HVAC and indoor thermal conditions in hospital operating rooms

Hospital operating rooms (ORs) require efficient HVAC installations to secure the highly demanding indoor environmental conditions for patients and medical personnel. This paper reviews published standards and guidelines on design, installation, commissioning, operation, and maintenance of HVAC installations in hospital ORs, indoor thermal conditions, and summarizes measured data from short monitoring of indoor thermal conditions along with audit results and main characteristics of 20 ORs in 10 major Hellenic hospitals. Measured indoor temperature ranged from 14 to 29 °C, and relative humidity from 13 to 80%. The number of air changes per hour ranged from 3.2 to 58 ACH. The commonly encountered problems include insufficient indoor air exchange, poor control on indoor thermal conditions, bad space ergonomics that influence the ventilation system operation, poor technical installations maintenance and understaffed technical departments. However, there are still opportunities for energy conservation, without sacrificing comfort, and overall quality of patient care or services.