Hybrid Theaters: Technical Design and Technology

Abstract

Building a hybrid operating theater (OT) requires integration of many different technical and clinical aspects into one single comprehensive and functional system. Thus, planning and realization requires knowledge and expertise in numerous clinical and technical fields. The basis for successful implementation is a cross-functional project team in order to address all the different aspects and to meet the challenges. Members of the team should include but are not limited to doctors, nursing staff, architects, medical equipment planners, hygiene experts, and engineers.

The planned and expected clinical utilization defines the workflow requirements. Clinical needs and technical feasibility have to be balanced as to the available location, layout, and equipment by the project team. Frequently, some of the demands cannot be fully met, and acceptable compromises and trade-offs must be sought by the involved parties. Because all aspects including room architecture, medical equipment, building technology, and workflow are interdependent and intersect at the imaging equipment and the patient table, the main components of the theater, the selection of this equipment represents the first step in the planning of the project. Other important early aspects to consider include lighting, video management, media supply, ventilation technology, and hygiene.

Moreover, a hybrid OT represents a significant investment, and although the clinical and fiscal benefits as well as financial viability have been documented, professional project management including an expert room design, realistic workflow considerations, sound budget planning, and cost containment is critical to assure optimum outcome.