Stanford Hybrid OR - Interventional Radiology + Neurosurgery

2,676 views
2,358 views

Published on

This hybrid operating room combines interventional radiology and neurosurgery with a Siemens bi-plane angiography system at its core. See how the staffing and procedures are set up to use the room for the different modalities. This project was delivered using 3D building information modeling (BIM) which is a process that parallels the work being done in the room itself. We use sophisticated 3D imaging to evaluate the building systems and then surgically remove and replace systems.

Published in: Health & Medicine
0 Comments
4 Likes
Statistics
Notes
  • Be the first to comment

No Downloads
Views
Total views
2,676
On SlideShare
0
From Embeds
0
Number of Embeds
20
Actions
Shares
0
Downloads
130
Comments
0
Likes
4
Embeds 0
No embeds

No notes for slide

Stanford Hybrid OR - Interventional Radiology + Neurosurgery

  1. 1. NEURO-INTERVENTIONAL HYBRID ROOM 9THE DESIGN PARTNERSHIP LLP Architects + Plannerswww.dpsf.com
  2. 2. Stanford Hospitals & Clinics Neuro-Interventional Hybrid Room 9 MOTIVATION FOR HYBRID ORs Convergence of Technology and Patient Needs Consolidation of interventional and surgical environments Growth of minimally invasive treatment vs. surgery Boundaries disappearing between disciplines Increasing use of fixed imaging systems for endovascular procedures Endovascular and open procedures in same room without moving patient Limited Space Room used for several services or procedures Provide maximum utilization of space Reimbursement Room flexibility allows full utilization & continual revenue Increased flexibility = fewer complications = better outcomes = lower costTHE DESIGN PARTNERSHIP LLP Architects + Plannerswww.dpsf.com
  3. 3. Stanford Hospitals & Clinics Neuro-Interventional Hybrid Room 9 HYBRID ROOM PROCEDURES Interventional Interventional Vascular Surgeon Cardiac Surgeon Cardiologist Cardiologist Neurosurgeon (Adult) (Peds) Common Abdominal aortic Coronary artery Diagnostic caths Hypoplastic left Aneurysm coiling Procedures aneurysm (AAA) bypass graft Coronary heart syndrome Intracranial Thoracic aortic (CABG) stenting Heart biopsy stenting aneurysm (TAA) Aortic valve PTCA Diagnostic cath Carotid stenting Carotid stenting replacement Peripheral PTA ASD Intra-arterial TPA Peripheral PTA Mitral valve Peripheral VSD Peripheral stenting repair/replacemen stenting PFO Peripheral artery t Atherectomy PDA bypass Ventricular assist device implantation Heart transplant Procedure AAA MIDCAB/stent Peripheral Structural heart Aneurysm coiling well suited for TAA Valve/stent stenting Hybrid Stage I Hybrid Room Peripheral stenting Percutaneous Sent/MIDCAB valves Stent/valve Source: Hospital of the Future, The Advisory Board Company Percutaneous valvesTHE DESIGN PARTNERSHIP LLP Architects + Plannerswww.dpsf.com
  4. 4. Stanford Hospitals & Clinics Neuro-Interventional Hybrid Room 9 NEURO-INTERVENTIONAL ROOM 9 PROCEDURES Interventional Interventional Vascular Surgeon Cardiac Surgeon Cardiologist Cardiologist Neurosurgeon (Adult) (Peds) Common Abdominal aortic Coronary artery Diagnostic caths Hypoplastic left Aneurysm coiling Procedures aneurysm (AAA) bypass graft Coronary heart syndrome Intracranial Thoracic aortic (CABG) stenting Heart biopsy stenting aneurysm (TAA) Aortic valve PTCA Diagnostic cath Carotid stenting Carotid stenting replacement Peripheral PTA ASD Intra-arterial TPA Peripheral PTA Mitral valve Peripheral VSD Peripheral stenting repair/replacemen stenting PFO Peripheral artery t Atherectomy PDA bypass Ventricular assist device implantation Heart transplant Procedure AAA MIDCAB/stent Peripheral Structural heart Aneurysm coiling well suited for TAA Valve/stent stenting Hybrid Stage I Hybrid Room Peripheral stenting Percutaneous Sent/MIDCAB valves Stent/valve Source: Hospital of the Future, The Advisory Board Company Percutaneous valvesTHE DESIGN PARTNERSHIP LLP Architects + Plannerswww.dpsf.com
  5. 5. 3D PROCEDURE & EQUIPMENT PLANNING PROCESS
  6. 6. Stanford Hospitals & Clinics Neuro-Interventional Hybrid Room 9 TYPICAL VASCULAR PROCEDURETHE DESIGN PARTNERSHIP LLP Architects + Plannerswww.dpsf.com
  7. 7. Stanford Hospitals & Clinics Neuro-Interventional Hybrid Room 9 TYPICAL VASCULAR PROCEDURE S Surgeon AS Assisting Surgeon INJ US PA PA PA PA/SA AN Anesthesiologist AS S INJ Contrast Injector US Ultrasound (IVUS) AN AM EEG Physiologic Monitoring AC AM Anesthesia Machine EEG AC Anesthesia CartTHE DESIGN PARTNERSHIP LLP Architects + Plannerswww.dpsf.com
  8. 8. Stanford Hospitals & Clinics Neuro-Interventional Hybrid Room 9 NEUROSURGERY ANESTHESIA LOCATIONTHE DESIGN PARTNERSHIP LLP Architects + Plannerswww.dpsf.com
  9. 9. Stanford Hospitals & Clinics Neuro-Interventional Hybrid Room 9 NEUROSURGERY ANESTHESIA LOCATION S Surgeon AC AS Assisting Surgeon AN AM INJ NAV PA PA/SA PA AN Anesthesiologist PA Contrast Injector INJ S MIC Microscope MIC NAV Navigation PCW MAS Mobile Aspirator PCW Patient Cooler/Warmer EEG Anesthesia Machine AM AC Anesthesia CartTHE DESIGN PARTNERSHIP LLP Architects + Plannerswww.dpsf.com
  10. 10. Stanford Hospitals & Clinics Neuro-Interventional Hybrid Room 9 TYPICAL NEUROSURGERY PROCEDURETHE DESIGN PARTNERSHIP LLP Architects + Plannerswww.dpsf.com
  11. 11. Stanford Hospitals & Clinics Neuro-Interventional Hybrid Room 9 TYPICAL NEUROSURGERY PROCEDURE S Surgeon AC AS Assisting Surgeon AN AM PA PA/SA INJ AN Anesthesiologist PCW NAV INJ Contrast Injector PA PA MIC Microscope MIC S NAV Navigation MAS Mobile Aspirator PCW Patient Cooler/Warmer EEG Anesthesia Machine AM AC Anesthesia CartTHE DESIGN PARTNERSHIP LLP Architects + Plannerswww.dpsf.com
  12. 12. Stanford Hospitals & Clinics Neuro-Interventional Hybrid Room 9 PHYSICAL MOCKUP: SURGICAL LIGHTSTHE DESIGN PARTNERSHIP LLP Architects + Plannerswww.dpsf.com
  13. 13. Stanford Hospitals & Clinics Neuro-Interventional Hybrid Room 9THE DESIGN PARTNERSHIP LLP Architects + Plannerswww.dpsf.com
  14. 14. Stanford Hospitals & Clinics Neuro-Interventional Hybrid Room 9 VIRTUAL EQUIPMENT SIMULATIONTHE DESIGN PARTNERSHIP LLP Architects + Plannerswww.dpsf.com
  15. 15. 3D CONSTRUCTION PLANNING
  16. 16. Stanford Hospitals & Clinics Neuro-Interventional Hybrid Room 9 3D MEDICAL IMAGING VS 3D CONSTRUCTION IMAGINGTHE DESIGN PARTNERSHIP LLP Architects + Plannerswww.dpsf.com
  17. 17. Stanford Hospitals & Clinics Neuro-Interventional Hybrid Room 9THE DESIGN PARTNERSHIP LLP Architects + Plannerswww.dpsf.com
  18. 18. Stanford Hospitals & Clinics Neuro-Interventional Hybrid Room 9 3D LASER SCANTHE DESIGN PARTNERSHIP LLP Architects + Plannerswww.dpsf.com
  19. 19. Stanford Hospitals & Clinics Neuro-Interventional Hybrid Room 9 3D CONSTRUCTION MODELTHE DESIGN PARTNERSHIP LLP Architects + Plannerswww.dpsf.com
  20. 20. Stanford Hospitals & Clinics Neuro-Interventional Hybrid Room 9 FABRICATION FROM 3D MODELTHE DESIGN PARTNERSHIP LLP Architects + Plannerswww.dpsf.com
  21. 21. Stanford Hospitals & Clinics Neuro-Interventional Hybrid Room 9 ABOVE CEILING UTILITIESTHE DESIGN PARTNERSHIP LLP Architects + Plannerswww.dpsf.com
  22. 22. Stanford Hospitals & Clinics Neuro-Interventional Hybrid Room 9THE DESIGN PARTNERSHIP LLP Architects + Plannerswww.dpsf.com
  23. 23. Stanford Hospitals & Clinics Neuro-Interventional Hybrid Room 9THE DESIGN PARTNERSHIP LLP Architects + Plannerswww.dpsf.com
  24. 24. Stanford Hospitals & Clinics Neuro-Interventional Hybrid Room 9 OUTCOMESTHE DESIGN PARTNERSHIP LLP Architects + Plannerswww.dpsf.com

×