I just downloaded Ashrae 170. This is what I found.
Table 7-1. Classes B&C operating rooms.
Positive pressure,
Min OA changes 4
Min total ACH 20
All room air exhausted outdoors N/R? Note J. I'm assuming that means not required.
Air recirculated by means of room units No
RH 20-60%
Note J for the room exhausted air: In some areas with potential contamination or odor problems, exhaust air shall be discharged directly to the outdoors and not recirculated to other areas. Individual circumstances may require special consideration for air exhausted to the outdoors, for example, intensive care units in which patients with pulmonary infection are treated and rooms for burn patients.
The area I'm looking at is rather small with an adjacent recovery room and soiled linen closet. I'm thinking of going with and erv unit to handle the exhaust and fresh air requirements. Plus also handles the MERV7 pre-filter requiement.