Stanford Hybrid OR - Interventional Radiology + Neurosurgery

NEURO-INTERVENTIONAL HYBRID ROOM 9

THE DESIGN PARTNERSHIP LLP

Architects + Plannerswww.dpsf.com

Stanford Hospitals & Clinics Neuro-Interventional Hybrid Room 9



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




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




Vascular Surgeon

Cardiac Surgeon


(Adult)


(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

3D PROCEDURE & EQUIPMENT PLANNING PROCESS




TYPICAL VASCULAR PROCEDURE






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




NEUROSURGERY ANESTHESIA LOCATION






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




TYPICAL NEUROSURGERY PROCEDURE






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




PHYSICAL MOCKUP: SURGICAL LIGHTS









VIRTUAL EQUIPMENT SIMULATION

3D CONSTRUCTION PLANNING




3D MEDICAL IMAGING VS 3D CONSTRUCTION IMAGING









3D LASER SCAN




3D CONSTRUCTION MODEL




FABRICATION FROM 3D MODEL




ABOVE CEILING UTILITIES
















OUTCOMES

Health & Medicine

Stanford Hybrid OR - Interventional Radiology + Neurosurgery