Stanford Hybrid OR - Interventional Radiology + Neurosurgery
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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.
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Stanford Hybrid OR - Interventional Radiology + Neurosurgery
- 1. NEURO-INTERVENTIONAL HYBRID ROOM 9 THE DESIGN PARTNERSHIP LLP Architects + Planners www.dpsf.com
- 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 cost THE DESIGN PARTNERSHIP LLP Architects + Planners www.dpsf.com
- 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 valves THE DESIGN PARTNERSHIP LLP Architects + Planners www.dpsf.com
- 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 valves THE DESIGN PARTNERSHIP LLP Architects + Planners www.dpsf.com
- 5. 3D PROCEDURE & EQUIPMENT PLANNING PROCESS
- 6. Stanford Hospitals & Clinics Neuro-Interventional Hybrid Room 9 TYPICAL VASCULAR PROCEDURE THE DESIGN PARTNERSHIP LLP Architects + Planners www.dpsf.com
- 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 Cart THE DESIGN PARTNERSHIP LLP Architects + Planners www.dpsf.com
- 8. Stanford Hospitals & Clinics Neuro-Interventional Hybrid Room 9 NEUROSURGERY ANESTHESIA LOCATION THE DESIGN PARTNERSHIP LLP Architects + Planners www.dpsf.com
- 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 Cart THE DESIGN PARTNERSHIP LLP Architects + Planners www.dpsf.com
- 10. Stanford Hospitals & Clinics Neuro-Interventional Hybrid Room 9 TYPICAL NEUROSURGERY PROCEDURE THE DESIGN PARTNERSHIP LLP Architects + Planners www.dpsf.com
- 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 Cart THE DESIGN PARTNERSHIP LLP Architects + Planners www.dpsf.com
- 12. Stanford Hospitals & Clinics Neuro-Interventional Hybrid Room 9 PHYSICAL MOCKUP: SURGICAL LIGHTS THE DESIGN PARTNERSHIP LLP Architects + Planners www.dpsf.com
- 13. Stanford Hospitals & Clinics Neuro-Interventional Hybrid Room 9 THE DESIGN PARTNERSHIP LLP Architects + Planners www.dpsf.com
- 14. Stanford Hospitals & Clinics Neuro-Interventional Hybrid Room 9 VIRTUAL EQUIPMENT SIMULATION THE DESIGN PARTNERSHIP LLP Architects + Planners www.dpsf.com
- 16. Stanford Hospitals & Clinics Neuro-Interventional Hybrid Room 9 3D MEDICAL IMAGING VS 3D CONSTRUCTION IMAGING THE DESIGN PARTNERSHIP LLP Architects + Planners www.dpsf.com
- 17. Stanford Hospitals & Clinics Neuro-Interventional Hybrid Room 9 THE DESIGN PARTNERSHIP LLP Architects + Planners www.dpsf.com
- 18. Stanford Hospitals & Clinics Neuro-Interventional Hybrid Room 9 3D LASER SCAN THE DESIGN PARTNERSHIP LLP Architects + Planners www.dpsf.com
- 19. Stanford Hospitals & Clinics Neuro-Interventional Hybrid Room 9 3D CONSTRUCTION MODEL THE DESIGN PARTNERSHIP LLP Architects + Planners www.dpsf.com
- 20. Stanford Hospitals & Clinics Neuro-Interventional Hybrid Room 9 FABRICATION FROM 3D MODEL THE DESIGN PARTNERSHIP LLP Architects + Planners www.dpsf.com
- 21. Stanford Hospitals & Clinics Neuro-Interventional Hybrid Room 9 ABOVE CEILING UTILITIES THE DESIGN PARTNERSHIP LLP Architects + Planners www.dpsf.com
- 22. Stanford Hospitals & Clinics Neuro-Interventional Hybrid Room 9 THE DESIGN PARTNERSHIP LLP Architects + Planners www.dpsf.com
- 23. Stanford Hospitals & Clinics Neuro-Interventional Hybrid Room 9 THE DESIGN PARTNERSHIP LLP Architects + Planners www.dpsf.com
- 24. Stanford Hospitals & Clinics Neuro-Interventional Hybrid Room 9 OUTCOMES THE DESIGN PARTNERSHIP LLP Architects + Planners www.dpsf.com