AW: AW: [HSF] Hybrid operating room

[Ani Anyanwu]

Hal
 
I do not actually disagree with need for a hybrid suite. 
 
I was merely asking how his team have justified it to the hospitals as it is almost certainly going to be an underutilized and unprofitable investment. Our attempts to get funding for such a suite in our hospital have been unsuccessful. Of course I and every cardiac surgeon in the world would like to have a high tech hybrid suite but there are also a lot of other things we would like to have but it does not imply a justifiable or appropriate way to spend healthcare resources.
 
The justification in investing in these ORs is based on anticipated future needs. However thus far these anticipations have not been realized and remain in the future rather than present. Mind you, hybrid revascularization is not a new concept. Gianni Angelini in the UK reported the world's 'first' combined angioplasty and 'keyhole' LIMA CABG in 1996 (Lancet 1996;347:757-8) and was quoted in the lay media as saying "The procedure is set to transform heart surgery, and I believe it will lead to a reduction of as much as 20-40% in the number of conventional bypass. In a few years' time everyone will be doing it" (BMJ 1997;315:104-107). Ten years later however hybrid revascularization constitutes not even 1% of coronary revascularization procedures and other than a few nobody is doing it - even in Angelini's centre, it remains a minority procedure. The same applies to other hybrid approaches such as for aortic arch replacement and also to robotic assisted CABG - the anticipated explosion in such procedures has not taken off almost a decade after initial suggestion - these increase in numbers are awaited to the present day.
 
 The reality though is that our (and our hospital's) interest in hybrid procedures is driven primarily not by interest for the patient (none of us would have a hybrid revascularization) but by commercial, economic, professional or institutional interests.  While I have my doubts as to the place for hybrid revascularization, I do agree with a drive to have such ORs. Time however will tell whether the investment has been worthwhile.
 
 
Ani
 
 



> From: Hgrmd at aol.com> Date: Tue, 6 Nov 2007 06:40:17 -0500> Subject: Re: AW: AW: [HSF] Hybrid operating room> To: OpenHeart-L at lists.hsforum.com> CC: > > Dear Dr. Zhou,> Where are you practicing? Unlike Ani, I agree with you for the need of a > hybrid suite. Just because you don't use the room's capability every case, > you will need to have that option. > > Hal> > > > ************************************** See what's new at http://www.aol.com> _______________________________________________> OpenHeart-L mailing list> > Send postings to:> OpenHeart-L at lists.hsforum.com> > To UNSUBSCRIBE, to CHANGE email address, or to view archives:> http://mmp.cjp.com/mailman/listinfo/openheart-l> > All messages transmitted by the OpenHeart-L are subject to the policies and > disclaimers posted at:> http://www.hsforum.com/listdisclaim> -----------------------------------------
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