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Article D6124-140 of the French Public Health Code

The operating theatre has at least two operating theatres, one of which is permanently accessible and equipped for neurosurgery and the other may be shared. Where applicable, an additional room, equipped for performing functional neurosurgery or intracranial and extracranial radiosurgery under stereotactic conditions, is required when the authorisation specifies the implementation of the therapeutic practices mentioned in 1° and 2° of article R. 6123-100.

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Article D6124-140-1 of the French Public Health Code

The authorisation holder ensures that data from professional practices is collected and analysed with a view to improving practices and managing risks. The medical team mentioned in 1° of article D. 6124-137 fills in the professional practice observation registers mentioned in 3° of article D. 4021-2-1, as soon as these registers are operational.

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Article D6124-140-2 of the French Public Health Code

The provisions of sub-section 9 relating to cancer treatment using external radiotherapy are applicable to the neurosurgery authorisation holders referred to in article R. 6123-100-1, with the exception of articles D. 6124-133-1 and D. 6124-133-3 and subject to the following adaptations for articles D. 6124-133-4 and D. 6124-133-5: 1° Final validation of the delineation of target volumes and organs at risk is the responsibility of a surgeon specialising in neurosurgery…

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Article D6124-142 of the French Public Health Code

The full-time paediatric neurosurgery inpatient unit has a sufficient number of dedicated beds and the necessary staff to be able to provide pre- and post-operative care for newborns and children at all times. These beds may be located in a paediatric unit. The unit has the means to ensure that parents are always present with hospitalised children.

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Article D6124-143 of the French Public Health Code

The medical staff provided for in article D. 6124-137 is completed by at least one qualified doctor specialising in paediatrics. The medical staff must have proven training and experience in the field of paediatric neurosurgery in accordance with the procedures specified by order of the Minister for Health. The paramedical staff have the necessary qualifications for paediatric care and include at least one paediatric nurse.

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Article D6124-145 of the French Public Health Code

The protected interventional unit and the post-interventional monitoring room referred to in article D. 6124-99 include medical devices and an environment adapted to newborns and children. Anaesthesia is performed by medical staff assisted by paramedical staff experienced in paediatrics.

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Article D6124-146 of the French Public Health Code

In an emergency situation, paediatric neurosurgery may be carried out in an adult neurosurgery unit. In this case, the conditions mentioned in articles D. 6124-141 to D. 6124-145 are not required. A space is then reserved for children hospitalised in the adult neurosurgery unit.

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Article D6124-147 of the French Public Health Code

I.- Authorisation is only granted if the holder has an inpatient unit. II.The authorisation is only granted if the holder has on-site access at all times to: 1° For Category A sites mentioned in Article R. 6123-107, a digital interventional angiography room that meets the same anaesthetic and aseptic conditions as an operating theatre and has the means to visualise the cerebral parenchyma; 2° For Category B sites mentioned in…

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