Abstract: In hospitals, operating rooms are energy-intensive spaces, due to the high flow of outside air required to achieve the necessary indoor air quality. Operating rooms demand ventilation continuously, despite periods of low daily surgical activity. However, by controlling ventilation during inactive periods in the operating room, significant energy savings can be achieved, avoiding penalties on IAQ levels. This paper evaluates the energy savings achieved by introducing ventilation flow control and regulation systems in operating rooms of hospitals located in different climatic zones within Spain. In addition, emissions and economic savings have also been evaluated. Two control and regulation strategies of the air flow to be supplied and extracted in the operating rooms, during periods of inactivity, are studied and include regulation by schedule and regulation by occupancy. Data from a 900-bed university hospital center are used as a reference to evaluate the average occupancy of the operating rooms, and the energy consumption, thus validating the model for calculating the demand of a typical operating room. The energy savings for the regulation by occupancy are 37.5%, and the regulation by schedule are 40% of the annual demand, with respect to an operating room working permanently.
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