A Planning Playbook for Opening a New Orthopedic ASC
The ASC market continues its rapid growth. In 2023, roughly 116 new ASCs opened in the U.S., many of which were orthopedic-specific in nature....
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By: Nathan Hall
Published: 10/10/2007
She's seen a lot of technology come and go in her 22 years as a nurse, but Colleen Shevokas, RNFA, was truly impressed when she first saw the monitors aglow with impossibly clear surgical video in the ORs at Pottsville Hospital and Warne Clinic in Pottsville, Pa.
A Screen With Bells and Whistles |
A crystal-clear picture on a flat screen is the bare minimum of what constitutes a high-definition system these days. Manufacturers are offering extra perks to make their systems stand out from the rest of the field. Some of the latest offerings include:
- Nathan Hall |
Before the $504,000 high-definition conversion, she heard complaints that the monitors weren't clear enough or bright enough and that the colors weren't quite right. It all looked so dishwater-dingy.
"Now everything is so enhanced, so perfected," says Ms. Shevokas, the director of outpatient surgery services. "It's been a long time since technology advanced in the laparoscopic realm, and this is a big jump that has really made a difference."
In addition to improved imaging and visualization, HD imaging technology gives Ms. Shevokas' facility that certain high-tech look and feel that could woo surgeons to bring their cases to her. "Any tech that enhances the physicians' practice only makes it better for the patient," she says.
While the clinical benefits of HD imaging systems may be difficult to quantify, those who've used them speak highly of how they've increased accuracy, reduced surgeon fatigue and let surgeons better visualize disease.
"It makes the surgeons' hands move more precisely," says Marty Ryan, RN, BSN, CNOR, clinical partner in the general OR at Greater Baltimore Medical Center in Baltimore, whose four ORs went high-def in 2004. "They need to see around structures so they won't harm the patient, and without the definition they wouldn't have a good view of where they were clipping. The less invasive the surgery, the more important the image quality is."
HD technology also lets physicians do more invasive procedures in the outpatient setting, such as laparoscopic colon resections, says Ms. Ryan.
Many say the enhanced details and depth that HD offers over standard displays could substantially improve case outcomes. It's true that the better a surgeon can see what's he's doing, the better job he'll be able to do, says James W. Maher, MD, chairman of the division of general surgery and director of the Minimally Invasive Surgery Center at Virginia Commonwealth University in Richmond, Va.
He also points to the smaller size of the newer HD endoscopes as something that may improve the patient's outcome. "To get a high sort of resolution picture with the previous systems, you had to use a 10mm scope, but with many of the HD systems you can get very good resolution picture with 5.5mm scope," says Dr. Maher. This means smaller trocars and smaller wounds, less pain and less opioids.
But for all the benefits of HD, it's still not immune to new technology's little problems.
HD buying tips
A few buying tips to keep in mind:
What's next?
"Before I started here, I thought the old imaging systems were pretty good," says Dr. Maher. "I don't know how much better the technology can get, but it seems to keep improving." Some of the improvements that experts say they look forward to seeing in the future include:
The ASC market continues its rapid growth. In 2023, roughly 116 new ASCs opened in the U.S., many of which were orthopedic-specific in nature....
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