Virus and viral components transmitted through surgical smoke; a silent danger in operating room: a systematic review.


Journal

BMC surgery
ISSN: 1471-2482
Titre abrégé: BMC Surg
Pays: England
ID NLM: 100968567

Informations de publication

Date de publication:
09 Aug 2024
Historique:
received: 05 12 2023
accepted: 29 07 2024
medline: 10 8 2024
pubmed: 10 8 2024
entrez: 9 8 2024
Statut: epublish

Résumé

During surgical procedures, heat-generating devices are widely used producing surgical smoke (SS). Since the SS can transmit infectious viruses, this systematic review was designed to investigate the potential viruses transmitted through SS. PubMed, Scopus, Web of Science, ProQuest, and Embase databases, along with Cochran Library, and Google Scholar search engine were searched systematically (by April 21, 2024). No language, place, and time restrictions were considered. All studies evaluating the SS and virus transmission, and whole investigations regarding the viral infections transmitted through SS were totally considered inclusion criteria. Besides, non-original, qualitative, case reports, case series, letters to the editor, editorial, and review studies were excluded from the analysis. This study was conducted in accordance with the PRISMA 2020 statement. Twenty-six eligible studies were selected and reviewed for data extraction. The results showed that the SS contains virus and associated components. Six types of viruses or viral components were identified in SS including papillomavirus (HPV, BPV), Human Immunodeficiency Virus (HIV), varicella zoster, Hepatitis B (HBV), SARS-CoV-2, and Oral poliovirus (OPV), which are spread to surgical team through smoke-producing devices. Since the studies confirm the presence of viruses, and viral components in SS, the potential risk to the healthcare workers, especially in operating room (OR), seems possible. Thus, the adoption of protective strategies against SS is critical. Despite the use of personal protective equipment (PPE), these viruses could affect OR personnel in surgical procedures.

Sections du résumé

BACKGROUND BACKGROUND
During surgical procedures, heat-generating devices are widely used producing surgical smoke (SS). Since the SS can transmit infectious viruses, this systematic review was designed to investigate the potential viruses transmitted through SS.
METHODS METHODS
PubMed, Scopus, Web of Science, ProQuest, and Embase databases, along with Cochran Library, and Google Scholar search engine were searched systematically (by April 21, 2024). No language, place, and time restrictions were considered. All studies evaluating the SS and virus transmission, and whole investigations regarding the viral infections transmitted through SS were totally considered inclusion criteria. Besides, non-original, qualitative, case reports, case series, letters to the editor, editorial, and review studies were excluded from the analysis. This study was conducted in accordance with the PRISMA 2020 statement.
RESULTS RESULTS
Twenty-six eligible studies were selected and reviewed for data extraction. The results showed that the SS contains virus and associated components. Six types of viruses or viral components were identified in SS including papillomavirus (HPV, BPV), Human Immunodeficiency Virus (HIV), varicella zoster, Hepatitis B (HBV), SARS-CoV-2, and Oral poliovirus (OPV), which are spread to surgical team through smoke-producing devices.
CONCLUSIONS CONCLUSIONS
Since the studies confirm the presence of viruses, and viral components in SS, the potential risk to the healthcare workers, especially in operating room (OR), seems possible. Thus, the adoption of protective strategies against SS is critical. Despite the use of personal protective equipment (PPE), these viruses could affect OR personnel in surgical procedures.

Identifiants

pubmed: 39123160
doi: 10.1186/s12893-024-02514-z
pii: 10.1186/s12893-024-02514-z
doi:

Substances chimiques

Smoke 0

Types de publication

Systematic Review Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

227

Informations de copyright

© 2024. The Author(s).

Références

Zhou YZ, Wang CQ, Zhou MH, Li ZY, Chen D, Lian AL, et al. Surgical smoke: A hidden killer in the operating room. Asian J Surg. 2023;46(9):3447–54.
pubmed: 37002044 doi: 10.1016/j.asjsur.2023.03.066
Sinha UK, Gallagher LA. Effects of steel scalpel, ultrasonic scalpel, CO2 laser, and monopolar and bipolar electrosurgery on wound healing in guinea pig oral mucosa. Laryngoscope. 2003;113(2):228–36.
pubmed: 12567074 doi: 10.1097/00005537-200302000-00007
Ulmer B. Report of OSHA’s draft: information for health care workers exposed to laser and electrosurgery smoke. Todays Surg Nurse. 1999;21(2):18–9.
pubmed: 10232285
Bigony L. Risks associated with exposure to surgical smoke plume: a review of the literature. AORN J. 2007;86(6):1013–24.
pubmed: 18068405 doi: 10.1016/j.aorn.2007.07.005
Massarweh NN, Cosgriff N, Slakey DP. Electrosurgery: history, principles, and current and future uses. J Am Coll Surg. 2006;202(3):520–30.
pubmed: 16500257 doi: 10.1016/j.jamcollsurg.2005.11.017
Bolliger CT, Sutedja TG, Strausz J, Freitag L. Therapeutic bronchoscopy with immediate effect: laser, electrocautery, argon plasma coagulation and stents. Eur Respir J. 2006;27(6):1258–71.
pubmed: 16772389 doi: 10.1183/09031936.06.00013906
Ragde SF, Jørgensen RB, Føreland S. Characterisation of exposure to ultrafine particles from surgical smoke by use of a fast mobility particle sizer. Ann Occup Hyg. 2016;60(7):860–74.
pubmed: 27255204 doi: 10.1093/annhyg/mew033
Zakka K, Erridge S, Chidambaram S, Beatty JW, Kynoch M, Kinross J, et al. Electrocautery, Diathermy, and Surgical Energy Devices: Are Surgical Teams at Risk During the COVID-19 Pandemic? Ann Surg. 2020;272(3):e257–62.
pubmed: 32541232 doi: 10.1097/SLA.0000000000004112
Lewin JM, Brauer JA, Ostad A. Surgical smoke and the dermatologist. J Am Acad Dermatol. 2011;65(3):636–41.
pubmed: 21550691 doi: 10.1016/j.jaad.2010.11.017
Steege AL, Boiano JM, Sweeney MH. Secondhand smoke in the operating room? Precautionary practices lacking for surgical smoke. Am J Ind Med. 2016;59(11):1020–31.
pubmed: 27282626 pmcid: 5069165 doi: 10.1002/ajim.22614
Garbey M, Joerger G, Furr S. A Systems Approach to Assess Transport and Diffusion of Hazardous Airborne Particles in a Large Surgical Suite: Potential Impacts on Viral Airborne Transmission. Int J Environ Res Public Health. 2020;17(15):5404.
pubmed: 32727142 pmcid: 7432518 doi: 10.3390/ijerph17155404
CDC. Strategies for Optimizing the Supply of N95 Respirators: CDC; 2020 [Available from: https://www.cdc.gov/coronavirus/2019-ncov/hcp/respirators-strategy/index.html ].
Limchantra IV, Fong Y, Melstrom KA. Surgical Smoke Exposure in Operating Room Personnel: A Review. JAMA Surg. 2019;154(10):960–7.
pubmed: 31433468 doi: 10.1001/jamasurg.2019.2515
Yokoe T, Kita M, Odaka T, Fujisawa J, Hisamatsu Y, Okada H. Detection of human coronavirus RNA in surgical smoke generated by surgical devices. J Hosp Infect. 2021;117:89–95.
pubmed: 34461176 pmcid: 8393511 doi: 10.1016/j.jhin.2021.08.022
Chapman LW, Korta DZ, Lee PK, Linden KG. Awareness of surgical smoke risks and assessment of safety practices during electrosurgery among us dermatology residents. JAMA Dermatol. 2017;153(5):467–8.
pubmed: 28249072 pmcid: 5817491 doi: 10.1001/jamadermatol.2016.5899
Neumann K, Cavalar M, Rody A, Friemert L, Beyer DA. Is surgical plume developing during routine LEEPs contaminated with high-risk HPV? A pilot series of experiments. Arch Gynecol Obstet. 2018;297(2):421–4.
pubmed: 29236173 doi: 10.1007/s00404-017-4615-2
Alp E, Bijl D, Bleichrodt RP, Hansson B, Voss A. Surgical smoke and infection control. J Hosp Infect. 2006;62(1):1–5.
pubmed: 16002179 doi: 10.1016/j.jhin.2005.01.014
Gollakota AR, Gautam S, Santosh M, Sudan HA, Gandhi R, Jebadurai VS, et al. Bioaerosols: characterization, pathways, sampling strategies, and challenges to geo-environment and health. Gondwana Res. 2021;99:178–203.
doi: 10.1016/j.gr.2021.07.003
Garden JM, O’Banion MK, Shelnitz LS, Pinski KS, Bakus AD, Reichmann ME, et al. Papillomavirus in the Vapor of Carbon Dioxide Laser-Treated Verrucae. JAMA. 1988;259(8):1199–202.
pubmed: 2828703 doi: 10.1001/jama.1988.03720080033024
Zhou Q, Hu X, Zhou J, Zhao M, Zhu X, Zhu X. Human papillomavirus DNA in surgical smoke during cervical loop electrosurgical excision procedures and its impact on the surgeon. Cancer Manag and Res. 2019;11:3643–54.
doi: 10.2147/CMAR.S201975
Parker J, Clark J. HPV positive oropharyngeal cancer in two gynaecologists exposed to electrosurgical smoke plume. Obstet Gynecol Cases Rev. 2021;8:205.
Dobrogowski M, Wesolowski W, Kucharska M, Paduszynska K, Dworzynska A, Szymczak W, et al. Health risk to medical personnel of surgical smoke produced during laparoscopic surgery. Int J Occup Med Environ Health. 2015;28(5):831–40.
pubmed: 26224495 doi: 10.13075/ijomeh.1896.00374
Choi SH, Choi DH, Kang DH, Ha YS, Lee JN, Kim BS, et al. Activated carbon fiber filters could reduce the risk of surgical smoke exposure during laparoscopic surgery: application of volatile organic compounds. Surg Endosc. 2018;32(10):4290–8.
pubmed: 29770884 doi: 10.1007/s00464-018-6222-0
Ilce A, Yuzden GE, Yavuzvan Giersbergen M. The examination of problems experienced by nurses and doctors associated with exposure to surgical smoke and the necessary precautions. J Clin Nurs. 2017;26(11–12):1555–61.
pubmed: 27345749 doi: 10.1111/jocn.13455
Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. Int J Surg. 2021;88:105906.
pubmed: 33789826 doi: 10.1016/j.ijsu.2021.105906
Wells GA, Shea B, O’Connell D, Peterson J, Welch V, Losos M, et al. The Newcastle-Ottawa Scale (NOS) for assessing the quality of nonrandomised studies in meta-analyses. 2000.
Andrade WP, Gonçalves GG, Medeiros LC, Araujo DCM, Pereira GTG, Moraes DMP, Spencer RMSSB. Low-cost, safe, and effective smoke evacuation device for surgical procedures in the COVID-19 age. J Surg Oncol. 2020;122(5):844-7. https://doi.org/10.1002/jso.26133 .
Bogani G, Ditto A, De Cecco L, Lopez S, Guerrisi R, Piccioni F, Micali A, Daidone MG, Raspagliesi F. Transmission of SARS-CoV-2 in Surgical Smoke during Laparoscopy: A Prospective, Proof-of-concept Study. J Minim Invasive Gynecol. 2021;28(8):1519-25. https://doi.org/10.1016/j.jmig.2020.12.026 .
Garbey M, Joerger G, Furr S. A systems approach to assess transport and diffusion of hazardous airborne particles in a large surgical suite: potential impacts on viral airborne transmission. Int J Environ Res Public Health. 2020;17(15):5404.
pubmed: 32727142 pmcid: 7432518 doi: 10.3390/ijerph17155404
Johnson GK, Robinson WS. Human immunodeficiency virus-1 (HIV-1) in the vapors of surgical power instruments. J Med Virol. 1991;33(1):47–50.
pubmed: 1901908 doi: 10.1002/jmv.1890330110
Kwak HD, Kim SH, Seo YS, Song KJ. Detecting hepatitis B virus in surgical smoke emitted during laparoscopic surgery. Occup Environ Med. 2016;73(12):857–63.
pubmed: 27484956
Sawchuk WS, Weber PJ, Lowy DR, Dzubow LM. Infectious papillomavirus in the vapor of warts treated with carbon dioxide laser or electrocoagulation: detection and protection. J Am Acad Dermatol. 1989;21(1):41–9.
pubmed: 2545749 doi: 10.1016/S0190-9622(89)70146-8
Wisniewski PM, Warhol MJ, Rando RF, Sedlacek TV, Kemp JE, Fisher JC. Studies on the transmission of viral disease via the CO2 laser plume and ejecta. J Reprod Med. 1990;35(12):1117–23.
pubmed: 2178190
Yan L, Liu Y, Zhang J, Chen X, Li J, Zhu X. In vivo and in vitro study of the potential hazards of surgical smoke during cervical cancer treatment with an ultrasonic scalpel. Gynecol Oncol. 2022;164(3):587–95.
pubmed: 35033382 doi: 10.1016/j.ygyno.2022.01.006
Taravella MJ, Weinberg A, May M, Stepp P. Live virus survives excimer laser ablation. Ophthalmology. 1999;106(8):1498–9.
pubmed: 10442893 doi: 10.1016/S0161-6420(99)90442-6
Garden JM, O’Banion MK, Bakus AD, Olson C. Viral disease transmitted by laser-generated plume (aerosol). Arch Dermatol. 2002;138(10):1303–7.
pubmed: 12374535 doi: 10.1001/archderm.138.10.1303
Cizmic A, Eichel VM, Weidner NM, Wise PA, Müller F, Rompen IF, et al. Viral load of SARS-CoV-2 in surgical smoke in minimally invasive and open surgery: a single-center prospective clinical trial. Sci Rep. 2023;13(1):20299.
pubmed: 37985848 pmcid: 10662446 doi: 10.1038/s41598-023-47058-z
Hirota M, Takahashi H, Miyazaki Y, Takahashi T, Kurokawa Y, Yamasaki M, et al. Surgical plume from tissue infected with human hepatitis B virus can contain viral substances. Minim Invasive Ther Allied Technol. 2022;31(5):728–36.
pubmed: 33853487 doi: 10.1080/13645706.2021.1910848
Hu X, Zhou Q, Yu J, Wang J, Tu Q, Zhu X. Prevalence of HPV infections in surgical smoke exposed gynecologists. Int Arch Occup Environ Health. 2021;94(1):107–15.
pubmed: 32870342 doi: 10.1007/s00420-020-01568-9
Hughes PS, Hughes AP. Absence of human papillomavirus DNA in the plume of erbium: YAG laser–treated warts. J Am Acad Dermatol. 1998;38(3):426–8.
pubmed: 9520024 doi: 10.1016/S0190-9622(98)70500-6
Taravella MJ, Weinberg A, Blackburn P, May M. Do intact viral particles survive excimer laser ablation? Arch Ophthalmol. 1997;115(8):1028–30.
pubmed: 9258225 doi: 10.1001/archopht.1997.01100160198009
Llueca A, Barneo-Muñoz M, Escrig J, Rosa de L, Wang W. SARS-CoV-2 Prevalence in Laparoscopic Surgery Filters. Analysis in Patients with Negative Oropharyngeal RT-qPCR in a Pandemic Context: A Cross-Sectional Study †. J Personal Med. 2021;11(11):1052.
doi: 10.3390/jpm11111052
Hurst RD, Stewart CL. Hazards of surgical smoke from electrocautery: A critical review of the data. The American Journal of Surgery. 2024.
Benson SM, Maskrey JR, Nembhard MD, Unice KM, Shirley MA, Panko JM. Evaluation of Personal Exposure to Surgical Smoke Generated from Electrocautery Instruments: A Pilot Study. Ann Work Expo Health. 2019;63(9):990-1003. https://doi.org/10.1093/annweh/wxz070 .
Choi SH, Kwon TG, Chung SK, Kim TH. Surgical smoke may be a biohazard to surgeons performing laparoscopic surgery. Surg Endosc. 2014;28(8):2374–80.
pubmed: 24570016 doi: 10.1007/s00464-014-3472-3
Rioux M, Garland A, Webster D, Reardon E. HPV positive tonsillar cancer in two laser surgeons: case reports. J Otolaryngol Head Neck Surg. 2013;42(1):54.
pubmed: 24246045 pmcid: 3843579 doi: 10.1186/1916-0216-42-54
Manson LT, Damrose EJ. Does exposure to laser plume place the surgeon at high risk for acquiring clinical human papillomavirus infection? Laryngoscope. 2013;123(6):1319–20.
pubmed: 23703382 doi: 10.1002/lary.23642
Weyandt GH, Tollmann F, Kristen P, Weissbrich B. Low risk of contamination with human papilloma virus during treatment of condylomata acuminata with multilayer argon plasma coagulation and CO 2 laser ablation. Arch Dermatol Res. 2011;303:141–4.
pubmed: 21249502 doi: 10.1007/s00403-010-1119-3
Palma S, Gnambs T, Crevenna R, Jordakieva G. Airborne human papillomavirus (HPV) transmission risk during ablation procedures: A systematic review and meta-analysis. Environ Res. 2021;192:110437. https://doi.org/10.1016/j.envres.2020.110437 .
Imani B, Merajikhah A, Khazaei S, Bouraghi H. Surgical smoke and transmission of coronavirus to surgical team members; a letter to editor. Surgical Innovation. 2021:1553350620977999.
Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan. China The lancet. 2020;395(10223):497–506.
doi: 10.1016/S0140-6736(20)30183-5
Zhu N, Zhang D, Wang W, Li X, Yang B, Song J, et al. A novel coronavirus from patients with pneumonia in China, 2019. N Engl J Med. 2020;382(8):727–33.
pubmed: 31978945 pmcid: 7092803 doi: 10.1056/NEJMoa2001017
Liu C-Y, Yang Y-z, Zhang X-M, Xu X, Dou Q-L, Zhang W-W, et al. The prevalence and influencing factors in anxiety in medical workers fighting COVID-19 in China: a cross-sectional survey. Epidemiology & Infection. 2020;148.
Kevadiya BD, Machhi J, Herskovitz J, Oleynikov MD, Blomberg WR, Bajwa N, et al. Diagnostics for SARS-CoV-2 infections. Nat Mater. 2021;20(5):593–605.
pubmed: 33589798 pmcid: 8264308 doi: 10.1038/s41563-020-00906-z
Dutta D, Naiyer S, Mansuri S, Soni N, Singh V, Bhat KH, et al. COVID-19 diagnosis: a comprehensive review of the RT-qPCR method for detection of SARS-CoV-2. Diagnostics. 2022;12(6):1503.
pubmed: 35741313 pmcid: 9221722 doi: 10.3390/diagnostics12061503
Mika J, Tobiasz J, Zyla J, Papiez A, Bach M, Werner A, et al. Symptom-based early-stage differentiation between SARS-CoV-2 versus other respiratory tract infections-Upper Silesia pilot study. Sci Rep. 2021;11(1):13580.
pubmed: 34193945 pmcid: 8245528 doi: 10.1038/s41598-021-93046-6
Vourtzoumis P, Alkhamesi N, Elnahas A, Hawel JE, Schlachta C. Operating during COVID-19: Is there a risk of viral transmission from surgical smoke during surgery? Can J Surg. 2020;63(3):E299-e301.
pubmed: 32449851 pmcid: 7829005 doi: 10.1503/cjs.007020
COVID R. Review team and UKISCRS. Cataract surgery guidelines for post COVID-19 pandemic: recommendations. 2020.
Morris SN, Fader AN, Milad MP, Dionisi HJ. Understanding the “scope” of the problem: why laparoscopy is considered safe during the COVID-19 pandemic. J Minim Invasive Gynecol. 2020;27(4):789–91.
pubmed: 32247882 pmcid: 7129473 doi: 10.1016/j.jmig.2020.04.002
Chang L, Yan Y, Wang L. Coronavirus disease 2019: coronaviruses and blood safety. Transfus Med Rev. 2020;34(2):75–80.
pubmed: 32107119 pmcid: 7135848 doi: 10.1016/j.tmrv.2020.02.003
Weissleder R, Lee H, Ko J, Pittet MJ. COVID-19 diagnostics in context. Sci Transl Med. 2020;12(546):eabc1931.
pubmed: 32493791 doi: 10.1126/scitranslmed.abc1931
Pavan N, Crestani A, Abrate A, De Nunzio C, Esperto F, Giannarini G, et al. Risk of Virus Contamination Through Surgical Smoke During Minimally Invasive Surgery: A Systematic Review of the Literature on a Neglected Issue Revived in the COVID-19 Pandemic Era. Eur Urol Focus. 2020;6(5):1058–69.
pubmed: 32527624 pmcid: 7274598 doi: 10.1016/j.euf.2020.05.021
Coccolini F, Tartaglia D, Puglisi A, Giordano C, Pistello M, Lodato M, et al. SARS-CoV-2 is present in peritoneal fluid in COVID-19 patients. Ann Surg. 2020;272(3):e240–2.
pubmed: 33759843 doi: 10.1097/SLA.0000000000004030
Merajikhah A, Beigi-Khoozani A, Soleimani M. Risk of spreading delta coronavirus to operating room personnel after COVID-19 vaccination. Disaster Emerge Med J. 2021;6(4):206–7.
doi: 10.5603/DEMJ.a2021.0026
Wang H, Men P, Xiao Y, Gao P, Lv M, Yuan Q, et al. Hepatitis B infection in the general population of China: a systematic review and meta-analysis. BMC Infect Dis. 2019;19(1):811.
pubmed: 31533643 pmcid: 6751646 doi: 10.1186/s12879-019-4428-y
Chuo C-Y. The impact of chronic hepatitis B infection, antiviral treatment and HIV coinfection on the occurrence of cancer outcomes among US veterans: A retrospective cohort study: The University of Texas School of Public Health; 2016.
Roade L, Riveiro-Barciela M, Esteban R, Buti M. Long-term efficacy and safety of nucleos(t)ides analogues in patients with chronic hepatitis B. Ther Adv Infect Dis. 2021;8:2049936120985954. https://doi.org/10.1177/2049936120985954 .
Madukaji L, Ossamulu I, Mambulla G, Galadimma M, Kuta F. Prevalence and Risk Factors of Hepatitis B among Pregnant women attending antenatal clinics in Abuja Nigeria. 2019.
Liang TJ. Hepatitis B: the virus and disease. Hepatology. 2009;49(5 Suppl):S13-21. https://doi.org/10.1002/hep.22881 .
Gerlich WH, Uy A, Lambrecht F, Thomssen R. Cutoff levels of immunoglobulin M antibody against viral core antigen for differentiation of acute, chronic, and past hepatitis B virus infections. J Clin Microbiol. 1986;24(2):288–93.
pubmed: 3745425 pmcid: 268891 doi: 10.1128/jcm.24.2.288-293.1986
Timeline A-J. HIV Cell. 2020;183(2):550.
Sliwa K, Carrington MJ, Becker A, Thienemann F, Ntsekhe M, Stewart S. Contribution of the human immunodeficiency virus/acquired immunodeficiency syndrome epidemic to de novo presentations of heart disease in the Heart of Soweto Study cohort. Eur Heart J. 2012;33(7):866–74.
pubmed: 22048682 doi: 10.1093/eurheartj/ehr398
Baggish MS, Poiesz BJ, Joret D, Williamson P, Refai A. Presence of human immunodeficiency virus DNA in laser smoke. Lasers Surg Med. 1991;11(3):197–203.
pubmed: 1907345 doi: 10.1002/lsm.1900110302
Melbye M. The natural history of human T lymphotropic virus-III infection: the cause of AIDS. Br Med J (Clin Res Ed). 1986;292(6512):5–12.
pubmed: 3002536 doi: 10.1136/bmj.292.6512.5
Henderson DK, Saah AJ, Zak BJ, Kaslow RA, Lane HC, Folks T, et al. Risk of nosocomial infection with human T-cell lymphotropic virus type III/lymphadenopathy-associated virus in a large cohort of intensively exposed health care workers. Ann Intern Med. 1986;104(5):644–7.
pubmed: 3963663 doi: 10.7326/0003-4819-104-5-644
Friedland GH, Klein RS. Transmission of the human immunodeficiency virus. N Engl J Med. 1987;317(18):1125–35.
pubmed: 3309656 doi: 10.1056/NEJM198710293171806
Williams G. Paralysed with fear: the story of polio: Springer. 2013.
doi: 10.1057/9781137299765
Andrei G, Snoeck R. Advances and perspectives in the management of varicella-zoster virus infections. Molecules. 2021;26(4):1132.
pubmed: 33672709 pmcid: 7924330 doi: 10.3390/molecules26041132
Mirzaiee M, Soleimani M, Banoueizadeh S, Mahdood B, Bastami M, Merajikhah A. Ability to predict surgical outcomes by surgical Apgar score: a systematic review. BMC Surg. 2023;23(1):282.
pubmed: 37723504 pmcid: 10506220 doi: 10.1186/s12893-023-02171-8
O’Brien DC, Lee EG, Soo J-C, Friend S, Callaham S, Carr MM. Surgical team exposure to cautery smoke and its mitigation during tonsillectomy. Otolaryngology-Head and Neck Surgery. 2020;163(3):508–16.
pubmed: 32450780 pmcid: 7483982 doi: 10.1177/0194599820917394
Gallo O, Locatello LG. Laser-assisted head and neck surgery in the COVID-19 pandemic: Controversial evidence and precautions. Head Neck. 2020;42(7):1533-4. https://doi.org/10.1002/hed.26271 .
Foster M, Sharma S, Biss L, Pennock J, Ogg MJ. Surgical Smoke Inhalation: Dangerous Consequences for the Surgical Team Posted on June 18, 2020 by Mary J. Ogg, MSN, RN, CNOR.
Ball K. Controlling surgical smoke: A team approach. Information Booklet. 2004.

Auteurs

Bahareh Mahdood (B)

Department of Operating Room, Faculty Member of Paramedical School, Jahrom University of Medical Sciences, Jahrom, Iran.

Amirmohammad Merajikhah (A)

Department of Operating Room, Sabzevar University of Medical Sciences, Sabzevar, Iran. amir.meraj74@gmail.com.

Mina Mirzaiee (M)

Department of Operating Room, School of Paramedical Science, Hamadan University of Medical Sciences, Hamadan, Iran.

Maryam Bastami (M)

Department of Operating Room, School of Allied Medical Sciences, Ilam University of Medical Sciences, Ilam, Iran.

Sara Banoueizadeh (S)

Department of Operating Room, School of Paramedical Science, Hamadan University of Medical Sciences, Hamadan, Iran.

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