COMMENT CSJ THE CLINICAL SERVICES JOURNAL
OPERATING THEATRE
Editor
Chris Shaw chris
shaw@stepcomms.com
Technical Editor Kate Woodhead
Business Manager
Dean Walford
deanwalford@stepcomms.com
Sales Executive Rob Cornish
robcornishn@stepcomms.com
Journal Administration
Katy Cockle
katycockle@stepcomms.com
Design Steven Dillon
Publisher Geoff King
geoffking@stepcomms.com
Publishing Director
Trevor Moon
trevormoon@stepcomms.com
THE CLINICAL SERVICES JOURNAL is published in January, February, March, April, May, June, August, September, October and November by Step Communications Ltd, Step House, North Farm Road, Tunbridge Wells, Kent TN2 3DR UK.
Tel: +44 (0)1892 779999 Fax: +44 (0)1892 616177 Email:
csj@stepcomms.com Web:
www.clinicalservicesjournal.com
13
4 Cover story 7 News
13 How clean is your theatre? Surgical site infections (SSI) are largely preventable. We explore the technologies available to maintain the cleanliness of theatres.
18 Minimally invasive robotic-
assisted surgery What role can technology play in enabling surgeons and operating room teams to advance patient care and improve patient outcomes?
22 Augmented reality helps surgeons ‘see through’ tissue How using augmented reality in the operating theatre could help surgeons to improve the outcome of reconstructive surgery for patients.
© Step Communications Ltd, 2018 Single copy: £19.00 per issue. Annual journal subscription: UK £114.00 Overseas: £150.00
ISSN NO. 1478-5641
The Publisher is unable to take any responsibility for views expressed by contributors. Editorial views are not necessarily shared by the journal. Readers are expressly advised that while the contents of this publication are believed to be accurate, correct and complete, no reliance should be placed upon its contents as being applicable to any particular circumstances.
This publication is copyright under the Berne Convention and the International Copyright Convention. All rights reserved, apart from any copying under the UK Copyright Act 1956, part 1, section 7. Multiple copies of the contents of the publication without permission is always illegal.
25 The BIGGA issue: Surgery and the obese patient Are anaesthesia services following best practice when it comes to managing obese patients?
30 Surgical skin prep: What effect does it really have? An exploration into the comparative effect on skin bacterial counts on three surgical skin preparations.
37 The art of hybrid theatre design A new ‘breed’ of so-called ‘hybrid’ theatres has emerged. Here are some of the key considerations when designing, fitting out, and equipping such theatre spaces.
25 37
43 Is the future of instrument tracking already here?
New advances in RFID technology can not only enhance instrument tracking but also improve patient safety.
46 To BI or not to BI? That is the question… The pros and cons of biological and parametric monitoring.
50 The TUBE approach to point-of-care ultrasound Anaesthetists working in perioperative medicine have increasingly taken a whole body approach to patient evaluation known as TUBE – Total Ultrasound Body Examination.
53 Embracing digital integration in the operating theatre Howorth Air Technology is best known to many in healthcare as the company which developed the world’s first ultraclean surgical enclosure. Today, it is seeing growing demand for a recently introduced ‘digital integration’ service.
57 70 years of innovation in operating theatre design Since the birth of the NHS in 1948, the healthcare landscape in the UK has undergone incredible transformation. Discover how the design of operating theatres continues to evolve at a rapid pace to this day.
62 Products OPERATING THEATRE l JULY 2018 l 3 CONTENTS The theatres of the future
Celebrating its 70th anniversary, public praise for the NHS has hit the headlines throughout 2018, albeit against a backdrop of underfunding and budgetary constraints. Via social media channels, thousands of tributes have been paid to operating theatre staff with the hashtag #WhyILoveTheNHS consistently trending across Twitter. Many are now asking what the future holds. This supplement provides in-depth information on the latest research and technology that is already changing the face of theatres throughout the country. Areas explored include analysis of new innovations, such as robotic-assisted surgery and augmented reality. While some have claimed robotic surgery could displace surgeons with machines, this is not the case. Similarly, augmented reality is enabling
surgeons to locate blood vessels in 3D space by using virtual 3D ‘arrows’ to guide them. Elsewhere in this supplement, bariatric surgery is discussed, with guidance for anaesthetists and theatre teams, while surgical site infections are analysed with advice on cleaning theatres and surgical skin preparation. Hybrid operating theatres allow innovative surgical procedures to be carried out and we examine the key considerations when designing and equipping such theatre spaces; and we discover how RFID technology is being used for instrument tracking in a bid to improve patient safety. With additional features on sterilisation monitoring, point-of-care ultrasound, digital integration, and a history of operating theatre design, we hope you enjoy this supplement and welcome your feedback.
CHRIS SHAW l EDITOR
50
Page 1 |
Page 2 |
Page 3 |
Page 4 |
Page 5 |
Page 6 |
Page 7 |
Page 8 |
Page 9 |
Page 10 |
Page 11 |
Page 12 |
Page 13 |
Page 14 |
Page 15 |
Page 16 |
Page 17 |
Page 18 |
Page 19 |
Page 20 |
Page 21 |
Page 22 |
Page 23 |
Page 24 |
Page 25 |
Page 26 |
Page 27 |
Page 28 |
Page 29 |
Page 30 |
Page 31 |
Page 32 |
Page 33 |
Page 34 |
Page 35 |
Page 36 |
Page 37 |
Page 38 |
Page 39 |
Page 40 |
Page 41 |
Page 42 |
Page 43 |
Page 44 |
Page 45 |
Page 46 |
Page 47 |
Page 48 |
Page 49 |
Page 50 |
Page 51 |
Page 52 |
Page 53 |
Page 54 |
Page 55 |
Page 56 |
Page 57 |
Page 58 |
Page 59 |
Page 60 |
Page 61 |
Page 62 |
Page 63 |
Page 64
