DIC is a major risk factor for maternal outcome among patients with HELLP syndrome who require intensive care. Low platelet count; high AST, ALT, LDH, INR; and total bilirubin are associated with high mortality risk in this patient group. In addition, low platelet count; low fibrinogen level; prolonged activated thromboplastin time; high INR; and high total bilirubin, LDH, blood urea nitrogen, and creatinine are associated with high risk for complications in this patient group.
ÖZETBehçet hastalığı Dr. Hulusi Behçet tarafından 1937'de tanımlan-mıştır. Behçet hastalığı tekrarlayan oral ve genital ülserlerin gö-rüldüğü, göz, deri, eklem, damar, sinir
Complications of COVID-19-related pneumothorax, subcutaneous emphysema, and pneumomediastinum are frequently observed in moderate and severe pneumonia cases. The aim of this study is to determine the incidence and potential risk factors of life-threatening complications such as pneumothorax, pneumo-mediastinum, and subcutaneous emphysema that develop in patients received in the tertiary ICUs of our hospital, which serves as a pandemic hospital and to analyze their relationship with mortality. Patients' demographic characteristics, comorbid diseases, length of hospital stay, day and duration of thoracic tube placement, discharge status, and hospitalization laboratory findings were recorded, and the relationship of these parameters with mortality due to pneumothorax, subcutaneous emphysema, and pneumomediastinum were investigated. Of these patients, 33 had pneumothorax, 12 had pneumomediastinum, and 28 had subcutaneous emphysema. Male and female patients were equally represented, and mortality rates were similar. While the rate of pneumothorax in the study patients was 2.21 %, the rate of all life-threatening sequelae such as pneumothorax, pneumomediastinum, and subcutaneous emphysema was 4.7 %, with a high mortality rate (90 %) in 70 patients with these complications. Patients diagnosed with COVID-19 pneumonia should be constantly monitored for life-threatening complications such as pneumothorax, pneumomediastinum, and subcutaneous emphysema during their long-term follow-up.
Amaç: Pulmoner emboli yakın takip ve acil müdahale gerektiren ölümcül bir hastalıktır. Amacımız bu hastaların yoğun bakımımızdaki süreçlerini incelemektir.Gereç ve Yöntemler: Bu çalışmada 26.12.2013 ile 01.01.2019 tarihleri arasında Anesteziyoloji ve Reanimasyon Yoğun Bakımda yatarak tedavi gören 37 pulmoner emboli hastası incelenmiştir. Hastaların yoğun bakım yatış süreleri, yaşı, tanıları, kan ihtiyacı, girişimler işlemleri, ekokardiyografik bulguları, pulmoner arterlerdeki trombüsün yerleşim yeri gibi parametreler incelenmiştir.Bulgular: Hastaların %27’si erkek, %73’ü kadınlardan oluşmaktaydı. Hastaların yaş ortalaması 74 olarak tespit edildi. Yoğun bakımda tedavi gören ve pulmoner emboli tespit edilen 37 hastamızdan %46’sı servise devredilerek daha sonra taburculuğu sağlanmıştır. Hastalara çekilen bilgisayarlı toraks anjiyografisinde trombüs yerleşiminin en sık olarak sağ ana pulmoner arterde (%38) olduğu görüldü.Sonuç: Pulmoner emboli; erken tanı, hızlı tedavi gerektirebilen bir hastalıktır. Hastalar solunumsal ve kardiyak destek ihtiyacı duyabilir. 3. basamak yoğun bakımda takip edilen bu hastaların tedavi sürecinde aldıkları tedaviye rağmen ölüm oranlarının yüksek olması bu hastalığın mortalitesinin yüksekliği, ileri yaş ve eşlik eden hastalıkların varlığı ile açıklanabilir.
Objective : With the onset of the COVID-19 pandemic, healthcare professionals have been at the forefront of the fight against this disease. This infection, which affects the whole world, has created a situation that causes concern for healthcare workers. In this study, we aimed to examine the level of anxiety related to the COVID-19 pandemic in healthcare workers working in the operating room unit.
Material and Methods: Doctors, operating room nurses, anesthesia technicians and operating room cleaning staff working in the operating room units of various hospitals in Malatya were included in the study. By sending the survey link via Whatsapp, the survey was answered via https://docs.google.com/forms. The Fear of COVID-19 Scale, developed by Ahorsu et al. was used in our questionnaire.
Results: We found that the average of the COVID-19 anxiety level of the anesthesia technicians was statistically significantly higher than the nurses,operating room cleaning staff and doctors.
Conclusion: The provision of safe working conditions should be included in health policies in order to minimize the anxiety caused by the COVID-19 epidemic on healthcare workers.
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