Indoor environmental quality and infection control in surgery rooms: Code requirements vs. performance motivation. A critical review.

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Title: Indoor environmental quality and infection control in surgery rooms: Code requirements vs. performance motivation. A critical review.
Authors: Cubi Montanya, Eduard1 (AUTHOR) ecubi@ucalgary.ca, Salom Tormo, Jaume2 (AUTHOR), Garrido Soriano, Nuria3 (AUTHOR)
Source: HVAC&R Research. Aug2014, Vol. 20 Issue 6, p643-654. 12p.
Subjects: Operating room environmental engineering, Indoor air quality, Building performance, Energy consumption of buildings
Geographic Terms: Spain
Abstract: Surgery rooms are a space type with particularly stringent indoor environmental quality (IEQ) requirements (large airflow rates and narrow comfort windows), which translate into high energy use. Due to the unclear IEQ and infection control requirements for surgery rooms in Spain, these spaces are often designed and operated 24 hours per day and 7 days per week, to meet the most stringent recommendations (not only the requirements) in the available standards and guidelines. This paper critically reviews the Spanish mandatory requirements for surgery rooms by comparing them against their performance motivation and other international standards. Regulatory ambiguities and code-compliant energy efficiency opportunities are identified. The requirements and recommendations in the standards included in this review differ in their magnitude (particularly the airflow requirements), but are similar in their prescriptive nature. This paper identifies the performance goals associated to the prescriptive requirements, and proposes a method to adjust system operation (outdoor airflow rate, total supply air, indoor air temperature, and indoor air relative humidity) to meet IEQ performance goals while reducing energy use. Further work is required to define operation infection control requirements for the different surgery types and enable a performance based control strategy based on real time particle concentration monitoring. [ABSTRACT FROM AUTHOR]
Copyright of HVAC&R Research is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Indoor environmental quality and infection control in surgery rooms: Code requirements vs. performance motivation. A critical review.
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– Name: Subject
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  Data: <searchLink fieldCode="DE" term="%22Operating+room+environmental+engineering%22">Operating room environmental engineering</searchLink><br /><searchLink fieldCode="DE" term="%22Indoor+air+quality%22">Indoor air quality</searchLink><br /><searchLink fieldCode="DE" term="%22Building+performance%22">Building performance</searchLink><br /><searchLink fieldCode="DE" term="%22Energy+consumption+of+buildings%22">Energy consumption of buildings</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22Spain%22">Spain</searchLink>
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  Label: Abstract
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  Data: Surgery rooms are a space type with particularly stringent indoor environmental quality (IEQ) requirements (large airflow rates and narrow comfort windows), which translate into high energy use. Due to the unclear IEQ and infection control requirements for surgery rooms in Spain, these spaces are often designed and operated 24 hours per day and 7 days per week, to meet the most stringent recommendations (not only the requirements) in the available standards and guidelines. This paper critically reviews the Spanish mandatory requirements for surgery rooms by comparing them against their performance motivation and other international standards. Regulatory ambiguities and code-compliant energy efficiency opportunities are identified. The requirements and recommendations in the standards included in this review differ in their magnitude (particularly the airflow requirements), but are similar in their prescriptive nature. This paper identifies the performance goals associated to the prescriptive requirements, and proposes a method to adjust system operation (outdoor airflow rate, total supply air, indoor air temperature, and indoor air relative humidity) to meet IEQ performance goals while reducing energy use. Further work is required to define operation infection control requirements for the different surgery types and enable a performance based control strategy based on real time particle concentration monitoring. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of HVAC&R Research is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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    Identifiers:
      – Type: doi
        Value: 10.1080/10789669.2014.929423
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      – Code: eng
        Text: English
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        PageCount: 12
        StartPage: 643
    Subjects:
      – SubjectFull: Operating room environmental engineering
        Type: general
      – SubjectFull: Indoor air quality
        Type: general
      – SubjectFull: Building performance
        Type: general
      – SubjectFull: Energy consumption of buildings
        Type: general
      – SubjectFull: Spain
        Type: general
    Titles:
      – TitleFull: Indoor environmental quality and infection control in surgery rooms: Code requirements vs. performance motivation. A critical review.
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            NameFull: Cubi Montanya, Eduard
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            NameFull: Salom Tormo, Jaume
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          Name:
            NameFull: Garrido Soriano, Nuria
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            – D: 01
              M: 08
              Text: Aug2014
              Type: published
              Y: 2014
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