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- Sadrizadeh, Sasan, et al.
(författare)
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A systematic review of operating room ventilation
- 2021
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Ingår i: Journal of Building Engineering. - : Elsevier BV. - 2352-7102. ; 40, s. 102693-
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Forskningsöversikt (refereegranskat)abstract
- Ventilation systems are the primary way of eliminating airborne pathogenic particles in an operating room (OR). However, such systems can be complex due to factors such as different surgical instruments, diverse room sizes, various staff counts, types of clothing used, different surgical types and duration, medications, and patient conditions. OR ventilation should provide a thermally comfortable environment for the surgical staff team members while preventing the patient from suffering from any extreme hypothermia. Many technical, logistical, and ethical implications need to be considered in the early stage of designing a ventilation system for an OR. Years of research and a significant number of publications have highlighted the controversy and disagreement among infection specialists, design engineers, and ventilation experts in this context. This review article aims to provide a good understanding of OR ventilation systems in the context of air quality and infection control from existing research and provide multidimensional insights for appropriate design and operation of the OR. To this end, we have conducted a systematic review of the literature, covering 253 articles in this context. Systematic review and meta-analyses were used to map the evidence and identify research gaps in the existing clinical, practical, and engineering knowledge. The present study is categorized into six research focuses: ventilation system, thermal comfort, staff work practice and obstacles, door operation and passage, air cleaning technology, emission rate, and clothing systems. In the conclusion, we summarize the key limitations of the existing studies and insights for future research direction.
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| 2. |
- Su, Wei, et al.
(författare)
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Infection probability under different air distribution patterns
- 2021
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Ingår i: Building and Environment. - : Elsevier. - 0360-1323 .- 1873-684X. ; 207:Part B
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Tidskriftsartikel (refereegranskat)abstract
- Infectious diseases have caused significant physical harm to humans as well as enormous economic losses over the years. Effective ventilation and distribution of fresh air could help to reduce indoor cross-infection. The computational fluid dynamics (CFD) method was used in this paper to investigate airborne transmission with seven different air distribution methods. The revised Wells-Riley model, which took into account the non-uniform air distribution generated with the methods, was used to calculate the infection probability in an office room shared by ten occupants for 4 h. One of the occupants was an infector. The significance of the infector's location was studied. The obtained infection probability was compared to that obtained in the case of complete air mixing, which is uncommon in practice. Under specified conditions of this study, personalized ventilation (PV) performed the best in terms of preventing cross-infection, followed by displacement ventilation (DV), impinging jet ventilation (IJV), stratum ventilation (SV) and wall attachment ventilation (WAV). The number of infected occupants was reduced below the number obtained under the complete mixing assumption by using these air distribution methods. Mixing ventilation (MV) and diffuse ceiling ventilation (DCV) exhibited the worst performance. In comparison to the case of complete mixing the infection probability for seven out of nine susceptible occupants was higher with MV and for all occupants in the case of DCV. In SV, the position of the infector had a clear impact on the infection probability of susceptible individuals. WAV may perform better in practice if the system is well designed. The location of the exhaust outlets had a significant impact on the infection probability for DCV.
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