Surgical Treatment of Chronic Constrictive Pericarditis

1 PHASES OF PLANNING & DESIGNING.- 1.1 Hospital Planning.- 1.2 Schematic Design.- 1.3 Construction Documents.- 1.4 Design and Development.- 1.5 MEP Planning.- 1.6 Construction.- 1.7 Equipment Planning.- 1.8 Man Power Planning.- 1.9 Finalising the Standard Operating Procedures.- 1.10 Commissioning Further Reading.- 2 INCEPTION OF THE IDEA Further Reading.- 3 FACTORS ASSESSING FEASIBILITY OF THE HOSPITAL.- 3.1 Demographics.- 3.2 Understanding the Type of Diseases.- 3.3 Community.- 3.4 Healthcare Systems and Hospitals Network.- 3.5 Innovations in Facility Planning and Management.- 3.6 Speciality Facilities and Departments.- 3.7 Medical Tourism.- 3.8 Health Insurance and Empanelment.- 3.9 Catchment Area Further Reading.- 4 4.1 Information to be Generally Provided in DPR.- 4.2 Documents DPR Should Contain.- 4.3 General Contents in DPR.- 4.4 Evaluation of DPR Further Reading.- 5 SITE SELECTION.- 5.1 Size of the Land Required for Hospital.- 5.2 Assessment of the Covered Area Required for Building.- 5.3 Total FAR Allowed.- 5.4 Set Back Area.- 5.5 Maximum Permissible Land Coverage.- 5.6 Maximum Permissible Height of Building.- 5.7 Approach to the Site.- 5.8 Location of the Land.- 5.9 Availability of Transportation.- 5.10 Security.- 5.11 Availability of Utilities TABLE OF CONTENTS SECTION ONE - PLANNING PREPARATION OF DPR (DETAILED PROJECT REPORT) CUM TECHNO COMMERCIAL FEASIBILITY REPORT (TCFR) CHAPTER NO. CONTENTS PAGE NO.- 5.12 Roads Network in the Area.- 5.13 Environmental Pollution.- 5.14 Wind and Earthquake.- 5.15 Flood Protection Further Reading.- 6 6.1 Importance of Planning and Designing.- 6.2 Flexibility and Expandability.- 6.3 Patient Focused Design.- 6.4 Design for Employee Productivity.- 6.5 Accessibility to the Patient.- 6.6 Security and Safety.- 6.7 Sustainability of Resources.- 6.8 Efficiency and Cost-Effectiveness.- 6.9 Adaptation of Technological Advancements.- 6.10 Stress & Fear of Patient and Visitors.- 6.11 Quality Care of Patient.- 6.12 Therapeutic Environment.- 6.13 Cleanliness and Sanitation.- 6.14 Noise reduction.- 6.15 Minimising the Operative/Postoperative and Hospital Infections.- 6.16 Automation Wherever Possible.- 6.17 Environmental Pollution Control.- 6.18 Internal Road.- 6.19 Parking.- 6.20 Wind, Earthquake-Resistant & Flood Protection.- 6.21 Nature Plus Artwork.- 6.22 Colour to be Used.- 6.23 Choice of Building Materials.- 6.24 Flooring Further Reading.- 7 AREA REQUIREMENT & PLANNING.- 7.1 Functional Areas.- 7.2 Room and Space Requirement.- 7.3 Sizes of the Rooms.- 7.4 Zoning.- 7.5 Placement of Zones in the Building Further Reading.- 8 DETAILED ENGINEERING DRAWINGS.- 8.1 Schematic Design.- 8.2 Site Plan.- 8.3 Concept Drawings.- 8.4 Floor Plan Drawings.- 8.5 Cross Section Drawings.- 8.6 Elevation Drawings.- 8.7 Landscape Drawings.- 8.8 Finishing Drawing GENERAL ISSUES TO BE CONSIDERED WHILE DESIGNING HOSPITAL BUILDING CHAPTER NO. CONTENTS PAGE NO.- 8.9 Working PlanDrawings.- 8.10 Section Drawings.- 8.11 Structural Drawings.- 8.12 Column Layout Drawings.- 8.13 Plinth Beam Layout Drawings.- 8.14 Lintel Beam Layout Drawings.- 8.15 Roof Beam and Shuttering Layout Drawings.- 8.16 General Note.- 8.17 Excavation Drawing.- 8.18 Electrical Drawings.- 8.19 Plumbing Drawings.- 8.20 Fire Fighting and Detection Drawings.- 8.21 Shop Drawings.- 8.22 Furniture Layout Drawings.- 8.23 Furniture Design Drawings.- 8.24 Hospital Signage Drawings.- 8.25 As-Built Drawings.- 8.26 PERT Charts Further Reading.- 9 PREPARATION OF CONSTRUCTION DOCUMENTS.- 9.1 Definition of Construction Documents.- 9.2 Contents of Construction Document .- 9.2.1 General information about the hospital project.- 9.2.2 Construction contract agreement.- 9.2.3 Scope of Work (SOW).- 9.2.4 Construction schedule.- 9.2.5 General conditions.- 9.2.6 Special conditions.- 9.2.7 Specifications.- 9.2.8 Bill of Quantities (BOQ).- 9.2.9 Cost estimate.- 9.2.10 Drawings.- 9.2.11 Other Documents Further Reading.- 10 DESIGN OF THE MAIN ENTRANCE GATE TO THE HOSPITAL.- 10.1 Main Entrance Gate Further Reading.- 11 ENTRANCE LOBBY OF THE HOSPITAL.- 11.1 Location of the Entrance Lobby.- 11.1.1 The infrastructure of the Entrance Lobby.- 11.2 Services in the Lobby.- 11.3 Reception and Enquiry Counter.- 11.4 Help Desk, Registration, and Admission and Discharge Counters.- 11.5 Cash Counter.- 11.6 Cafeteria.- 11.7 Pharmacy SECTION TWO- DESIGN & DEVELOPMENT CHAPTER NO. CONTENTS PAGE NO.- 11.8 Other Service in the Entrance Lobby.- 11.9 Public Utility for Patient/visitors.- 11.10 Prayer Room/Meditation Spaces.- 11.11 Self-Service Kiosks.- 11.12 Interiors of the Entrance Lobby.- 11.13 Entrance Gates to the Lobby.- 11.14 Signage and Wayfinding in the Lobby.- 11.15 Acrylic or Glass Partitions.- 11.16 General Issues Related to Entrance Lobby.- 11.17 Outside entrance lobby.- 11.17.1 Screening Areas.- 11.17.2 Hand Wash/Sanitizer Stations.- 11.17.3 Face Masks / Shoe Covers Dispensers.- 11.18 Reduction of peoplelanding in the entrance lobby Further Reading.- 12 EMERGENCY SERVICES.- 12.1 Location of Emergency Department.- 12.2 Size of the Emergency Department.- 12.3 Areas Required for Emergency Department.- 12.4 Entrance of the Emergency Department.- 12.4.1 Main Gate.- 12.4.2 Entrance Door to the Emergency Department.- 12.4.3 Outside entrance lobby.- 12.4.4 Screening Areas.- 12.4.5 Hand Wash/Sanitizer Stations and Face Mask Dispenser.- 12.4.6 Decontamination area.- 12.4.7 General Waiting.- 12.4.8 Ambulance Control.- 12.5 Reception.- 12.6 Triage and Resuscitation.- 12.6.1 Location of Triage.- 12.6.2 Size of Triage.- 12.6.3 Infrastructure of Triage.- 12.6.4 Bed Layout in Triage.- 12.6.5 Furniture/Equipment/Instruments in Triage.- 12.6.6 Doors and Windows.- 12.6.7 Hand Washing.- 12.6.8 Central Medical Gas Supply.- 12.6.9 Electrical Points in Triage.- 12.6.10 Other Communication Points in Triage.- 12.6.11 Curtain Partitions.- 12.6.12 Doctors Duty Rooms in Triage.- 12.7 Patient Handling Zone with Resuscitation.- 12.7.1 Location of Patient Handling Zone.- 12.7.2 Categories of Patient Handling Zone.- 12.7.3 Size of Patient Handling Zone.- 12.7.4 Infrastructure of Patient Handling Zone.- 12.7.5 Bed Layout in Patient Handling Zone.- 12.7.6 Isolation Rooms/Units/Area in Patient Handling Zone.- 12.7.7 Resuscitation Rooms in Patient Handling Zone.- 12.7.8 Furniture/Equipment/Instruments in Patient Handling Zone CHAPTER NO. CONTENTS PAGE NO.- 12.7.9 Doors and Windows of Patient Handling Zone.- 12.7.10 Hand Washing in Patient Handling Zone.- 12.7.11 Central Medical Gas Supply.- 12.7.12 Electrical Points in Patient Handling Zone.- 12.7.13 Other Communication Points in Patient Handling Zone.- 12.7.14 Curtain Partitions.- 12.7.15 Doctors Duty Rooms in Patient Handling Zone.- 12.8 Treatment/Procedure Room/Minor Operation Theatre.- 12.8.1 Furniture/Equipment/Instruments in Minor OT.- 12.8.2 Doors and Windows.- 12.8.3 Hand Washing.-12.8.4 Central Medical Gas Supply.- 12.8.5 Electrical Points in Minor OT.- 12.9 Procedure and Diagnostic Setup.- 12.1 Emergency Operation Theatre Complex.- 12.11 Day Care Observation Ward.- 12.11.1 Location of Emergency / Observation Ward.- 12.11.2 Size of Emergency / Observation Ward.- 12.11.3 Issues of Infrastructure of Emergency / Observation Ward.- 12.11.4 Bed Layout in Emergency / Observation Ward.- 12.11.5 Isolation Room in the Emergency / Observation Ward.- 12.11.6 Furniture/Equipment in Emergency/Observation Ward.- 12.11.7 Doors and Windows.- 12.11.8 Hand Washing.- 12.11.9 Central Medical Gas Supply.- 12.11.10 Electrical Points in Observation Ward.- 12.11.11 Other Communication Points in Observation Ward.- 12.11.12 Curtain Partitions.- 12.12 Other Issues Relating to Emergency Department.- 12.13 Disaster Plan.- 12.13.1 Factors for Disaster Plan Further Reading.- 13 OUTPATIENT DEPARTMENT.- 13.1 Location of the OPD.- 13.2 Schemes of the Layoutof the OPD.- 13.2.1 Single Corridor OPD.- 13.2.2 Double Corridor OPD.- 13.2.3 Clustered OPD Block.- 13.3 Infrastructure Requirement in the OPD.- 13.4 Reception & Enquiry Counter.- 13.5 Registration Counter.- 13.6 Waiting Lobby/Hall.- 13.7 Examination Rooms.- 13.8 Procedure/Treatment Rooms.- 13.9 Support Rooms.- 13.10 General Issue While Designing the OPD.- 13.11 Number of OPDs Required.- 13.12 Consultation Room.- 13.12.1 Size of the OPD Room.- 13.12.2 Door and Windows.- 13.12.3 Hand Washing CHAPTER NO. CONTENTS PAGE NO.- 13.12.4 Furniture.- 13.12.5 Instrument and Equipment.- 13.12.6 Electrical Points and Communication Ports.- 13.12.7 Curtain Partitions.- 13.13 Procedure /Treatment Room.- 13.13.1 Size of the Procedure / Treatment Room.- 13.13.2 Door and Windows.- 13.13.3 Hand Washing.- 13.13.4 Furniture.- 13.13.5 Instrument and Equipment.- 13.13.6 Electrical Points and Communication Ports Further Reading.- 14 INTENSIVE CARE UNITS.- 14.1 Types of ICU's.- 14.2 Number of Beds in a Single Unit of ICU.- 14.3 Location of Intensive Care Units.- 14.4 Infrastructure of ICU.- 14.5 Size of the ICU.- 14.6 Sizing Considerations.- 14.7 Patient Care Zone.- 14.7.1 Bed Layout in ICU Hall.- 14.7.2 Isolation Room/Units/Area in ICU.- 14.7.3 Furniture in ICU.- 14.7.4 Equipment.- 14.7.5 Tools & Instruments.- 14.7.6 Doors and Windows.- 14.7.7 Nursing Station.- 14.7.8 Hand Hygiene.- 14.7.9 Toilets.- 14.7.10 Air Conditioning System of ICUs.- 14.7.11 Central Piped Medical Gas Supply.- 14.7.12 Electrical Points in ICU.- 14.7.13 Other Communication Points in ICU.- 14.7.14 Curtain Partitions.- 14.8 Procedure & Treatment Room.- 14.8.1 Location of Treatment/Procedure Room.- 14.8.2 Size of Treatment/Procedure Room.- 14.8.3 Issues related to the Infrastructure.- 14.8.4 Furniture in Treatment/Procedure Room.- 14.8.5 Equipment.- 14.8.6 Tools & Instruments.- 14.8.7 Doors and Windows.- 14.8.8 Hand Washing.- 14.8.9 Central Medical Gas Supply.- 14.8.10 Electrical Points in Treatment/Procedure Room.- 14.8.11 Other Communication Points in Treatment/Procedure Room.- 14.8.12 Other Issues on Patient Care Zone & Procedure Room.- 14.8.13 Lighting in the ICU.- 14.8.14 Dialysis Equipment.- 14.8.15 Power Backup.- 14.9 Clinical Support Zone CHAPTER NO. CONTENTS PAGE NO.- 14.9.1 Rigorous Monitoring.- 14.9.2 Radiology.- 14.9.3 Laboratory.- 14.9.4 Medication Rooms.- 14.9.5 Pneumatic Tube Systems (PTS):.- 14.9.6 Clean Utility:.- 14.9.7 Dirty Utility/Sluice Room.- 14.9.8 Equipment Park/Store.- 14.9.9 Emergency Eyewash Station.- 14.10 Unit Support Zone.- 14.10.1 Change Room - Male/Female in ICU.- 14.10.2 Doctors Duty Rooms in ICU.- 14.10.3 Nurses Night Duty Rooms in ICU.- 14.10.4 Night Duty Room for On-Call Junior Doctors.- 14.10.5 Ward Pantry.- 14.10.6 Staff Lounge.- 14.11 Family Support Zone.- 14.11.1 Family Lounge.- 14.11.2 Consultation Rooms.- 14.11.3 Meditation Spaces.- 14.11.4Family Cafeteria.- 14.11.5 Family Sleep Rooms.- 14.11.6 Family Laundry.

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• Medicina cardiovascular
• Cirurgia vascular
• Cirurgia cardiotorácica

Anterolateral thoracotomy;Chronic constrictive pericarditis;Sternotomy;Mechanical circulatory assistance;Tissue Doppler imaging;Echocardiography