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Implementing a Trauma Hybrid Operating Room from an Interventional Radiology Perspective
Alfredo Páez-Carpio1, Aida Ahrari1,2, Robyn Pugash1
1Division of Vascular and Interventional Radiology, Department of Medical Imaging, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, ON, M4N 3M5, Canada.
Cardiovascular and Interventional Radiology
|July 27, 2026
Summary
Implementing a trauma hybrid operating room requires careful planning of room design, workflow, and interdisciplinary training. This approach facilitates integrated surgical and endovascular care for hemorrhagic emergencies.
Area of Science:
- Trauma Surgery
- Interventional Radiology
- Health Systems Engineering
Background:
- Hybrid operating rooms (ORs) are increasingly adopted in trauma centers for integrated surgical and endovascular care.
- Limited practical guidance exists for operational implementation from an interventional radiology (IR) perspective.
Purpose of the Study:
- To describe the operational implementation of a trauma hybrid OR at a Level I trauma center.
- To provide practical lessons on room design, workflow, and training for successful integration.
Main Methods:
- Detailed room design considerations, including zoning for rapid transitions between laparotomy and angioembolization.
- Development of a mobile supply cart and a pre-embolization checklist.
- Outline of a training program focusing on radiation safety, sterility, and simulation-based interdisciplinary coordination.
Main Results:
- The report focuses on operational design aspects, not clinical outcomes or process metrics.
- Key implementation challenges, activation criteria, and access strategies were identified.
- Lessons learned emphasize the importance of meticulous planning for hybrid OR functionality.
Conclusions:
- Successful trauma hybrid OR implementation relies on strategic operational design and interdisciplinary collaboration.
- These operational insights can guide other institutions developing or refining their trauma hybrid OR programs.
- Optimized operational design is crucial for enhancing care delivery in hemorrhagic emergencies.
