Utility of simultaneous interventional radiology and operative surgery in a dedicated suite for seriously injured patients.
OBJECTIVE
In recent years, combined interventional radiology and operative suites have been proposed and are now becoming operational in select trauma centres. Given the infancy of this technology, this review aims to review the rationale, benefits and challenges of hybrid suites in the management of seriously injured patients.


RESULTS
No specific studies exist that investigate outcomes within hybrid trauma suites. Endovascular and interventional radiology techniques have been successfully employed in thoracic, abdominal, pelvic and extremity trauma. Although the association between delayed haemorrhage control and poorer patient outcomes is intuitive, most supporting scientific data are outdated. The hybrid suite model offers the potential to expedite haemorrhage control through synergistic operative, interventional radiology and resuscitative platforms. Maximizing the utility of these suites requires trained multidisciplinary teams, ergonomic and workplace considerations, as well as a fundamental paradigm shift of trauma care. This often translates into a more damage-control orientated philosophy.


CONCLUSIONS
Hybrid suites offer tremendous potential to expedite haemorrhage control in trauma patients. Outcome evaluations from trauma units that currently have operational hybrid suites are required to establish clearer guidelines and criteria for patient management.
aTrauma Department, Liverpool Hospital, and The University of New South Wales bRoyal North Shore Hospital, Sydney, New South Wales, Australia cDepartment of Surgery, University of Calgary, Foothills Medical Centre, Calgary, Alberta, Canada.
Scott K
SK
D'Amours
Pratik
P
Rastogi
Chad G
CG
Ball
D003362:Cost-Benefit Analysis; D003422:Critical Care; D005240:Feasibility Studies; D005260:Female; D006470:Hemorrhage / Q000000981:diagnostic imaging / Q000517:prevention & control / Q000601:surgery*; D006801:Humans; D007857:Leadership; D008297:Male; D009873:Operating Rooms / Q000191:economics / Q000458:organization & administration / Q000639:trends; D010348:Patient Care Team; D015397:Program Evaluation; D011859:Radiography; D015642:Radiology, Interventional / Q000458:organization & administration / Q000639:trends; D014193:Trauma Centers / Q000191:economics / Q000458:organization & administration / Q000639:trends; D015599:Trauma Severity Indices; D014656:Vascular Surgical Procedures / Q000458:organization & administration / Q000639:trends; D014947:Wounds and Injuries / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*