Mr. Wikipedia says it's not just an OR-it's theatre.
"A hybrid operating room is a surgical theatre that is equipped with advanced medical imaging devices such as fixed C-Arms, CT scanners or MRI scanners."
So hybrid ORs are actually a real thing and we are currently in the middle of building one in the hospital I work in. In most facilities, minimally invasive procedures (interventional radiology and the cardiac cathertization lab) are set up in a different area of the hospital from the operating rooms. Patients with multiple medical issues would have to have anesthetized in the IR or cath lab, procedure completed, woken up, and then moved to the OR to have the whole procedure repeated. A hybrid OR is set up to accomodate equipment and positioning requirements for multiple types of procedures. It also allows for instant transfer from a minimally invasive procedure to an open surgery should a patient become unstable mid procedure.
Well with Medicare you can now spend a few days (and nights with meals and nurses and tests and treatments and microwave-heated disposable washcloths) but not actually be admitted. Then Medicare won't cover your care in. Rehab (short term care in nursing home so you can get strong enuf to do tasks like get out of bed safely alone or use the toilet alone). Either you give a nursing home enuf cash for 30 days of care up front or go home with your aged spouse or your sandwich generation adult offspring to help you at home. Medicare pays for lots of experts and tests but not the basic care you need. However, if the hospital did not actually admit you and you end up back in ER with complications, then hospital can admit you for lots more tests and an intensive care bed! Penny wise and pound foolish!
Whether it is penny wise and pound foolish depends on the averages, not on an individual case. What concerns me as an individual (potential) patient is whether, if there are complications, the outcome will be less favorable as a result.
In the cardiovascular world a Hybrid OR is basically a cath lab, that is also equipped to be an OR should the patient go south on the table. It's nice not to have to move them.
It has an extra-large operating table to accomodate the half-man/half-giraffe patient.
ReplyDeleteSeriously, though, what is a hybrid operating room?
ReplyDeletehalf OR, half ER waiting room.
ReplyDeleteIt's where we operate on centaurs, griffins, and mermaids.
ReplyDeleteMr Spock says your argument is illogical.
ReplyDeleteMr. Wikipedia says it's not just an OR-it's theatre.
ReplyDelete"A hybrid operating room is a surgical theatre that is equipped with advanced medical imaging devices such as fixed C-Arms, CT scanners or MRI scanners."
So hybrid ORs are actually a real thing and we are currently in the middle of building one in the hospital I work in. In most facilities, minimally invasive procedures (interventional radiology and the cardiac cathertization lab) are set up in a different area of the hospital from the operating rooms. Patients with multiple medical issues would have to have anesthetized in the IR or cath lab, procedure completed, woken up, and then moved to the OR to have the whole procedure repeated. A hybrid OR is set up to accomodate equipment and positioning requirements for multiple types of procedures. It also allows for instant transfer from a minimally invasive procedure to an open surgery should a patient become unstable mid procedure.
ReplyDeleteSounds incredibly high tech and incredibly expensive, but potentially life saving.
ReplyDeleteWell with Medicare you can now spend a few days (and nights with meals and nurses and tests and treatments and microwave-heated disposable washcloths) but not actually be admitted. Then Medicare won't cover your care in. Rehab (short term care in nursing home so you can get strong enuf to do tasks like get out of bed safely alone or use the toilet alone). Either you give a nursing home enuf cash for 30 days of care up front or go home with your aged spouse or your sandwich generation adult offspring to help you at home. Medicare pays for lots of experts and tests but not the basic care you need. However, if the hospital did not actually admit you and you end up back in ER with complications, then hospital can admit you for lots more tests and an intensive care bed! Penny wise and pound foolish!
ReplyDeleteSo I thought a hybrid OR was the latest Medicare quality management strategy.
ReplyDeleteYes AND no.
ReplyDeleteWhether it is penny wise and pound foolish depends on the averages, not on an individual case. What concerns me as an individual (potential) patient is whether, if there are complications, the outcome will be less favorable as a result.
ReplyDeleteIn the cardiovascular world a Hybrid OR is basically a cath lab, that is also equipped to be an OR should the patient go south on the table. It's nice not to have to move them.
ReplyDeletehttp://www.cathlabdigest.com/articles/Is-Hybrid-Cath-Lab-Way-Future