Vietnam: Equipment, drugs, and consumables of the Anesthesia and Intensive Care department

Equipment, drugs, and consumables of the Anesthesia and Intensive Care department (Illustration)

According to Article 14 of Circular 13/2012/TT-BYT, the specific regulations for equipment, drugs, and consumable supplies in the Anesthesiology - Resuscitation Department are as follows:

* Surgical Unit:

• The surgical unit must have at least 02 (two) operating rooms.
• Each operating room must ensure the following equipment:
  • Sufficient equipment, technical means, and drugs ensuring anesthesia - resuscitation according to the prescribed list suitable to the approved list of surgeries and procedures;
  • A multi-position surgical table;
  • A table for surgical and procedural instruments;
  • Suitable surgical instrument kits;
  • Oxygen system, compressed air, vacuum machine;
  • An anesthesia machine with a vaporizer for inhalation anesthetics (preferably using a closed anesthesia system);
  • A 5-parameter monitor (ECG, non-invasive blood pressure, SpO2, respiratory rate, temperature) or a monitor with multiple parameters including invasive blood pressure measurement, EtCO2, anesthetic gas analysis, and other advanced hemodynamic monitoring for critically ill or specialized surgery patients;
  • At least 01 electric syringe pump with battery operation;
  • Consumable supplies and respiratory and circulatory emergency equipment;
  • Equipment for fluid warming and rapid fluid infusion;
  • Patient warming equipment.
  • Common equipment for the surgical area includes a defibrillator, difficult intubation kits, laryngeal masks of various sizes, and a flexible bronchoscope;
  • Anesthesia - resuscitation areas (outside the surgical unit) must also have equipment, drugs, and consumables for sedation, anesthesia, local anesthesia, and respiratory and circulatory emergencies.

* Post-Anesthesia Care Unit (PACU):

• The PACU is arranged adjacent to the surgical unit, with a number of beds at least 1.5 times the number of surgical tables;
• Office equipment;
• Medical equipment:
  • Medical gases (oxygen, compressed air);
  • Suction machines;
  • ECG and blood pressure monitors;
  • SpO2 monitors;
  • Body temperature monitors;
  • Patient warming devices;
  • Blood and fluid warming equipment;
  • Ventilators and airway emergency equipment;
  • Defibrillators;
  • Equipment for pain management;
  • Necessary drugs and consumables.

* Surgical Intensive Care Unit (SICU):

• Adequate adjustable beds with x-ray compatible mattresses for bedside x-ray imaging;
• Each bed should have a multi-parameter monitor, ventilator, infusion pump, and electric syringe pump, medical gas outlets (2 oxygen outlets, 1 compressed air outlet, 2 vacuum outlets). It is recommended that each room has only 1 bed with an appropriate design;
• Isolation rooms for backups and infectious isolation if needed;
• Ready stock of drugs and consumables as per regulations;
• Bedside procedure equipment: defibrillator, ECG machine, bedside x-ray machine, monitor, and ventilator;
• Patient warming devices;
• Blood and fluid warming devices;
• Pain management equipment;
• Ultrasound machines and rapid bedside test equipment;
• For SICUs in class I and special hospitals, additional equipment includes patient weighing devices, extracorporeal renal filters, cardiac output measurement devices, bedside transesophageal echocardiography, and a central monitoring system;
• Instrument washing and sterilizing area;
• Equipment storage area;
• Drug and medical consumables storage area;
• Patient meal preparation area;
• Reception area for visitors;
• Staff working rooms, on-call rooms, dining area, locker rooms, restrooms.

* Pain Management Unit: Depending on the conditions and pain treatment methods, the medical facility must have basic equipment such as:

• Drugs, equipment, and materials for pain management and complication handling;
• Pain assessment tools;
• Communication tools for patients to contact healthcare staff.

* Pre-Anesthesia Assessment Unit:

• Facilities meeting common consultation room standards;
• Necessary medical equipment, drugs, and consumables for anesthesia, resuscitation specialty consultations.

* Administrative Unit:

• Arranging briefing rooms, patient reception areas, staff rooms, and on-call rooms;
• Necessary office equipment.

More details ca be found in Circular 13/2012/TT-BYT, effective from October 10, 2012.

Le Vy

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