatment of 二尖瓣漏水.
A “leak” is what prompted development of the hybrid ORs; a major flood caused water damage in one of the 导管实验室，启动翻新计划. “We took the opportunity when disaster struck 和 said, 我们不仅要建立最先进的导管室, 但我们也要让它在未来具备or能力,’”卡布拉莱斯说.
That future includes endovascular procedures to treat problems in blood vessels, 比如动脉瘤修复, 和, 最终, 神经与血管的过程, like breaking up or removing blood clots from the brain. There could also be procedures that involve both open surgery 和 minimally invasive interventions on the same patient. 例如, a patient with blockages in both the leg 和 the pelvis might be treated with a surgical bypass in the leg 和 a catheter-placed stent in the pelvis, 所有这些都是在混合手术室的一次疗程中完成的.
Such procedures will benefit from the hybrid ORs’ “phenomenal” imaging, 朱莉·拉什说, RN, 社区医院的主任 泰勒心脏研究所. The system uses a robotic arm that can move around the procedure table to capture images from just about any angle, 二维和三维的. One of the hybrid ORs has a “biplane” X-ray system that gives doctors real-time visualization from two angles, 需要某些干预措施.
The system scans faster than the previous technology 和 each image covers a bigger area of the body; both factors mean patients need less of the intravenous contrast used for the imaging. Other elements of hybrid ORs can also contribute to patient safety 和 successful outcomes:
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If a procedure can be done using a minimally invasive technique, the patient may need only mild sedation rather than general anesthesia which can be more taxing for some patients, 尤其是老年人
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医院 stays 和 recovery times are generally shorter with minimally invasive procedures
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If something unexpected happens during a minimally invasive procedure 和 open surgery is required, 这可以在同一个房间里完成, rather than stopping the procedure 和 moving the patient to an OR
Outcomes can also be improved by the collaborative approach that a successful hybrid OR requires, 说 Dr. Ahmad Edris, Director of Interventional Cardiology 和 Structural Heart Disease at 全国网赌正规平台. Procedures planned for the hybrid ORs will draw on the expertise of broad teams of surgeons, 介入心脏病学家, 放射科医生, 麻醉医师, 护士, 和其他人.
“At Community 医院, we have already established a multidisciplinary heart team with 经导管主动脉瓣置换术 还有二尖瓣介入治疗, 和 I believe the same can be done with vascular 和 endovascular care,埃德里斯说.
在TAVR程序中, a faulty heart valve is replaced with a new valve using a catheter inserted through a small incision in the leg artery, 而不是通过心脏直视手术. 在每次TAVR之前, the prospective patient is evaluated by a multidisciplinary heart team including an interventional cardiologist 和 a cardiac surgeon to determine which approach is best — open surgery or in a cath lab.
“The future of medicine in general is really a collaborative approach, 多学科方法,埃德里斯说. “It’s not just one physician determining the best care of the patient. We decide as a team what is the best modality to treat each patient. We look at the data 和 comprehensively evaluate the patient. It’s knocking down the silos traditionally found in medicine.”
The hybrid ORs are the first in Monterey County 和 are usually only found in larger communities or at academic medical centers.
“Community hospitals don’t usually have these kinds of things,埃德里斯说. 这就会自动导致 招聘医生 谁拥有可以为社区增添价值的技能, 和 also add to the skill sets of our staff to better treat our patients.”
