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. 2021 Oct 20;18(21):11008. doi: 10.3390/ijerph182111008

Table 10.

Protocols for maxillofacial procedures during COVID-19 pandemic.

Pre-Procedure Protocols During Procedure Protocols Post-Procedure Protocols
  • Medical and dental history, physical examination, and auxiliary tests should be conducted.

  • Povidone (0.2%) or hydrogen peroxide (1%) containing mouthwashes efficiently lowers the droplets and aerosols number formed throughout oral operations [9,146,147,148].

  • PPE: eye protection, masks (N95 or FFP2), surgical gloves, and fluid-resistant gown.

  • Limit the instruments and materials used during the procedure [149].

  • Surgical procedures of positive patients should be carried out in a negative pressure room [150]. However, COVID-19 negative patients can be in non-negative pressure rooms [151].

  • Use of PAPR is strongly recommended [152,153,154]. Allocated protection factor for PAPR is 25–100, while for N95 it is 10 [155].

  • All staff except the anaesthesia team should remain outside the operating room 10 min following intubation and extubation [156].

  • Allocate patients in separate rooms.

  • Periodic control of hypertension, temperature, oxygen saturation, and heart rate. Monitoring devices should be different for each patient.

  • Medical treatment decreasing the use of glucocorticoids.

  • Early patient mobilization to reduce hospitalization [143].

personal protective equipment (PPE); powered air purifying respirator (PAPR)