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OBJECTIVE: : Fear, anxiety, depression and sleep deprivation are common mental health disorders in COVID-19 disease We aimed to analyse the risk for healthcare providers during COVID-19 pandemic in a university hospital METHODS: Anesthesiologists, nurses and nurse anesthetists were invited to fill out the survey The survey was consist of questions from ''The Fear of COVID-19 Scale'', ''Patient Health Questionnaire'' and ''Pittsburgh Sleep Quality Index'' (PSQI) Each question was worth a point RESULTS: The data of 208 participants were analyzed Mean age was 29 ± 7 748 years, 72 1% were male, 67 3% were nurses, 62% were working in intensive care units, 38% were in hospital wards, 62% of all participants were living alone Moderate depression was the most frequently detected outcome (n = 90, 43 3%) Mean The Fear of COVID-19 Scale for all participants was 18 56 ± 7 731 The mean PSQI of patients was 6 18 ± 4 356 with a 45 7% rate of poor sleep quality PSQI was found significantly higher in nurses (7 1 ± 4 7, p = 0 000) Nurses were the group with the highest deterioration in sleep quality (53 6%, p = 0 003) The rate of moderate-to-severe depressive symptoms was significantly higher in intensive care unit nurses and physicians (p = 0 018) PSQI score was found significantly higher in intensive care unit nurses and physicians than hospital ward co-workers (7 02 ± 4 59 vs 4 81 ± 3 57 respectively, p = 0 001) A significant positive correlation was observed between PSQI and The Fear of COVID-19 Scale total score in all patients (p < 0 005) CONCLUSION: Depression, anxiety, fear and sleep disorders may occur in healthcare workers during COVID-19 outbreak Intensive care unit nurses were at highest risk

Objective: Regional anaesthesia is mostly preferred for elective caesarean delivery. This study aimed to compare general, epidural and spinal anaesthesia techniques in terms of their foetal and maternal effects. Methods: Parturients undergoing elective caesarean delivery were randomly divided into three groups: general anaesthesia (GA), epidural anaesthesia (EA), and spinal anaesthesia (SA). The APGAR score, foetal blood gas level, free O-2 requirement and positive-pressure ventilation, phototherapy requirement, bilirubin level and weight loss were recorded. The time to the first breastfeeding, perioperative bleeding, crystalloid requirement, ephedrine consumption, first analgesic requirement, the time of defaecation and mobilization were also measured. Results: The APGAR scores and SpO(2) were lower in the GA group (p

Background: In this study, we aimed to evaluate the long-term outcomes of monopolar or bipolar radiofrequency ablation concomitant to mitral valve surgery in patients with atrial fibrillation. Methods: We retrospectively evaluated a total of 167 patients (67 males, 100 females; mean age 56.8 +/- 6.9 years; range, 48 to 65 years) with atrial fibrillation who underwent monopolar or bipolar radiofrequency ablation concomitant to mitral valve surgery between September 2001 and January 2015. The patients were divided into two groups according to the procedure applied as those undergoing monopolar ablation (group 1, n=68) and those undergoing bipolar ablation (group 2, n=99). All patients were followed by electrocardiogram and 24-h Holter monitoring. Echocardiography was performed before discharge, at three and 12 months postoperatively, and annually thereafter. Left atrial volume index, left atrial diameter, and left ventricular ejection fraction were recorded. Results: There was no significant correlation between the procedure applied and hypertension, hyperlipidemia, diabetes mellitus, chronic obstructive pulmonary disease, history of the cerebrovascular events (p>0.05). The mean preoperative left atrial diameter decreased from 5.3 +/- 0.5 cm to 4.9 +/- 0.5 cm postoperatively in all patients (p=0.0001). The mean preoperative left atrial volume index decreased from 53.8 +/- 0.4 mL/m(2) t o 43.7 +/- 6.2 mL/m(2) in t he postoperative period (p=0.0001). During follow-up, 61.8% (n=42) of the patients in group 1 and 62.6% (n=62) of the patients in group 2 remained in sinus rhythm. One patient (1.5%) in group 1 and two patients (2.0%) in group 2 developed early postoperative cerebrovascular accident. Conclusion: Monopolar and bipolar ablation methods are safe and effective methods to ensure long-term sinus rhythm. Both procedures do not increase the morbidity risk with very low thromboembolic complication rates.

We aimed to analyze the use of blood products in cardiac surgery and to investigate its effect on clinical outcomes. Perioperative transfusion requirement, survival and complication rates and the duration of hospitalization were noted. Patients were divided into two groups considering the duration of hospital and intensive care unit (ICU) stay. The cardiopulmonary bypass time and the cross clamp time, and the amount of used cryoprecipitate, fresh frozen plasma, platelet, red blood cell and the bleeding amount were significantly higher in groups that stayed at the hospital for > 7 days and at the ICU for > 2 days (p > 0.05). In the univariate model, to predict the patients who might stay at the hospital for more than 1 week and who might stay at the ICU for more than 3 days, we considered the significant efficacy of postoperative blood transfusion, bleeding amount, and the cardiopulmonary bypass time (p

WOS: 000302753000007, PubMed ID: 22580860, Background. Intravenous patient-controlled analgesia (IV PCA) using opiods is an accepted method for delivering postoperative analgesia. The aim of this study was to compare fentanyl and tramadol with IV PCA after spinal anesthesia (SA) and general anesthesia (GA) following cesarean section (C/S). Methods. Ninety women were randomly assigned to three groups (n=30). Group 1 was treated with IV fentanyl PCA after SA. Groups 2 and 3 were treated with IV fentanyl PCA and IV tramadol PCA after GA. Outcome measures were recorded for the first 24 h post-anesthesia. Results. PCA use was significantly lower after SA (P0.05). 638.4 +/- 179.1 mu g fentanyl was consumed by patients of Group 2, 356.3 +/- 87.0 mu g fentanyl and 559.5 +/- 207.0 mg tramadol was consumed by Group 1 and Group 3 respectively. There was no significant difference in the overall severity and incidence of nausea, drowsiness or pruritus. Conclusion. Our study shows that analgesic consumption and post-operative pain scores after SA in C/S decreased, without increase in adverse reactions.