Effective teamwork is essential for patient safety and quality of care in intensive care units (ICUs), where complexity, high cognitive demands, and multidisciplinary collaboration prevail. Despite its critical role, there is a lack of validated instruments specifically designed to assess teamwork effectiveness in ICUs. This study aimed to develop and validate a context-specific tool—the Teamwork Effectiveness Scale in Intensive Care Units (TES-ICU). The study was conducted in two phases. In Study 1, a comprehensive item pool was generated through literature review and expert evaluation. Items were tested for clarity and distributional properties, and an exploratory factor analysis (EFA) was used to refine the pool. In Study 2, the psychometric properties of the resulting 30-item TES-ICU were evaluated using a nationwide sample of ICU professionals in Türkiye (N = 716). Validity was assessed by examining associations with job satisfaction, organizational commitment, burnout, and turnover intention. Reliability was evaluated using Cronbach’s alpha. EFA revealed a three-factor structure explaining 56.76

Objective: Interventional radiology (IR) offers minimally invasive alternatives with reduced risk and faster recovery compared to traditional surgery. However, postoperative nausea and vomiting (PONV) remain common complications. This study explores the incidence and predictors of PONV in patients undergoing sedation anesthesia for IR procedures. Method: Ethical approval was obtained for this study at Hacettepe University Hospital from January to August 2023. Participants included patients aged 18 and older with American Society of Anesthesiologists scores of 1-3, undergoing sedation anesthesia. Exclusions involved those with pre-existing nausea, nausea-inducing medications, or conditions predisposing to nausea. Data collected included demographics, PONV history, comorbidities, smoking status, medications, anesthesia duration, and sedatives used. Nausea and vomiting were assessed using the Abramowitz emetic scoring scale. Predictors of PONV were analyzed using univariate and multivariate logistic regression. Results: Of 213 patients (112 females, 101 males), 12.2% experienced nausea and 1.9% experienced vomiting. A history of PONV was a significant predictor of recurrence (OR=12.39, p<0.001). Although the use of multiple sedatives was associated with higher nausea rates, this was not statistically significant. Excluding volatile anesthetics and specific patient demographics likely contributed to lower PONV rates than those reported in the literature. Conclusion: The study underscores the importance of considering patient history and limiting sedative use to manage PONV in IR anesthesiology effectively. The exclusion of volatile anesthetics and demographic factors significantly influenced the PONV incidence. Findings advocate for personalized sedation strategies and further research into specific sedative Keywords: Interventional radiology anesthesia, sedation, PONV

BACKGROUND:Stereotype threat is a psychological phenomenon in which individuals fear being judged based on negative stereotypes about their group, potentially impairing cognitive and motor performance. In surgical and procedural fields, gender stereotypes may negatively affect female trainees. This study examines the impact of gender stereotype threat on female anesthesiology residents' performance during a simulated flexible bronchoscopy intubation task. METHODS:A randomized controlled trial with a parallel-group design was conducted at Hacettepe University Hospital. Fifty anesthesiology residents (29 women, 21 men) were randomly assigned to a stereotype threat group (exposed to gender-based cues) or a control group. Performance was evaluated using the ORSIM bronchoscopy simulator. Outcomes included total simulation score, task completion time, maximum bronchoscope speed, and collision avoidance percentage. Two-way analysis of variance was used to analyze the effects of gender and stereotype threat. RESULTS:Female participants in the stereotype threat group had significantly lower simulation scores (mean difference = 12.17, P = .017) and collision avoidance percentages (mean difference = 15.8%, P = .021) compared to male participants. Bronchoscope speed was higher in the stereotype threat group, especially among women, indicating potential compensatory behavior linked to increased error risk. No significant difference was observed in task completion time. CONCLUSION:Gender stereotype threat adversely affects simulation-based performance in female anesthesiology residents. These results highlight the need to address gender-based bias and foster psychologically safe environments in medical training.

Although there are many studies about wellbeing on healthcare professionals, the relationship between hierarchy and well-being has not been studied much. In this study, we focused on surgical branch professionals (anesthesiologists, surgeons, nurses) as organized in a strict hierarchy. We explored the association between the position within the organizational hierarchy in operating theaters and well-being. Data were collected in 2 parts as cross-sectional (baseline) and daily surveys (for 15 days). A total of 226 participants participated in the baseline study and 156 participants in the daily surveys. How hierarchical positions, in-group identification and personality traits were related to the well-being and experiences of surgical team members were investigated. System justification, social dominance orientation, and personality theories were used to investigate personality traits. Emotional stability and identification with other healthcare professionals were positively associated with positive experience and well-being. Daily hierarchical relationship when the team members were in a superior position was positively associated with that day’s well-being, positive experience, enjoying working, and motivation to work on the following day. Conversely, the negative effects of daily hierarchical relationships on outcomes were not seen when the participants were in a subordinate position. Our findings were parallel to the literature that perceived autonomy in the workplace has positive impacts on the well-being. Furthermore, we found that in-group identification can protect surgical branch professionals from the adverse effects of the organizational hierarchy. We suppose our findings can contribute to the literature to evaluate organizational structure of operating theaters.

Aim: Thyroid gland can be affected both by cytokine storm and through angiotensin-converting enzyme-2 receptors. A worse prognosis has been described in patients with low fT3 levels. The aim of this study is to evaluate the prognostic significance of thyroid function during COVID-ICU hospitalization. Methods: After ethical approval, 100 COVID-19 patients followed in the ICU between March 2020 and April 2021 was admitted to study. Patients with previous thyroid disease were excluded from study. Free triiodothyronine (fT3), free thyroxine (fT4), and thyroid-stimulating hormone (TSH) levels at ICU admission were evaluated. Clinical, demographic, laboratory, treatment, and outcome data were obtained from the patient's electronic hospital records. Mann Whitney U, Spearman correlation, binary logistic, and linear regression tests were used for statistical analysis. Results: TSH was in 31 patients, fT3 was in 37 patients, and fT4 was in 54 patients, which were outside the normal ranges. fT3 were lower in non-survivors than the survivors (p: 0.036). However, the fT3 level was not the independent factor for mortality rate in linear regression analysis (p=0,652). APACHE II and procalcitonin levels as independent predictors of mortality (p: 0,017). fT3 remained an independent factor for the length of ICU stay (p=0,024) and the length of hospital stay (p=0,031). Conclusion: fT3 is a prognostic indicator that can predict hospital and ICU length of stay in critically ill patients with Covid-19. In the future, a broader panel of validated biochemical markers, including fT3 levels, may become a simple tool for stratified management of patients with severe COVID-19.

Objective: Stereotype threat (ST) can lead to decreased performance when individuals face the possibility of confirming negative stereotypes associated with their group. During the Coronavirus disease 2019 (COVID-19) pandemic, non-Intensive Care Unit physicians (non-ICUp) were assigned to work in ICUs. However, social media emphasized the inadequacy of knowledge and skills among these physicians. Given the negative judgments, the study aimed to evaluate the cardiopulmonary resuscitation (CPR) performances of these physicians and investigate the effect of ST. Methods: A total of 63 non-ICUp and 53 Intensive Care Unit physicians (ICUp) physicians working in COVID-19 ICUs were randomly assigned to control and experimental groups. In the experimental group, ST was manipulated by presenting the study’s aim as measuring the difference in CPR performances between ICUp and non-ICUp physicians. The control group received no information. Participants were videotaped while performing a standard CPR scenario and evaluated by independent instructors and mannequin scores. Results: Overall CPR scores were higher among ICUp. Non-ICUp performed better in the ST condition regarding effective chest compression (p=.02) and correct compression rates per minute (p=.02) compared to the control condition. However, ICUp had lower scores for correctly placing chest compressions in the ST condition (p=.03). Conclusion: The higher CPR performance among ICUp was expected. However, the hypothesis suggesting lower performance for non-ICUp under ST conditions was not supported. Inconsistent results regarding the ST effect could be influenced by moderating factors such as task difficulty, knowledge about the existing stereotype, and motivation to perform well. The interaction between the physicians’ specialty and situational factors highlights the importance of creating realistic training environments that simulate high-pressure situations, ultimately contributing to the development of competent and confident healthcare professionals. Future research should further explore the impact of ST-based training on interactions and performance among different healthcare professionals. Keywords: Stereotype threat, intensive care unit, cardiopulmonary resuscitation, CovId-19

Afet Durumlarında Rejyonel Anestezi Yönetimi Kıvanç ÖNCÜ Antikoagulan İlac Kullanan Hastalarda Noroaksiyel, Periferal ve Derin Sinir Blokları için Guvenli Aralık Sedat SAYLAN Ali AKDOĞAN Preeklampsili Hastada Anestezi Yönetimi Ali AKDOĞAN Engin ERTÜRK Postpartum Hemoraji ve Anestezi Yönetimi Özge ŞIKTAŞ Ortopedi Hastalarında Cerrahi Sonrası Hızlandırılmış İyileşme (ERAS) Protokolleri Demet LAFLI TUNAY Bolum 6 Malign Hipertermi ve Anestezi Yönetimi Murat TÜMER Rokuronyum İnfuzyonu İle Sağlanan Noromuskuler Bloğun Sugammadeks İle Geri Dondurulmesinin Desfluran veya Propofol Anestezisinde Karşılaştırmalı Değerlendirilmesi Necmiye ŞENGEL Gözde İNAN Mustafa ARSLAN

Background: Cleft lip and palate (CLCP ) surgeries necessitate precise airway man - agement, especially in pediatric cases with anatomical variations. The Covid -19 pandemic posed unprecedented challenges to anesthesiology practices that required adaptations to en - sure patient safety and minimize viral transmission. Videolaryngoscopy (VL ) emerged as a va - luable tool in airway management during the pandemic, offering improved intubation success rates and reduced aerosol generation risks. Methods: This retrospective study compared anesthesiology practices in CLCP surgeries before (2015-2019 ) and during the Covid -19 (2019-2022 ) pandemic at a tertiary care center. Patient demographics, anesthesia techniques, intubation difficulty, airway management, and in - traoperative and postoperative follow -up were analyzed from anesthesia records. Results: This study included 1282 cases. Demographics were similar between periods. During the pandemic, there was a significant decrease in the number of patients under one year old (p < 0.001 ) and a higher prevalence of micrognathia and comorbidities (p = 0.001 and p = 0.038, respectively ). Difficult intubation and intraoperative complication rates decreased during the pandemic, but they were not statistically significant. VL usage during the pandemic contributed to improved extubating success (p < 0.001 ). Conclusions: VL usage and improved patient outcomes were observed during the pandemic, potentially due to proactive measures and infection control protocols. Decision -making pro - cesses for extubation and intensive care unit stay became crucial during the pandemic. Understanding the role of VL and its adaptations during the Covid -19 pandemic is vital for optimizing perioperative care in CLCP surgeries and other procedures requiring airway management. The findings highlight the resilience of healthcare systems and the importance of evidence -based practices under challenging circumstances.

Objective: Anesthesiologists are constant members of teamwork, especially in operating room and ICU.However, the relationship between teamwork (TW) and psychological state of anesthesiologist has not been adequately studied in the literature.This study aimed to compare the anesthesiologists with other medical branches in terms of coping strategies and perceived social support, considering the levels of teamwork reliance. Methods:We conducted two online surveys.In the preliminary survey, we tested our prediction about the TW levels of anesthesiologists and other branches on medical faculty graduates (n=266).In the main survey with a new sample, we examined the relationship between social support and coping styles against stress in anesthesiology (high TW group, n=107) and dermatology (low TW group, n=91) residents.Results: Preliminary survey showed that anesthesiology had high TW levels (Mean=4.03),as expected.Dermatology who had low TW levels (Mean=2.53)were selected for the comparison group of the main survey.The main survey indicated that dermatologists (Mdn=16) use the submissive coping approach more than anesthesiologists (Mdn=15; p=.007).There was no significant difference in perceived social support levels of the two groups. Conclusion:We found a relationship between passive coping strategies that aim to protect from negative emotions caused by stressful events rather than solving the problem and low teamwork level.We think that teamwork may contribute to problem-solving processes by helping anesthesiologists to actively cope with stress.

Objective: The aim of this study was to compare the effects of fentanyl, dexmedetomidine, and remifentanil on serum pentraxin 3 levels in patients undergoing on-pump coronary artery bypass surgery. Materials and Methods: In this retrospectively designed study, 36 patients who underwent elective on-pump coronary artery bypass surgery for coronary artery disease in the Cardiovascular Surgery Clinic of our hospital between 01.01.2020 and 31.12.2021 and whose serum pentraxin 3 levels were studied in the pre-operative and post-operative period were included. Patients were divided into 3 groups as fentanyl (Group F), dexmedetomidine (Group D), and remifentanil (Group R) based on the analgesic agent used during the intraoperative period. The data of the patients were obtained by scanning their files and information in the hospital automation system. Results: Demographic characteristics, duration of anesthesia, cardiopulmonary bypass duration, and aortic cross-clamp duration were similar. When serum pentraxin 3 levels were evaluated within groups, the difference between pre-operative and post-operative results was significant. In the intergroup evaluation, only the results obtained from Group F in the pre-operative period were significant compared to the other groups, but there was no significant difference between the results obtained in the post-operative period. Conclusion: When the data of this study were evaluated, it was determined that the analgesic agent used in the intraoperative period of on-pump coronary artery bypass surgery did not significantly affect post-operative serum pentraxin 3 levels.

Background: The number of publications on anesthesiology continues to increase. Although there are studies conducted about this increase, they are insufficient to show the direction and structure of the changes. This study aimed to investigate the conceptual structure and thematic evolution in publications about anesthesiology over the last 30 years. Methods: In this study we made a systematic reviews and bibliometric analyses of observational and Randomized Controlled Trial (RCT) studies. Bibliometric analysis was used to reveal thematic clusters by associating keywords and relationship patterns in three periods. Thematic clusters were revealed using a science mapping analysis based on co-word networks and strategic diagrams created according to centrality. Density values were used to determine the positions of the clusters. A total of 119,842 articles published between 1990 and 2022 in the anesthesiology category of the Web of Science (WOS) Core Collection were analyzed. Articles published before 1990 and/or not in the WOS Collection were excluded from the study. Results: Seven thematic areas were identified over three time periods: Pain, Medications, Regional Anesthesia, Cardiovascular Anesthesia, Pediatric Anesthesia, Critical Care, and Airway Management. Over the years, motor themes have been shaped by new anesthetic agents and techniques. Pain and Regional Anesthesia have been the most researched topics. Patient Safety, Elderly Patients, and Palliative Care were the emerging themes in the last years. Critical Care thematic area moved to Mortality, Mechanical Ventilation, and COVID-19. Conclusion: Pain is the most popular topic over the last 30 years. Increasing of themes like Patient Safety and Palliative Care in the last years may be related to the increasing quality management awareness and the older population. The fact that the COVID-19 thematic area has a large place in last period shows the effect of the pandemic in the field of anesthesiology.

In response to the COVID-19 pandemic, the Psychological Science Accelerator coordinated three large-scale psychological studies to examine the effects of loss-gain framing, cognitive reappraisals, and autonomy framing manipulations on behavioral intentions and affective measures. The data collected (April to October 2020) included specific measures for each experimental study, a general questionnaire examining health prevention behaviors and COVID-19 experience, geographical and cultural context characterization, and demographic information for each participant. Each participant started the study with the same general questions and then was randomized to complete either one longer experiment or two shorter experiments. Data were provided by 73,223 participants with varying completion rates. Participants completed the survey from 111 geopolitical regions in 44 unique languages/dialects. The anonymized dataset described here is provided in both raw and processed formats to facilitate re-use and further analyses. The dataset offers secondary analytic opportunities to explore coping, framing, and self-determination across a diverse, global sample obtained at the onset of the COVID-19 pandemic, which can be merged with other time-sampled or geographic data.

Abstract Background: Stereotype threat (ST) can lead to decreased performance when individuals face the possibility of confirming negative stereotypes associated with their group. During the Covid-19 pandemic, non-Intensive Care Unit physicians (non-ICUp) were assigned to work in ICUs. However, social media emphasized the inadequacy of knowledge and skills among these physicians. Given the negative judgments, the study aimed to evaluate the CPR performances of these physicians and investigate the effect of ST. Method: A total of 63 non-ICUp and 53 ICUp physicians working in Covid-19 ICUs were randomly assigned to control and experimental groups. In the experimental group, ST was manipulated by presenting the study's aim as measuring the difference in CPR performances between ICUp and non-ICUp physicians. The control group received no information. Participants were videotaped while performing a standard CPR scenario and evaluated by independent instructors and mannequin scores. Results: Overall CPR scores were higher among ICUp. Non-ICUp physicians performed better in the ST condition regarding effective chest compression (p = .02) and correct compression rates per minute (p = .02) compared to the control condition. However, ICUp had lower scores for correctly placing chest compressions in the ST condition (p = .03). Conclusion: The higher CPR performance among ICUp was expected. However, the hypothesis suggesting lower performance for non-ICUp under ST conditions was not supported. Inconsistent results regarding the ST effect could be influenced by moderating factors such as task difficulty, knowledge about the existing stereotype, and motivation to perform well. The interaction between the physicians' specialty and situational factors highlights the importance of creating realistic training environments that simulate high-pressure situations, ultimately contributing to the development of competent and confident healthcare professionals. Future research should further explore the impact of ST-based training on interactions and performance among different healthcare professionals.

Objective:Numerous studies performed worldwide indicate that the public has limited knowledge of anaesthesia practices and anaesthetists' duties and responsibilities. This study aimed to identify the level of knowledge about anaesthetists and anaesthesia practices, and to assess the reasons for anxiety about anaesthesia of the population admitted to our hospital, which is tertiary in Turkey. The secondary aim was to analyze their differences according to sex, education level, and acquired anaesthesia experience.Methods:A survey comprising 23 questions was administered to 400 patients and/or their relatives, aged 18-85 years, who presented to our clinic for preoperative anaesthesia evaluation and for whom elective surgery was planned from March through October 2017.Results:Of the 400 participants, 213 were women and 187 were men. Of all participants in the survey, 51.2% were patients and 48.8% were patient relatives; 64.2% had anaesthesia experience and 35.8% had never had anaesthesia before. The survey group's level of knowledge about anaesthesia was generally low. According to education level, there was a statistically significant difference in the anaesthesia recognition level. However, the acquired anaesthesia experience did not affect the anaesthesia recognition level.Conclusion:To raise the level of knowledge about this topic, anaesthetists must provide patients with more detailed information during preoperative and postoperative visits, which would significantly reduce their anxiety levels. Further, we determined that increasing the use of methods such as media-based brochures, booklets, and videos to inform patients may increase knowledge levels and reduce anxiety levels.

Desbuquois syndrome (DS) is a rare disease that can be accompanied by a difficult airway. In the literature, there are usually case reports about the mortal forms in childhood. We wanted to share our anesthesia experience in an adult patient with DS who underwent orthopedic surgery. We used videolaryngoscopy for intubation with coronavirus precautions. Adult patients with DS can be managed safely with adequate difficult airway preparation.