Influence of movements on contaminant transport in an operating room.

UNLABELLED: The influence of persons' movements on contaminant transport during an orthopedic surgical operation is examined. Orthopedic surgical operations require an ultra clean environment usually provided by a LAF device (laminar airflow). During hip replacements bone cement is sometimes applied. Due to practical reasons cement mixing is performed outside the LAF area. During the cement transport from the mixing location to the surgeon there is a potential risk of bacterial transport to the clean zone. This phenomenon is examined by smoke visualization and computational fluid dynamics (CFD). The movements are modeled by CFD using distributed momentum sources as well as a turbulent kinetic energy source. A significant risk of contaminant transport from the less clean zone to the ultra clean zone is found. The results indicate that it is possible to simulate the influence of movements using a relatively simple CFD model that considers the significant influence of a transient phenomenon in an approximate way. PRACTICAL IMPLICATIONS: In real-life ventilated enclosures like operating rooms movements take place. Persons' movements may influence the local flow field as well as the contaminant field substantially. Most often movements are ignored in simulations due to the complexity of the phenomenon. This paper presents an indirect and simple method to consider the influence of movements that may enable modelers to include this important phenomenon in the engineering application of CFD. This may improve practical risk assessment--for instance risk assessment of unintended transport of bacteria during orthopedic surgical operations that may jeopardize the hygiene.

Effect of renovating an office building on occupants' comfort and health.

An intervention study was performed in a mechanically ventilated office building in which there were severe indoor climate complaints among the occupants. In one part of the building a new heating and ventilation strategy was implemented by renovating the HVAC system, and a carpet was replaced with a low-emitting vinyl floor material; the other part of the building was kept unchanged, serving as a control. A comprehensive indoor climate investigation was performed before and after the intervention. Over a 2-week period, the occupants completed a daily questionnaire regarding their comfort and health. Physiological examinations of eyes, nose and lungs were performed on each occupant. Physical, chemical and sensory measurements were performed before and after the intervention. The renewal of the flooring material was performed after a sensory test of alternative solutions in the laboratory. Before the floor material was installed in the office building, a full-scale exposure experiment was performed in the laboratory. The new ventilation strategy and renovation of the HVAC system were selected on the basis of laboratory experiments on a full-scale mock-up of a cellular office. The severity of occupants' environmental perceptions and symptoms was significantly reduced by the intervention.