title: Cesarean delivery in the hybrid operating suite: a promising new location for high-risk obstetric procedures.
abstract: BACKGROUND
  The increasing cesarean delivery rate and attendant placental implantation abnormalities, coupled with increasing general medical complexity in the obstetric population, has driven innovation to optimize the care of high-risk parturients during delivery. Novel and multidisciplinary approaches and locations may enhance the options available for care.
  
  
  METHODS
  We reviewed the records of all 11 patients who underwent cesarean delivery in our hybrid operating suite between December 2007 and March 2013 and describe the high-risk cesarean deliveries.
  
  
  RESULTS
  The most common indication for the use of the hybrid operating suite was an increased risk of hemorrhage, most commonly due to abnormal placental implantation. Other indications included cardiovascular disease and intracranial pathology.
  
  
  CONCLUSIONS
  The hybrid operating suite may be an alternative location for obstetric delivery, and our experience suggests that this environment may prove advantageous for patients with a variety of comorbid conditions.
authors.affiliation: From the Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.
authors.forename: Allison
authors.initials: A
authors.lastname: Clark
authors.forename: Michaela K
authors.initials: MK
authors.lastname: Farber
authors.forename: Hans
authors.initials: H
authors.lastname: Sviggum
authors.forename: William
authors.initials: W
authors.lastname: Camann
mesh_terms: D000328:Adult; D002318:Cardiovascular Diseases / Q000150:complications; D002561:Cerebrovascular Disorders / Q000150:complications; D002585:Cesarean Section / Q000295:instrumentation* / Q000379:methods*; D004621:Embolization, Therapeutic / Q000295:instrumentation / Q000379:methods; D005260:Female; D006470:Hemorrhage / Q000517:prevention & control; D006801:Humans; D007044:Hysterectomy / Q000295:instrumentation / Q000379:methods; D007083:Iliac Artery / Q000601:surgery; D007431:Intraoperative Complications / Q000628:therapy; D019635:Neurosurgical Procedures / Q000295:instrumentation* / Q000379:methods*; D009873:Operating Rooms / Q000458:organization & administration*; D010921:Placenta Accreta / Q000175:diagnosis; D011247:Pregnancy; D011248:Pregnancy Complications; D012306:Risk; D015607:Stents; D016896:Treatment Outcome; D055357:Uterine Artery Embolization