This paper reviews the previous attempts to evaluate the Indoor Air Quality (IAQ), investigates previously proposed IAQ factors and analyses the evaluation methods of these factors. The present work introduces, also, a new hypothesis of the optimum HVAC airside system design of the surgical operating theatres to achieve the comfort and hygiene levels. The present work is devoted to propose and formulate a new scale capable of adequately evaluating the airflow pattern in the surgical operating theatres. The proposed new scale is proposed to cover the local and overall air quality evaluations. The present new hypothesis is developed to overcome the difficulties experienced using other IAQ evaluations for typical surgical operating theatres. This paper recommends some designs of the supply air outlets to provide the vertically downward airflow as a practical solution. The near ceiling and near floor extract ports are to be used instead of the hypothetical complete floor extract as a practical solution.

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