Thermophysiological Comfort of Surgeons and Patient in an Operating Room Based on PMV-PPD and PHS Indexes

Abstract

There are different actors in an operating room (OR), who have controversial requirements for the indoor thermal environment. While the patient is at risk of perioperative hypothermia, the surgeons are in a state of thermophysiological discomfort. The study presents an analysis of the thermophysiological comfort of both patient and surgeons in an OR. Surgical clothing ensembles with three values of clothing insulation are simulated. Different indoor environment conditions (air temperature and relative humidity) are tested. The analysis is based on the calculation of predicted mean vote and predicted percentage of dissatisfied (PMV-PPD) indexes and assessment of the climatic conditions categories. Discussion of the predicted heat strain is also presented. The simulated results and their analysis show considerable discrepancies between the thermophysiological comfort of the patient and the surgeons, even when dressed in a light protective ensemble, in the same indoor environment.

Keywords

• thermophysiological comfort
• surgical clothing
• surgical drape
• surgical gown
• operating room
• pmv
• ppd
• phs
• heat stress