Dentistry and general anesthesia: what has Order No. 751 changed?

advice

Implementation of an exemplary table of material and technical equipment

The company Medigo actively informs medical institutions about the new order of the Ministry of Health of Ukraine No. 751 dated 01.05.2024 and offers solutions for the full implementation of the exemplary logistics equipment sheet. This allows medical institutions to quickly and efficiently bring their units in line with modern standards, ensuring patient safety, compliance with government requirements, and improving the quality of medical services.

The Helsinki Declaration on Patient Safety in Anesthesiology is an international document created by the World Federation of Societies of Anesthesiologists (WFSA), which aims to improve the safety of anesthesia care worldwide. It establishes standardized protocols and requirements for medical institutions working in the field of anesthesia, providing a unified approach to such procedures in different countries.

Ukraine acceded to this declaration on June 3, 2023, due to the desire to implement international standards in the field of medicine. This decision was dictated by the need to improve the safety of anesthesia procedures and reduce the level of complications during their implementation. In addition, this step is an important step in harmonizing the Ukrainian healthcare system with European and international requirements, which involves the use of modern technologies, upgrading medical equipment and implementing the best international practices in the work of anesthesiologists.

Special attention in the context of patient safety should be paid to the logistics of medical facilities. On May 1, 2024, the Ministry of Health of Ukraine approved Order 751, which defines a mandatory list of equipment for clinics that provide treatment with anesthesia or sedation.

Compliance with these requirements is crucial for the safe provision of outpatient medical care using general anesthesia methods, as it ensures monitoring of the patient's condition, prompt response to possible critical situations, and prevention of complications. The use of modern equipment not only improves the efficiency and accuracy of treatment, but also ensures that the clinic complies with applicable national and international standards.

Dentistry

For dental clinics, compliance with the requirements of the order is critical, as patients undergoing treatment under anesthesia require a special level of safety. In the event of unforeseen situations, such as allergic reactions or respiratory disorders, the clinic must be equipped with everything necessary for a quick response - ventilators, oxygen cylinders, defibrillators and other emergency equipment.

Also, compliance with these standards directly affects the reputation of the clinic, as patients prefer institutions that can guarantee not only the quality of treatment but also the safety of staying under anesthesia. In addition, medical institutions should take into account that compliance with the requirements of this report card is legally binding, and its violation may result in inspections by regulatory authorities and the imposition of sanctions.

Sample report card

NameMinimum quantityDescription
1Artificial lung ventilation device or mechanically driven anesthesia breathing apparatus1Each workplace of an anesthesiologist should be provided with a device (operating or manipulation table, dental chair, etc. where anesthetic care is provided)
2Compressor to ensure the operation of respiratory and anesthesia equipment1Each pneumatically driven ventilator shall be equipped with a compressor
3Medical oxygen supply system1---
4Patient monitor1Multifunctional monitor with the ability to measure blood pressure, heart rate, ECG, SpO2, EtCo2
5Portable pulse oximeter1Device for measuring pulse and SpO2
6Medication dispenser (syringe pump)1Medical device intended for long-term dosed administration of medicines to a patient
7Defibrillator1 per operating room
8Electrospray suction device1The medical suction device is designed for suctioning liquids
9Laryngoscope with a set of blades for adults and children1Medical device used for tracheal intubation
10Set for complex intubation1 per operating roomThe set should include conductors, an elastic bougie, laryngeal masks of different sizes, Maggill forceps, mouth dilator
11Set for conicopuncture/percutaneous tracheostomy1 per operating room---
12Bag for manual ventilation (Ambu type)1Ambu type manual breathing bag is intended for artificial lung ventilation performed manually
13Tripod for intravenous infusions1Each anesthesiologist's workplace should be equipped with a tripod
14Glucometer1 per operating roomPortable medical device for monitoring blood glucose levels
15Anesthesia nurse's table1---
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