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The AIA Technology in Architectural Practice Knowledge Community (TAP) serves as a resource for AIA members, the profession, and the public in the deployment of computer technology in the practice of architecture. TAP leaders monitor the development of computer technology and its impact on architecture practice and the entire building life cycle, including design, construction, facility management, and retirement or reuse.

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General Anesthesia in Dental offices

  • 1.  General Anesthesia in Dental offices

    Posted 04-10-2019 18:34
    I would like to reach out to fellow architects, if involved with the design of dental operatories providing treatment under general anesthesia.
    1. Are measures are being taken to assure a proper installation and verification of medical gas lines by certified installers per applicable codes, in such facilities providing the type of dental treatment that involves the administration of general anesthesia to pediatric and/or adult patients?
    2. Do these facilities also meet some of the minimum standards similar to those, that apply to Licensed medical surgery centers that administer general anesthesia?

    I appreciate any input you can provide.

    Savita Chandragiri, AIA, NCARB


  • 2.  RE: General Anesthesia in Dental offices

    Posted 04-12-2019 09:30
    Its been a number of years ago, but I was working on a dental school that wanted to do full anesthesia as part of their clinical practice and yes all the codes and regulations for licensed medical surgical centers applied then.

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    Marvin Kemp, AIA, FCSI
    Principal
    Design Collective, Inc.
    Baltimore MD
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  • 3.  RE: General Anesthesia in Dental offices

    Posted 04-16-2019 16:27
    Thank you all for your responses. I hope I can follow up on this topic with you as a continuing discussion.
    Regards,
    Savita Chandragiri, AIA




  • 4.  RE: General Anesthesia in Dental offices

    Posted 04-17-2019 17:43
    We don't design dental offices but have extensive experience with veterinary facilities which also incorporate medical gas. All operatories and similar spaces using med gas and vacuum systems are subject to compliance with NFPA 99 at a minimum. Typically the central med systems would include oxygen, and nitrogen if air tools are used. Central nitrous-oxide is almost never used anymore. Medical grade air is occasionally used in non-hospital settings. Vacuum systems include waste anesthesia gas disposal (WAGD) and surgical suction. Design of these systems including minimum material and device standards are found in NFPA 99. Copper pipe and fittings and solder/brazing installs are always done by a certified subcontractor and subject to special inspection and testing per local health departments. There are additional regulations for human health centers that do not apply to veterinary so we are not familiar with them all.

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    Paul Gladysz AIA
    Partner
    BDA Architecture, P.C.
    Albuquerque NM
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  • 5.  RE: General Anesthesia in Dental offices

    Posted 04-25-2019 10:24
    If you're interested in learning more about design standards for medical facilities, The AAH Knowledge Community is hosting a free webinar next month on USP Standard updates.

    https://register.gotowebinar.com/register/8530743880782387969

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    Maggie Brown
    Specialist, Knowledge Communities
    The American Institute of Architects
    Washington DC
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