INTRODUCTION: Due to the working areas of anesthesiologists, the possibility of encountering COVID-19 positive or suspected patients is very high. In this study, it was aimed to raise awareness by determining the fear of COVID-19, medical prophylaxis, isolation and general approaches of the anesthetists during the COVID-19 pandemic process. METHODS: Anesthesia doctors in Turkey were included in the study. A questionnaire was prepared including demographic data, COVID-19 fear scale, perceived fear level and medical prophylaxis they used. The link was sent online to anesthetists via e-mail and WhatsApp. RESULTS: Two hundred and twenty-seven participants were included in the study. While 19% of the participants met with COVID-19 positive or suspected patients every day, 10.2% stated that they never had contact. Fear of Covid-19 was statistically significantly higher in women, specialists and participants with chronic diseases (respectively, p=0.003, p=0.024 and p=0.014). Anesthetists working in the COVID 19 intensive care unit had a higher level of perceived fear at the beginning of the pandemic (p=0.006). Covid-19 scores of anesthetists who changed their smoking habits were found to be statistically significantly higher (p<0.001). About half of the Anesthetists were taking vitamin supplements for prophylaxis, while one fourth were using hydroxychloroquine. DISCUSSION AND CONCLUSION: As a result of these findings, it is seen that the fear of Covid-19, in anesthetists, causes notable psychological effects and need for prophylaxis. We hope that these data will raise awareness in the near and distant future to protect the mental health of anesthetists and to reduce their fears by psychological support.

Objectives: We aimed to retrospectively analyze brain death cases in the our intensive care units. Methods: We examined archive records of brain death cases diagnosed between January 01, 2014 and October 01, 2018. We recorded patients' demographics (age, gender, place of birth, blood type and diagnosis on admission), time to the preparation of the report, additional tests performed, rate of organ donation, donor rate, and number of organs removed. Results: A total of 151 brain death cases were detected. Of these, 69 were female. The average age was 53.96 ± 19.52years. A Rh + was the most common type (39.7%) in blood type analysis. Intracranial hemorrhage was the primary reason (54.3%) for admission. Apnea test was performed for 88 patients. Radiological imaging was used in 129 (85.4%) cases; computed tomography angiography being the most commonly performed method with 79 (52.3%) cases. Forty four patients' families consented to organ donation. Considering the place of birth for donors, Marmara Region was the leader with 18 (40.9%) donors. Of the 82 brain death cases diagnosed with intracranial hemorrhage, 35 (42.68%) donated organs and this rate was significantly high (p = 0.002). The mean follow-up period for brain death was 1.49 days. Conclusions: Health team is responsible for identifying brain death and shoud be conscious about it, attempting to increase organ donation. They should act rapidly and avoid wasting time after the diagnosis. Family interviews to be conducted by an experienced and trained organ donation coordinator may increase donations by emphasizing the importance of organ donations. Giving wide media coverage to organ donation may increase awareness of the community of organ donation.

Objective: To investigate the effects of low-flow and high-flow anesthesia techniques, administered with sevoflurane during laparoscopic cholecystectomy, on thiol/disulphide homeostasis and serum ischemia-modified albumin (IMA) levels.

Objectives: The aim of our study was to evaluate the effect of health literacy (HL) level and smoking dependence of patients on their compliance with advice given by the physicians in anesthesia polyclinics on giving up smoking. Methods: This prospective study included 165 smokers. HL was evaluated by The European Health Literacy (HLS-EU). Nicotine dependence was measured by Fagerstrom test for nicotine dependence (FTND). Patients were advised not to smoke and their carbon monoxide levels in expired air were measured before on the operation day. Results: The number of patients smoking on the day of surgery was significantly higher among females (p = 0.001). While the HL was lower, the FTND scores (p = 0.006), daily cigarette consumption (p < 0.001) and years of cigarette smoking (p = 0.002) were found to be significantly higher. Fewer number of days between the polyclinic interview and the surgery date were positively correlated with compliance with the advice to give up smoking (p = 0.011). Conclusion: Since the number of patients continuing to smoke cigarettes was high, it was concluded that verbal advice on giving up smoking is not enough and that other more effective measures are needed to ensure patient compliance. The reminder of 'quit smoking' on the day very close to the surgery may help more patients to stop smoking on that day.

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Objectives: An exaggerated inflammatory immune response is observed in cases of COVİD 19. This study aims to evaluate the effects of vitamin C, as a significant modulator of inflammation, on the inflammatory parameters and mortality in patients followed up in the intensive care unit (ICU) during the pandemic. Methods: This single-center retrospective study included 160 adult patients with confirmed positive nasopharyngeal swab COVID-19 PCR test results, who were followed up in the ICU between 01 March and 01 August 2020. Hospital files were scanned and patients given and not given vitamin C were assigned, to Group 1 and Group 2, respectively. The Acute Physiology and Chronic Health Evaluation (APACHE II) scores, the data entries on demographics, ventilation, laboratory tests, duration of ICU stay, discharge, and mortality were compared. Interventions with antiviral and antibacterial agents. steroids, cytokine apheresis, and renal replacement therapy were evaluated. Results: Vitamin C treatment was started in patients with raised neutrophil/lymphocyte ratio (NLR) at admission to ICU, who made up 20% of the total 160 ICU patients. Mortality incidence was higher among patients with raised NLR. Vitamin C at the doses used did not affect the inflammatory parameters, length of stay or mortality, and 37.5% of the patients recovered and were discharged from the ICU. Conclusions: We think that vitamin C treatment will have positive effects on the initiation of COVID-19 and that the time of intiation of the therapy and the optimal doses used should be determined with prospective studies.

Özet: Deliryum, hastanede tedavi gören hastaları en çok etkileyen nöropsikiyatrik bozukluktur. Bu çalışmadaki amacımız; cerrahi kliniklerde çalışan doktorların deliryum ile ilgili bilgilerini saptamak ve bu konu hakkında farkındalık oluşturmaktır. Hastanemizdeki cerrahi klinik doktorları çalışmaya dahil edildi. Sosyo-demografik özelliklerini ve deliryum konusunda bilgilerini içeren anket formu katılımcılara e-posta ile gönderildi. Katılan 140 kişi istatistiksel değerlendirmeye alındı. Katılımcıların %60,7'si erkek, %61,4'ü araştırma görevlisi, %62,1'si meslekte 1-5. yılında ve %43,6'sı 20-29 yaş aralığındaydı. Cerrahi klinikleri içinde anesteziyoloji ve reanimasyon ile kadın hastalıkları ve doğum klinikleri doktorları %27,9 oranla en fazlaydı. Deliryumu önlemede destekleyici önlemleri doğru bilenler; anesteziyoloji ve reanimasyon kliniği doktorlarında ve öğretim görevlilerinde anlamlı yüksekti (sırasıyla P = 0,017, P = 0,004). Deliryumu önlemede kullanılan farmakolojik tedavileri doğru bilenler; uzman doktorlar ve kardiyovasküler cerrahi kliniğinde anlamlı yüksekti (sırasıyla P = 0,006, P = 0,003). Deliryum tanısını koyanlar, kardiyovasküler cerrahi kliniğinde diğer kliniklere göre anlamlı yüksekti (P = 0,001). Çalışmamızda, deliryum tanısının anesteziyoloji ve reanimasyon, kardiyovasküler cerrahi, üroloji ve kadın hastalıkları ve doğum kliniği; deliryum tedavisinin ise anesteziyoloji ve reanimasyon, kardiyovasküler cerrahi ve genel cerrahi kliniği doktorları tarafından daha fazla bilindiğini saptadık.

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