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hybrid operating room

Chun-Yu Lin, I-Hao Su, Sung-Yu Chu, Po-Jen Ko
Despite recent advances in surgical techniques and endovascular devices, the management of ruptured type B aortic dissection remains challenging. Herein, we describe a patient with a history of chronic type B aortic dissection who presented to the emergency department with a massive left hemothorax and profound shock. Computed tomography demonstrated a thoracic dissecting aneurysm with false-lumen rupture. He underwent emergent thoracic endovascular aortic repair and carotid-carotid crossover bypass in a hybrid operating room...
November 27, 2018: Annals of Vascular Surgery
H Y Wang, Y Zhao, H Zhang, Y K Gao, W W Xin, J Z Cui, S Y Yue, S Y Yang, J N Zhang, X Y Yang
Objective: To evaluate the clinical value and outcomes of technical improvement of hybrid operatical clipping for large paraclinoid internal carotid artery aneurysms. Methods: A review was conducted on 18 cases of large paraclinoid internal carotid artery aneurysm which were clipped by balloon non-fluoroscopic occlusion of the parent artery via a micro-bone window frontolateral approach in hybrid operating room at Neurosurgery Department of Tianjin Medical University General Hospital from June 2014 to December 2017...
December 1, 2018: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
Kentaro Hayashida
No abstract text is available yet for this article.
November 12, 2018: JACC. Cardiovascular Interventions
Marco Spaziano, Thierry Lefèvre, Mauro Romano, Helene Eltchaninoff, Pascal Leprince, Pascal Motreff, Bernard Iung, Eric Van Belle, René Koning, Jean Philippe Verhoye, Martine Gilard, Philippe Garot, Thomas Hovasse, Hervé Le Breton, Bernard Chevalier
OBJECTIVES: This study sought to compare outcomes of patients undergoing transcatheter aortic valve replacement (TAVR) in a catheterization laboratory (cath lab) to those undergoing TAVR in a hybrid operating room (OR). BACKGROUND: TAVR can be performed in a cath lab or in a hybrid OR. Comparisons between these locations are scarce. METHODS: All TAVRs performed in 48 centers across France between January 2013 and December 2015 were prospectively included in the FRANCE TAVI (French Transcatheter Aortic Valve Implantation) registry...
November 12, 2018: JACC. Cardiovascular Interventions
Keisuke Miyake, Shinsuke Kikuchi, Yuya Kitani, Atsuhiro Koya, Toshiharu Takeuchi, Naoyuki Hasebe, Yoshiki Sawa, Nobuyoshi Azuma
Acute limb ischemia (ALI) is associated with high morbidity and mortality rates, even with the advent of technical advances. Although myocardial infarction is one of the causes of ALI along with intraventricular thrombus formation and subsequent embolism, ALI with concomitant acute myocardial infarction (AMI) is extremely rare. Here, we report a complicated ALI case with concurrent AMI and prolonged limb ischemic duration. The cause may be attributed to thrombosis with atherosclerotic disease of the coronary and peripheral arteries triggered by dehydration...
September 25, 2018: Annals of Vascular Diseases
Mariano Gioffré, Giuseppe Coppola, Mario Iodice, Maurizio Casalino
This paper presents the design, fabrication, and characterization of Schottky erbium/silicon photodetectors working at 1.55 µm. These erbium/silicon junctions are carefully characterized using both electric and optical measurements at room temperature. A Schottky barrier ΦB of ~673 meV is extrapolated; the photodetectors show external responsivity of 0.55 mA/W at room temperature under an applied reverse bias of 8 V. In addition, the device performance is discussed in terms of normalized noise and noise-equivalent power...
November 3, 2018: Sensors
Johannes M Richter, Kai Chen, Aditya Sadhanala, Justinas Butkus, Jasmine P H Rivett, Richard H Friend, Bartomeu Monserrat, Justin M Hodgkiss, Felix Deschler
The generation and recombination of charge carriers in semiconductors through photons controls photovoltaic and light-emitting diode operation. Understanding of these processes in hybrid perovskites has advanced, but remains incomplete. Using femtosecond transient absorption and photoluminescence, it is observed that the luminescence signal shows a rise over 2 ps, while initially hot photogenerated carriers cool to the band edge. This indicates that the luminescence from hot carriers is weaker than that of cold carriers, as expected from strongly radiative transitions in direct gap semiconductors...
October 29, 2018: Advanced Materials
A A L Traversari, S P M Stefan van Heumen, A W J Arjan Hoksbergen
BACKGROUND: Large imaging systems in hybrid operating rooms are increasingly utilised. However, the effect of these ceiling mounted imaging systems on the air quality during ongoing surgical procedures has not yet been studied. The aim of this study is to evaluate the level of CFU/m3 near the surgical wound and near the instrument table during surgery. METHODS: Measurements were performed in 4 hybrid operating rooms at 4 different hospitals. During surgical procedures, at least 3 samples were taken with active slit air samplers...
October 23, 2018: Journal of Hospital Infection
Karen Ven, Saba Safdar, Annelies Dillen, Jeroen Lammertyn, Dragana Spasic
DNA- and MNAzymes are nucleic acid-based enzymes (NAzymes), which infiltrated the otherwise protein-rich field of enzymology three decades ago. The 10-23 core NAzymes are one of the most widely used and well-characterized NAzymes, but often require elevated working temperatures or additional complex modifications for implementation at standard room temperatures. Here, we present a generally applicable method, based on thermodynamic principles governing hybridization, to re-engineer the existing 10-23 core NAzymes for use at 23 °C...
October 20, 2018: Analytical and Bioanalytical Chemistry
Kazumasa Orihashi
Transesophageal echocardiography (TEE) provides real-time information on both morphology and hemodynamics without radiation exposure or contrast media, interruption of surgical procedures, or need for transferring the patient to other division, and thus can be used as intraoperative monitoring as well as diagnostic imaging. TEE is helpful for confirming the adequacy of routine surgical procedures, ruling out an occurrence of unexpected adverse events, or even navigating the manipulations of cannulae and catheters...
September 2018: Kyobu Geka. the Japanese Journal of Thoracic Surgery
Yin-Kai Chao, Hsin-Yueh Fang, Yu-Wen Wen, Ming-Ju Hsieh, Chih-Tsung Wen
OBJECTIVES: With the increasing availability of hybrid operating rooms, single-stage tumour localization and removal under intraoperative computed tomography (CT) guidance is gaining popularity. The objective of this study was to describe the learning curve for this procedure. METHODS: Over a 15-month period, a single team of thoracic surgeons without experience in intraoperative CT-guided lung tumour localization performed a total of 91 procedures in 89 patients...
October 5, 2018: European Journal of Cardio-thoracic Surgery
Xianzeng Tong, Peng Hu, Guilin Li, Hongqi Zhang
No abstract text is available yet for this article.
October 2, 2018: Journal of Neurosurgical Sciences
Francesco Maddalena, Xin Yu Chin, Daniele Cortecchia, Annalisa Bruno, Cesare Soci
Perovskite light-emitting field-effect transistors (PeLEFETs) provide a versatile device architecture to control transport and electroluminescence properties of hybrid perovskites, enabling injection of high charge carrier density and spatial control of the radiative recombination zone. Ionic screening and organic cation polarization effects typical of metal-halide perovskites, however, critically affect PeLEFET efficiency and reliability. In this work, we demonstrate a new device operation mode based on high-frequency modulation of the applied voltages, which allows significant reduction of ionic drift/screening in methylammonium lead iodide light-emitting transistors...
October 31, 2018: ACS Applied Materials & Interfaces
Dan Loberman, Shahzad Shaefi, Rephael Mohr, Phillip Dombrowski, Richard B Zelman, Yifan Zheng, Paul A Pirundini, Tomer Ziv-Baran
Symptomatic aortic stenosis remains a surgical disease, with aortic valve replacement resulting in symptom reduction and improvement in survival. For patients who are deemed a higher surgical risk, Transcatheter aortic-valve replacement (TAVR) is a viable, less invasive and increasingly common alternative. The study compares early outcomes in patients treated within one year of the commencement of TAVR program in a community hospital against outcomes of TAVR patients from nationwide reported data (Society of Thoracic Surgeons/ American College of Cardiology TVT registry)...
2018: PloS One
Colin Rawlings, Yu Kyoung Ryu, Matthieu Rüegg, Nolan Lassaline, Christian Schwemmer, Urs Duerig, Armin W Knoll, Zahid Durrani, Chen Wang, Dixi Liu, Mervyn E Jones
The fabrication of high-performance solid-state silicon quantum-devices requires high resolution patterning with minimal substrate damage. We have fabricated room temperature (RT) single-electron transistors (SETs) based on point-contact tunnel junctions using a hybrid lithography tool capable of both high resolution thermal scanning probe lithography and high throughput direct laser writing. The best focal z-position and the offset of the tip- and the laser-writing positions were determined in situ with the scanning probe...
December 14, 2018: Nanotechnology
Dongting Wang, Shangheng Liu, Mingfa Shao, Jinghan Zhao, Yukun Gu, Qiuyi Li, Xianxi Zhang, Jinsheng Zhao, Yuzhen Fang
Hierarchical SnO₂ nanocrystallites aggregates (NAs) were prepared with a simple room temperature⁻based aqueous solution method followed by simple freeze-drying treatment. The as-prepared SnO₂ NAs were subsequently combined with SnO₂ nanosheet⁻based structures from the viewpoint of a function-matching strategy, and under an optimized condition, a power conversion efficiency (PCE) of 5.59% was obtained for the resultant hybrid photoanode, a remarkable 60% enhancement compared to that of dye-sensitized solar cells (DSCs) fabricated with bare SnO₂ NAs architecture...
September 19, 2018: Materials
Adrian Elmi Terander, Gustav Burström, Rami Nachabe, Halldor Skulason, Kyrre Pedersen, Michael Fagerlund, Fredrik Ståhl, Anastasios Charalampidis, Michael Söderman, Staffan Holmin, Drazenko Babic, Inge Jenniskens, Erik Edström, Paul Gerdhem
STUDY DESIGN: Prospective observational study. OBJECTIVE: The aim of this study was to evaluate the accuracy of pedicle screw placement using augmented reality surgical navigation in a clinical trial. SUMMARY OF BACKGROUND DATA: Recent cadaveric studies have shown improved accuracy for pedicle screw placement in the thoracic spine using augmented reality surgical navigation with intraoperative 3D imaging, without the need for peri-procedural X-ray...
September 17, 2018: Spine
Vijaya T Daniel, Didem Ayturk, Catarina I Kiefe, Heena P Santry
BACKGROUND: Acute care surgery (ACS) was proposed to address a general surgery workforce crisis; however, the ACS workforce composition is unknown. A national survey was conducted to determine the differences in the emergency general surgery (EGS) workforce between ACS and non-ACS hospitals. METHODS: The American Hospital Association (AHA) Annual Survey of Hospitals database was queried to identify acute care general hospitals. A hybrid mail/electronic survey was sent to 2811 acute care hospitals that met the inclusion criteria of hospitals that care for adult patients (≥18 years old) with an emergency room (ER), ≥ 1 operating room (OR), and 24-h ER access...
September 8, 2018: American Journal of Surgery
Hiroaki Watanabe, Yoshihide Shimojo, Eiji Hira, Shunsuke Kuramoto, Tomohiro Muronoi, Kazuyuki Oka, Akihiko Kidani
The hybrid emergency room (hybrid ER) system was first established in 2011 in Japan. It is defined as an integrated system including an ER, emergency computed tomography (CT) and interventional radiology (IVR) rooms, and operating rooms. Severe trauma patients can undergo emergency CT examinations and therapies (surgeries) without being transferred. The hybrid ER system is attracting attention because trauma resuscitation using this system has been reported to potentially improve the mortality rate in severe trauma patients...
September 17, 2018: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
Pei-Hsing Chen, Hsao-Hsun Hsu, Shun-Mao Yang, Tung-Ming Tsai, Kuan-Chuan Tsou, Hsien-Chi Liao, Mong-Wei Lin, Jin-Shing Chen
BACKGROUND: Preoperative computed tomography (CT)-guided dye localization is essential for the surgical treatment of small lung nodules and is mostly performed by radiologists in the CT room. Several studies reported their early experiences of preoperative localization in the hybrid operating room. A comparison between localization in the CT room and hybrid room has not been reported. Therefore, we compared the outcomes of preoperative localization in the hybrid and CT rooms. METHODS: This study included patients who underwent preoperative CT-guided dye localization for thoracoscopic lung tumor surgery in the hybrid operation room (n = 25) and CT room (n = 283) at our institute...
December 2018: Annals of Thoracic Surgery
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