Assessing the Applicability of Domestic and International Operating Room Facility Guidelines for Severe Respiratory Infections in Domestic Operating Rooms-Focusing on Research and Guidelines from the SARS Outbreak to the End of the COVID-19 Pandemic

This study aims to establish criteria for setting up operating rooms (ORs) for patients with severe respiratory infections. It reviews international and domestic research and guidelines to provide relevant cases and data for future facility guideline research. Initially, it reviews general OR facility guidelines and requirements. Then, it summarizes cases from research and guidelines published from the SARS outbreak to the end of the COVID-19 pandemic. Finally, it analyzes the applicability of these cases to existing domestic OR layouts. This study suggests two major cases: a positive pressured OR with a negative pressured anteroom as the preferred method in international studies and a negative pressured OR in domestic settings. In domestic OR setups, the latter could be adaptable without losing or shutting down extra ORs, while the former requires additional support rooms usable as an anteroom in new hospitals. However, the suitability of these cases may vary based on the level of procedure infection risk, necessitating further study to develop verified OR facilities and guidelines that balance isolation settings with infection risk levels.