Abstract
Time to hemorrhage control is the key performance indicator of a trauma system. Open and percutaneous techniques represent complementary therapeutic modalities that may both be necessary in achieving expedient hemorrhage control. In most trauma facilities, the operating theater and angiography suite are separate rooms, not infrequently located on different floors or buildings. Transfer between these locations increases time to hemorrhage control and the chances of a patient succumbing to physiological exhaustion. By unifying an operating theater and angiography suite, hybrid rooms offer the potential to minimize time to hemorrhage control through nullifying the dilemma of deciding the optimal location to best manage a patient’s ongoing bleeding.
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsReferences
Champion HR, Bellamy RF, Roberts CP, Leppaniemi A. A profile of combat injury. J Trauma. 2003;54:S13–9.
Soreide K, Kruger AJ, Vardal AL, Ellingsen CL, Soreide E, Lossius HM. Epidemiology and contemporary patterns of trauma deaths: changing place, similar pace, older face. World J Surg. 2007;31:2092–103.
Bellamy RF. The causes of death in conventional land warfare: implications for combat casualty care research. Mil Med. 1984;149:55–62.
Rhee PM, Acosta J, Bridgeman A, Wang D, Jordan M, Rich N. Survival after emergency department thoracotomy: review of published data from the past 25 years. J Am Coll Surg. 2000;190:288–98.
Howell GM, Peitzman AB, Nirula R, Rosengart MR, Alarcon LH, Billiar TR, et al. Delay to therapeutic interventional radiology postinjury: time is of the essence. J Trauma. 2010;68:1296–300.
Hess JR, Brohi K, Dutton RP, Hauser CJ, Holcomb JB, Kluger Y, et al. The coagulopathy of trauma: a review of mechanisms. J Trauma. 2008;65:748–54.
MacLeod JB, Lynn M, McKenney MG, Cohn SM, Murtha M. Early coagulopathy predicts mortality in trauma. J Trauma. 2003;55:39–44.
Papakostidis C, Kanakaris N, Dimitriou R, Giannoudis PV. The role of arterial embolization in controlling pelvic fracture hemorrhage: a systematic review of the literature. Eur J Radiol. 2012;81:897–904.
Schnuriger B, Inaba K, Konstantinidis A, Lustenberger T, Chan LS, Demetriades D. Outcomes of proximal versus distal splenic artery embolization after trauma: a systematic review and meta-analysis. J Trauma. 2011;70:252–60.
Lee WA, Matsumura JS, Mitchell RS, Farber MA, Greenberg RK, Azizzadeh A, et al. Endovascular repair of traumatic thoracic aortic injury: clinical practice guidelines of the Society for Vascular Surgery. J Vasc Surg. 2011;53:187–92.
Hamill J, Holden A, Paice R, Civil I. Pelvic fracture pattern predicts pelvic arterial hemorrhage. Aust N Z J Surg. 2000;70:338–43.
Ertel W, Keel M, Eid K, Platz A, Trentz O. Control of severe hemorrhage using C-clamp and pelvic packing in multiply injured patients with pelvic ring disruption. J Orthop Trauma. 2001;15:468–74.
Eastridge BJ, Starr A, Minei JP, O'Keefe GE, Scalea TM. The importance of fracture pattern in guiding therapeutic decision-making in patients with hemorrhagic shock and pelvic ring disruptions. J Trauma. 2002;53:446–50; discussion 50–1.
Tai DK, Li WH, Lee KY, Cheng M, Lee KB, Tang LF, et al. Retroperitoneal pelvic packing in the management of hemodynamically unstable pelvic fractures: a level I trauma center experience. J Trauma. 2011;71:E79–86.
Thorson CM, Ryan ML, Otero CA, Vu T, Borja MJ, Jose J, et al. Operating room or angiography suite for hemodynamically unstable pelvic fractures? J Trauma Acute Care Surg. 2012;72:364–70; discussion 71–2.
Hauschild O, Aghayev E, von Heyden J, Strohm PC, Culemann U, Pohlemann T, et al. Angioembolization for pelvic hemorrhage control: results from the German pelvic injury register. J Trauma Acute Care Surg. 2012;73:679–84.
Fehr A, Beveridge J, D’Amours SD, Kirkpatrick AW, Ball CG. The potential benefit of a hybrid operating environment among severely injured patients with persistent hemorrhage: how often could we get it right? J Trauma Acute Care Surg. 2016;80:457–60.
Kirkpatrick AW, Vis C, Dube M, Biesbroek S, Ball CG, Laberge J, et al. The evolution of a purpose designed hybrid trauma operating room from the trauma service perspective: the RAPTOR (resuscitation with angiography percutaneous treatments and operative resuscitations). Injury. 2014;45:1413–21.
Holcomb JB, Fox EE, Scalea TM, Napolitano LM, Albarado R, Gill B, et al. Current opinion on catheter-based hemorrhage control in trauma patients. J Trauma Acute Care Surg. 2014;76:888–93.
Griswold RA, Drye JC. Cardiac wounds. Ann Surg. 1954;139:783–5.
Martin M, Izenberg S, Cole F, Bergstrom S, Long W. A decade of experience with a selective policy for direct to operating room trauma resuscitations. Am J Surg. 2012;204:187–92.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2018 Springer International Publishing AG, part of Springer Nature
About this chapter
Cite this chapter
Iyer, D., Ball, C.G., D’Amours, S.K. (2018). Role of a Hybrid Room in Damage Control Surgery. In: Duchesne, J., Inaba, K., Khan, M. (eds) Damage Control in Trauma Care. Springer, Cham. https://doi.org/10.1007/978-3-319-72607-6_8
Download citation
DOI: https://doi.org/10.1007/978-3-319-72607-6_8
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-72606-9
Online ISBN: 978-3-319-72607-6
eBook Packages: MedicineMedicine (R0)