Design and preliminary experience of a transportable equine operating theatre.
Abstract: Equine surgical facilities are not always available, even in situations where high-value horses are involved in relatively high-risk activities. Objective: To develop a self-contained equine surgical unit that can be relocated and transported by road. Methods: Proof of concept. Methods: A modular operating suite for horses, which included a theatre, scrub room, instrument preparation and storage room, and an anaesthetic induction/recovery box: Transportable Equine Operating Theatre (TEOT) was designed, constructed and tested. A second, larger unit was then built following the same design criteria. Results: Both units were based on modifications of standard 6.06 × 2.35 m (20 × 8 ft), steel shipping containers that were fitted out to provide anaesthetic and surgical facilities in a functional and safe working environment. The two TEOTs consisted of either two or three containers that had selected sections of their sides removed so that they could be joined together to create a single large internal space. This space was subdivided to create separate working areas. A dedicated anaesthetic induction/recovery box was fabricated from a modular steel frame that could be disassembled for transport. The component parts could be loaded onto the bed of a standard lorry for road transport. The unit was designed to incorporate equipment that is found in any high-quality equine operating theatre. Surgical procedures on adult Thoroughbred horses have been successfully completed in both units. Conclusions: The two units have had minimal use to date, and there is little data on their performance. Conclusions: The equipment described here is a way to provide equine surgical facilities that can be assembled and disassembled to allow their relocation to different sites.
© 2021 EVJ Ltd.
Publication Date: 2021-06-15 PubMed ID: 33930210DOI: 10.1111/evj.13458Google Scholar: Lookup
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- Journal Article
- Clinical Examination
- Clinical Findings
- Clinical Pathology
- Clinical Signs
- Clinical Study
- Diagnosis
- Disease control
- Disease Diagnosis
- Disease Management
- Disease Prevention
- Disease Surveillance
- Disease Treatment
- Equine Diseases
- Equine Health
- Horses
- Post-Operative Period
- Surgery
- Veterinary Care
- Veterinary Medicine
- Veterinary Practice
- Veterinary Procedure
Summary
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The study presents the design and preliminary usage of a transportable equine operating theatre. This project was undertaken to solve the scarcity of surgical facilities for horses, particularly in locations where their activities pose high risks.
Design Methodology
- The starting point of the project was conceptualisation, creating a blueprint for a mobile equine surgical unit that could be easily moved around by road.
- Converting the idea into reality, a modular operating suite was designed specifically for horses. This suite included a theatre, scrub room, instrument preparation and storage room, and an anaesthetic induction/recovery box. All these were incorporated into a Transportable Equine Operating Theatre (TEOT).
- The TEOT was not simply a singular structure but rather an ensemble of standard 20×8 feet steel shipping containers suitably modified. Specific sections were removed so the containers could be joined together and create a large unified internal space.
- Internal subdivision created separate yet interconnected working areas for various functions from anaesthesia to surgery.
The Anaesthetic Induction/Recovery Box
- Particular attention was paid to design the anaesthetic induction/recovery box. This structure was conceived as a modular steel frame that could be conveniently disassembled during transport.
- All the parts of the box fit comfortably onto a standard lorry bed, making roadmap transportation easy.
Equipment and Test Runs
- The TEOT was not a stripped-down version of a permanent facility but intended to incorporate all the equipment one would expect to find in a high-quality horse surgical facility.
- Surgical procedures were carried out on adult Thoroughbred horses in both units of TEOT, proving the units’ functionality and operational feasibility.
Results and Conclusion
- The units have seen limited use so far, resulting in very little data about their performance.
- Notwithstanding the dearth of empirical data, the TEOT shows promise. This movable equine surgical facility could be a solution to the glaring infrequency of equine operating theatres by offering a setup that’s easily assembled, disassembled and transported to different locations as needed.
Cite This Article
APA
Riggs CM, Riggs SJ, Cheung TY, Tsang F, Oldaker L.
(2021).
Design and preliminary experience of a transportable equine operating theatre.
Equine Vet J, 54(2), 438-443.
https://doi.org/10.1111/evj.13458 Publication
Researcher Affiliations
- Department of Veterinary Clinical Services, Equine Hospital, Sha Tin Racecourse, The Hong Kong Jockey Club, Hong Kong, China.
- Adaptainer Ltd, Ipswich, UK.
- Tracks Department, Sha Tin Racecourse, The Hong Kong Jockey Club, Hong Kong, China.
- Tai Ah Engineering Co. Ltd., Kowloon, China.
- Equine Design, Oklahoma, OK, USA.
MeSH Terms
- Animals
- Horses
- Operating Rooms
References
This article includes 6 references
- Odulair Mobile Surgery Unit. Available: https://mobilehealth.co.nz/mobile-surgical-unit/ (Accessed 26th February 2021).
- Mobile Health. Available: https://mobilehealth.co.nz/mobile-surgical-unit/ (Accessed 26th February 2021).
- Nilsson A. Johnson medical mobile operating theatres - A cost effective way to transfer medical technologies to patients. Johnson medical bulletin .
- Hospitainer Rapid Deployment Hospital. Available: https://hospitainer.com/products-and-services/geographical/disaster-areas/disaster-areas/hospitainer-mobile-surgical-unit/ (Accessed 26th February 2021).
- Greet T, Corley K, Stephen J. Designing and building an equine hospital. The Equine Hospital Manual 2008:147-64.
- Lame C. The equine theatre suite design and implementation. Vet Nursing J 2015;30:232-5.
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