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Canadian Journal of Anesthesia, Vol 12, 161-172, Copyright © 1965 by Canadian Anesthesiologists' Society

Conception nouvelle de l'aménagement d'une salle d'opération

JEAN-LOUIS BRUNET MD1

1 Hôtel-Dieu de Montréal

The steadily increasing changes in hospital techniques and equipment have resulted in a state of confusion in the operating room. No adequate solution has yet been found to provide a functionally compact, safe, and clean operating area.

Realizing the justifiable fear of surgeons against contamination and knowing the unlimited possibilities of modern industry, with the encouragement of our Service Director, Dr Jean Laporte, we, at Hotel-Dieu Hospital in Montreal, have taken up the challenge to plan the operating room efficiently so that circulation of the operating team and, consequently, the possibility of patient contamination may be reduced to a minimum.

Our programme is three-fold

1. Every article in the operating room must have a specific and functional place, and the staff must be properly trained to replace each article when it is not in use.

2. The operating room must be separated into two distinct areas, one sterile or surgical and the other anaesthetic. This separation must include the functional grouping of all commodities, recessed cabinets, and electrical equipment. All apparatus not essential in the vicinity of the operating team should be placed in or along the wall.

3. All electric wires, hoses, electrodes, usually left lying on the floor or hanging from the ceiling, must be channelled into one mobile satellite distribution device hinged on the wall, which we call "distribution satellite".

The advantages of such planning are already evident. Arranging every article in its proper place eliminates time loss in searching for instruments urgently required by the operating team.

Grouping furniture and extra equipment in to seperate areas (entirely apart from the operating area) enlarges the operating space and reduces the circulation of non-operating personnel and the incidence of contamination.

The Satellite Distributor, from which is suspended the new aerial anaesthetic apparatus called DSAAA, has been custom built by Ohio Chemical Canada Limited for experimental purposes. It brings rapidly and easily to the anaesthetist wherever he may be within the anaesthesia area, all the permanently installed services, including gas, suction, water, and electrical apparatus, which are necessary or desirable for the performance of the operating procedures.

This new device reduces the time required in preparation for the operation, provides immediate facilities for any operating procedure, and is the only satisfactory solution to the distribution problems for which no solution existed previously. We know that "Form follows Function," and the DSAAA has been designed to conform specifically to the surgeon's dream of a clean operating room free from the hazards of contamination.

Note:

Présenté à la reunion annuelle de la Société Canadienne des Anesthésistes, Montebello, Qué, 10–14 mar 1964






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Copyright © 1965 by the Canadian Anesthesiologists' Society.