OPERATING ROOMS
The surgical floor contains three
distinct areas: l Perimeter circulation and support areas, where surgical beds circulate.
l Surgical rooms, where operations are performed.
l Clean core, restricted space for pharmacy and instrument management.
Construction technologies This new surgical floor is one of the most modern treatment buildings in Buenos Aires. Its patients enjoy optimum medical treatment in a sophisticated environment, which also benefits the staff of the facility. A successful operation requires perfect
conditions that protect the patient and allow the medical team to concentrate exclusively on the intervention. Surgeries always involve working in an open human body, so the highest priority – keeping the risk of infection to an absolute minimum – requires an an operating room corresponding to systems of the highest quality. The integrated systems within the operating rooms are located in control panels so that the medical team can easily visualise the operation of all the equipment and applications. This newly built operating theatre floor is equipped with various seamlessly glazed walls and fixed integrated installations. The innovative OR (operating room)
data integration solution adapts to user needs. The focus is on improving work processes, working efficiency together with future-oriented technologies. Integration systems facilitate centralised medical device controls from the sterile and non-sterile areas of the operating room. These controls allow the management of audio and video in 4k quality, giving high definition streaming and communication by video conference. The system allows users to record, edit, manage, and consult images and videos centrally. The screens are installed behind glass panels, facilitating cleaning and promoting hygiene. The system allows the centralising of
generated content throughout the patient’s clinical route, while the integration system allows doctors and managers to have an overview of everything that happens in the operating room. Providing information on the occupancy plan, as well as the status of all operating rooms, through interfaces compatible with the hospital systems used guarantees data protection and security. This solution allows users also to control air pressure, lights, and all automated parameters through a control panel located at the OR entrance. Depending on the given requirements, both sliding and swing doors were installed, which allows access to the cores. The individualised door control system
IFHE DIGEST 2023
Perimeter circulation with surgical sink basin.
entry of germs into the room, significantly minimising the risk of infection to the patient. However, ventilation does not need to be running at its highest level when no operation is in progress. Integrated control systems allow efficient use of energy, automatically adjusting to when the operating room is not in use and allowing responsible and environmentally friendly use.
The challenge The great challenge of this surgical plant was the time in which it was developed. In 2020, Hospital Alemán completed
the purchase of a comprehensive system of modular operating rooms from Karl Storz Company. Then the pandemic started and travel restrictions came into force. However, against all odds, the plan to build a surgical plant with the best advanced technology continued.
Operating room with surgical equipment.
Process In the first stage, programming and design were developed remotely. The meetings were held online, where the client – Hospital Alemán – AFS Architects, and the system provider agreed on the way to meet various different needs. In a second stage, the construction
progressed through the interaction of local and foreign human resources, showing the progress of the work to the supplier with videos and images, resolving different installation interferences, and defining completion details. Then the materials and integration equipment arrived from Germany. To reduce the distances between those
Clean core with Pyxis equipment.
with touchless sensor operation was combined with system products for ceilings, floors, and partitions. The walls and ceilings serve as housing for the building services. The walls have been viewing and blackout functions and operating room terminals integrated.
Energy efficiency Through the modernisation of operating rooms, more environmentally friendly operations have been achieved. The operating rooms are usually the
areas with the highest concentration of devices and the highest energy consumption in the entire hospital. They require constant ventilation, air conditioning, lighting, and medical equipment to ensure optimal working conditions for surgeons. It is clear that constant ventilation of an
operating room is mandatory, remaining under positive air pressure, to prevent the
Perimeter circulation surgical area. 71
in charge of this great project (part of the team was in Germany, another part in Brazil, and the work was being carried out in Argentina) weekly meetings were held to show the progress. The supplier company subcontracted a local company to carry out the work and made company managers from Germany available to train them. They stayed for a certain time and then had to return. Therefore, such issues were resolved through video calls. With certain difficulties along the way,
but always with perseverance, as a team we managed to build this new modular and integrated system of state-of-the-art operating rooms.
IFHE
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