Before integration became a trend in the operating room environment, booms were not utilized to their full potential due to inefficient ergonomics. With the advent of integration in the OR, floor plans are being designed ahead of construction. This allows boom placement to be integrated with the rest of the OR, allowing for optimal boom functionality and maximized usage. In addition, booms are continuously developed to be smaller and more flexible, with an increased weight capacity.
Recently released surgical booms have the ability to rotate up to 360 degrees, include brake systems and have increased arm lengths. Originally, surgical booms were designed to be mounted from the wall or the ceiling in order to utilize room space and support operating room equipment. However, modern surgical booms are mounted almost exclusively on operating room ceilings. Consequently, a sturdy ceiling support structure must be in place before a surgical boom can be installed in an OR. Since installing such a structure is expensive, surgical booms are generally installed in newly constructed operating rooms or ones that are undergoing a major renovation.
OR booms are included in every integrated OR, although there are significant differences in style between manufacturers. Typically, an integrated OR will have two boom arms for surgical lighting and displays, respectively, which together are referred to as surgical booms, and an anesthesia boom for gas, electricity and an anesthesia machine. Hybrid rooms may have five or more booms. Usually these hybrid rooms include multiple equipment booms on top of an anesthesia boom and a utility boom.