New sub-intensive care unit at the Pisa University Hospital.
EPC Contracting for Cisanello Hospital
Cefla was the lead company in the team that carried out the project for the new sub-intensive care unit at the Pisa University Hospital. The project involved structural, construction, functional, plant engineering and technological aspects.
Strengths
Creation of a high-tech department
Cefla oversaw the design and installation of all the technological systems in the new Sub-Intensive Care Unit, ensuring high standards of safety and functionality.
Flexibility of use
The department has 12 beds, designed to be converted into intensive care beds, thus offering a versatile response to different clinical needs.
Advanced pressure gradient control
The air treatment system was designed to ensure pressure gradient control, which is essential for the safe management of infectious or immunocompromised patients.
Key Numbers
12
Critical care beds
Hygienic air replacement up to
12 vol/h
Background
The Pisa University Hospital has started a project to upgrade its healthcare facilities in order to deal with health emergencies and improve the care it provides. The new Sub-Intensive Care Unit is part of this project, offering state-of-the-art facilities and technology for the treatment of infectious and immunocompromised patients.
The complexities involved in working on an existing, functioning hospital building made it necessary to develop a detailed construction plan that complies with the regulations for Hospital Safety Class 4 according to the 2018 Technical Construction Regulations.
Challenges
- Complexity of the operating environment
The department was built in a busy hospital environment, requiring careful planning to minimise interference with ongoing healthcare activities. - Management of interference between systems
The distance of approximately 70 metres between the department and the main newly installed equipment presented a significant challenge, which was overcome through proactive interaction with the healthcare staff.
Project Tasks
Cefla was responsible for:
- The rearrangement of the rooms.
- The complete overhaul of the electrical and data transmission systems.
- The installation of an air treatment system to control pressure gradients.
- The new distribution of the medical gas system and bed headboards.
Implementation
All clinical engineering systems, technological networks and the positioning of new machinery using specialised lifting equipment have been set up, in addition to safety works such as metal staircases and guardrails. Cefla managed the complete installation of electrical, mechanical and special systems—including supervision, data network and safety—and the coordination of structural reinforcements for static and seismic safety. All systems and false ceilings have been installed with anti-seismic systems in compliance with regulations.
The intensive and sub-intensive care rooms are equipped with mechanical ventilation with differentiated pressure, which guarantees isolation and safety for both infectious and immunocompromised patients. There are constant flow diffusers and VAV boxes, with sanitisation mode activated via touch screen or dedicated selector, and devices for the safe replacement of HEPA H14 filters.
Each room has a dedicated electrical panel, with automatic switching management via PLC and class 0 safety power supplies for critical utilities. The lighting, mainly dimmable LEDs, is automated via sensors and a DALI system; emergency power is provided by uninterruptible power supplies.
Air conditioning is provided by an all-outside air system with heat recovery, humidifier and redundant 220 kW chiller. Local air distribution branches are equipped with post-coil heating and H14 absolute filters, with electronic control of microclimatic parameters. The entire sub-intensive area is managed by a centralised BMS, with pressure control via touch panel and communication via V-Lan network.
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