Air filtration guidelines for operating rooms are determined by the American Society of Heating, Refrigerating and Air-Conditioning Engineers (ASHRAE) using a standard known as Minimum Efficiency Reporting Value (MERV). MERV is determined based on the size of particles successfully removed from the air and is used to classify the efficiency of HEPA filters. Ratings range from 1-16 and efficiency increases as the rating increases. ASHRAE groups surgeries into three categories: minor surgical procedures (A); minor or major surgical procedures performed with minor sedation (B); and major surgical procedures performed with general anesthesia or regional block anesthesia (C). Each surgical category is given a minimum MERV rating it must comply with.
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