stanford hybrid or - interventional radiology + neurosurgery
DESCRIPTION
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.TRANSCRIPT
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NEURO-INTERVENTIONAL HYBRID ROOM 9
THE DESIGN PARTNERSHIP LLP
Architects + Plannerswww.dpsf.com
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Stanford Hospitals & Clinics Neuro-Interventional Hybrid Room 9
THE DESIGN PARTNERSHIP LLP
Architects + Plannerswww.dpsf.com
MOTIVATION FOR HYBRID ORs
Convergence of Technology and Patient NeedsConsolidation of interventional and surgical environmentsGrowth of minimally invasive treatment vs. surgeryBoundaries disappearing between disciplinesIncreasing use of fixed imaging systems for endovascular proceduresEndovascular and open procedures in same room without moving patient
Limited SpaceRoom used for several services or procedures Provide maximum utilization of space
ReimbursementRoom flexibility allows full utilization & continual revenueIncreased flexibility = fewer complications = better outcomes = lower cost
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Stanford Hospitals & Clinics Neuro-Interventional Hybrid Room 9
THE DESIGN PARTNERSHIP LLP
Architects + Plannerswww.dpsf.com
Vascular Surgeon Cardiac SurgeonInterventional Cardiologist
(Adult)
Interventional Cardiologist
(Peds)Neurosurgeon
Common Procedures
Abdominal aortic aneurysm (AAA)Thoracic aortic aneurysm (TAA)Carotid stentingPeripheral PTAPeripheral stentingPeripheral artery bypass
Coronary artery bypass graft (CABG)Aortic valve replacementMitral valve repair/replacementVentricular assist device implantationHeart transplant
Diagnostic cathsCoronary stentingPTCAPeripheral PTAPeripheral stentingAtherectomy
Hypoplastic left heart syndromeHeart biopsyDiagnostic cathASDVSDPFOPDA
Aneurysm coilingIntracranial stentingCarotid stentingIntra-arterial TPA
Procedure well suited for Hybrid Room
AAATAAPeripheral stenting
MIDCAB/stentValve/stentPercutaneous valves
Peripheral stentingSent/MIDCABStent/valvePercutaneous valves
Structural heartHybrid Stage I
Aneurysm coiling
HYBRID ROOM PROCEDURES
Source: Hospital of the Future, The Advisory Board Company
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Stanford Hospitals & Clinics Neuro-Interventional Hybrid Room 9
THE DESIGN PARTNERSHIP LLP
Architects + Plannerswww.dpsf.com
Vascular Surgeon
Cardiac Surgeon
Interventional Cardiologist
(Adult)
Interventional Cardiologist
(Peds)Neurosurgeon
Common Procedures
Abdominal aortic aneurysm (AAA)Thoracic aortic aneurysm (TAA)Carotid stentingPeripheral PTAPeripheral stentingPeripheral artery bypass
Coronary artery bypass graft (CABG)Aortic valve replacementMitral valve repair/replacementVentricular assist device implantationHeart transplant
Diagnostic cathsCoronary stentingPTCAPeripheral PTAPeripheral stentingAtherectomy
Hypoplastic left heart syndromeHeart biopsyDiagnostic cathASDVSDPFOPDA
Aneurysm coilingIntracranial stentingCarotid stentingIntra-arterial TPA
Procedure well suited for Hybrid Room
AAATAAPeripheral stenting
MIDCAB/stentValve/stentPercutaneous valves
Peripheral stentingSent/MIDCABStent/valvePercutaneous valves
Structural heartHybrid Stage I
Aneurysm coiling
NEURO-INTERVENTIONAL ROOM 9 PROCEDURES
Source: Hospital of the Future, The Advisory Board Company
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3D PROCEDURE & EQUIPMENT PLANNING PROCESS
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Stanford Hospitals & Clinics Neuro-Interventional Hybrid Room 9
THE DESIGN PARTNERSHIP LLP
Architects + Plannerswww.dpsf.com
TYPICAL VASCULAR PROCEDURE
THE DESIGN PARTNERSHIP LLP
Architects + Plannerswww.dpsf.com
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Stanford Hospitals & Clinics Neuro-Interventional Hybrid Room 9
THE DESIGN PARTNERSHIP LLP
Architects + Plannerswww.dpsf.com
TYPICAL VASCULAR PROCEDURE
AM
AC
EEG
AN
PA
AS S
PA
USINJ
AM
AC
EEG
AN
PA
AS
S
US
INJ
Surgeon
Assisting Surgeon
PA/SA
Anesthesiologist
Contrast Injector
Ultrasound (IVUS)
Physiologic Monitoring
Anesthesia Machine
Anesthesia Cart
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Stanford Hospitals & Clinics Neuro-Interventional Hybrid Room 9
THE DESIGN PARTNERSHIP LLP
Architects + Plannerswww.dpsf.com
NEUROSURGERY ANESTHESIA LOCATION
THE DESIGN PARTNERSHIP LLP
Architects + Plannerswww.dpsf.com
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Stanford Hospitals & Clinics Neuro-Interventional Hybrid Room 9
THE DESIGN PARTNERSHIP LLP
Architects + Plannerswww.dpsf.com
NEUROSURGERY ANESTHESIA LOCATION
AM
AC
EEG
AN
PA
S
INJ
AM
AC
PCW
AN
PA
AS
S
NAV
INJ
Surgeon
Assisting Surgeon
PA/SA
Anesthesiologist
Contrast Injector
Navigation
Patient Cooler/Warmer
Anesthesia Machine
Anesthesia Cart
PCW
NAV
MIC
MASMobile Aspirator
MICMicroscope
PA
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Stanford Hospitals & Clinics Neuro-Interventional Hybrid Room 9
THE DESIGN PARTNERSHIP LLP
Architects + Plannerswww.dpsf.com
TYPICAL NEUROSURGERY PROCEDURE
THE DESIGN PARTNERSHIP LLP
Architects + Plannerswww.dpsf.com
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Stanford Hospitals & Clinics Neuro-Interventional Hybrid Room 9
THE DESIGN PARTNERSHIP LLP
Architects + Plannerswww.dpsf.com
TYPICAL NEUROSURGERY PROCEDURE
AM
AC
EEG
AN
PA
S
INJ
AM
AC
PCW
AN
PA
AS
S
NAV
INJ
Surgeon
Assisting Surgeon
PA/SA
Anesthesiologist
Contrast Injector
Navigation
Patient Cooler/Warmer
Anesthesia Machine
Anesthesia Cart
PCW NAV
MIC
MASMobile Aspirator
MICMicroscopePA
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Stanford Hospitals & Clinics Neuro-Interventional Hybrid Room 9
THE DESIGN PARTNERSHIP LLP
Architects + Plannerswww.dpsf.com
PHYSICAL MOCKUP: SURGICAL LIGHTS
THE DESIGN PARTNERSHIP LLP
Architects + Plannerswww.dpsf.com
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Stanford Hospitals & Clinics Neuro-Interventional Hybrid Room 9
THE DESIGN PARTNERSHIP LLP
Architects + Plannerswww.dpsf.com
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Stanford Hospitals & Clinics Neuro-Interventional Hybrid Room 9
THE DESIGN PARTNERSHIP LLP
Architects + Plannerswww.dpsf.com
VIRTUAL EQUIPMENT SIMULATION
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3D CONSTRUCTION PLANNING
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Stanford Hospitals & Clinics Neuro-Interventional Hybrid Room 9
THE DESIGN PARTNERSHIP LLP
Architects + Plannerswww.dpsf.com
3D MEDICAL IMAGING VS 3D CONSTRUCTION IMAGING
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Stanford Hospitals & Clinics Neuro-Interventional Hybrid Room 9
THE DESIGN PARTNERSHIP LLP
Architects + Plannerswww.dpsf.com
THE DESIGN PARTNERSHIP LLP
Architects + Plannerswww.dpsf.com
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Stanford Hospitals & Clinics Neuro-Interventional Hybrid Room 9
THE DESIGN PARTNERSHIP LLP
Architects + Plannerswww.dpsf.com
3D LASER SCAN
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Stanford Hospitals & Clinics Neuro-Interventional Hybrid Room 9
THE DESIGN PARTNERSHIP LLP
Architects + Plannerswww.dpsf.com
3D CONSTRUCTION MODEL
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Stanford Hospitals & Clinics Neuro-Interventional Hybrid Room 9
THE DESIGN PARTNERSHIP LLP
Architects + Plannerswww.dpsf.com
FABRICATION FROM 3D MODEL
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Stanford Hospitals & Clinics Neuro-Interventional Hybrid Room 9
THE DESIGN PARTNERSHIP LLP
Architects + Plannerswww.dpsf.com
ABOVE CEILING UTILITIES
THE DESIGN PARTNERSHIP LLP
Architects + Plannerswww.dpsf.com
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Stanford Hospitals & Clinics Neuro-Interventional Hybrid Room 9
THE DESIGN PARTNERSHIP LLP
Architects + Plannerswww.dpsf.com
THE DESIGN PARTNERSHIP LLP
Architects + Plannerswww.dpsf.com
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Stanford Hospitals & Clinics Neuro-Interventional Hybrid Room 9
THE DESIGN PARTNERSHIP LLP
Architects + Plannerswww.dpsf.com
THE DESIGN PARTNERSHIP LLP
Architects + Plannerswww.dpsf.com
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Stanford Hospitals & Clinics Neuro-Interventional Hybrid Room 9
THE DESIGN PARTNERSHIP LLP
Architects + Plannerswww.dpsf.com
OUTCOMES