Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XXXIII - Dental Health Profession › Chapter 15 - Anesthesia/Analgesia Administration › Section XXXIII-1511 - Required Facilities, Personnel and Equipment for Sedation Procedures

Current through Register Vol. 50, No. 6, June 20, 2024
A. The following
				are minimum requirements for facilities and equipment that must be available
				for use with sedation procedures, other than minimal sedation by means other
				than nitrous oxide inhalation.
1. The dental
				operatory where sedation procedures are performed must be large enough to
				accommodate the patient adequately on a dental chair and to permit an operating
				team consisting of three individuals to move about the patient.
2. The dental chair must permit the patient
				to be positioned so that the operating team can maintain the airway, quickly
				alter the patient position in an emergency, and provide a firm platform for
				performing cardiopulmonary resuscitation should it become necessary.
3. There must be a lighting system which is
				adequate to permit evaluation of the patient's skin and mucosal
				color.
4. There must be suction
				equipment which permits aspiration of the oral and pharyngeal cavities. A
				back-up suction device which can operate at the time of a general power failure
				must be available for moderate and deep sedation procedures and for general
				anesthesia.
5. There must be an
				oxygen delivery system with adequate full-face masks and appropriate connectors
				capable of delivering a positive pressure oxygen supply to the
				patient.
6. Nitrous oxide equipment
				should:
a. conform to all requirements as
				established by the Council on Dental Materials and Devices of the American
				Dental Association;
b. provide a
				maximum of 100 percent and never less than 20 percent oxygen concentration at
				appropriate flow rates;
c. have a
				functional fail-safe system;
d.
				utilize a scavenger system in working condition;
e. be free of any obvious leaks, such as
				those indicated by hissing sounds or poor connections or tears of the delivery
				tubing or reservoir bag.
7. Ancillary equipment must be available in
				the operatory where the moderate sedation, deep sedation or general anesthesia
				procedure is being performed, must be maintained in good operating condition,
				and must include the following:
a. oral
				airways;
b. tonsillary or
				pharyngeal-type suction device adaptable to all office outlets;
c. sphygmomanometer of appropriate size for
				the patient and stethoscope;
d.
				adequate equipment for the establishment of an intravenous infusion;
e. pulse oximeter;
f. equipment to monitor partial pressure of
				carbon dioxide when moderate sedation, deep sedation, or general anesthesia is
				administered;
g. working
				electrocardiograph and defibrillator when general anesthesia, deep sedation or
				moderate is utilized.
8.
				There must be emergency equipment and drugs available in an emergency kit or
				crash cart which is immediately available to the dental operatory where the
				sedation procedure, other than minimal sedation or sedation by nitrous oxide
				inhalation, is being performed. These kits must include the necessary drugs and
				equipment to resuscitate a non-breathing unconscious patient and sustain life
				while the patient is being transported. There should be a list in each kit of
				the contents and a record of when the contents were checked. The following
				drugs should be available in the kit:
a.
				epinephrine;
b.
				vasopressor;
c.
				corticosteroid;
d.
				bronchodilator;
e. appropriate drug
				antagonists;
f.
				antihistaminic;
g.
				anticholinergic;
h. coronary artery
				vasodilator;
i.
				anticonvulsant;
j. oxygen;
				and
k. 50 percent dextrose or other
				antihypoglycemic.