N. Turgut, A. Ak, Erkan Ak, N. Yakar, Nuri Yakar, B. Yılmaz, Burçin Cora, Tarkan Mıngı, İncila Ali
{"title":"Incidence, Prevention and Treatment of Pressure Ulcers in Intensive Care Patients","authors":"N. Turgut, A. Ak, Erkan Ak, N. Yakar, Nuri Yakar, B. Yılmaz, Burçin Cora, Tarkan Mıngı, İncila Ali","doi":"10.4274/tybdd.84755","DOIUrl":"https://doi.org/10.4274/tybdd.84755","url":null,"abstract":"","PeriodicalId":448120,"journal":{"name":"Türk Yoğun Bakim Derneği Dergisi","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122555188","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Unknown Miracle of the Forgotten Element: “Magnesium and Immunity”","authors":"Zerrin Demirtürk, F. Esen","doi":"10.4274/tybdd.17894","DOIUrl":"https://doi.org/10.4274/tybdd.17894","url":null,"abstract":"","PeriodicalId":448120,"journal":{"name":"Türk Yoğun Bakim Derneği Dergisi","volume":"146 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123352177","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
59 ÖZ Amaç: Araştırma, yoğun bakım hemşirelerinin yaşadığı sorun ve beklentilerini incelemek amacıyla tanımlayıcı olarak yapılmıştır. Gereç ve Yöntem: Çalışma, 2010 yılında İstanbul Sağlık Müdürlüğü ve İstanbul Üniversitesi işbirliği ile düzenlenen yoğun bakım hemşireleri sempozyumuna çeşitli hastanelerin bu ünitelerinde görev yapan gönüllü 207 hemşirenin katılımı ile yapılmıştır. Verilerin toplanmasında; araştırmacılar tarafından ilgili literatür ışığında hazırlanan, çalışanların tanıtıcı özellikleri, meslekle ilgili düşünce ve deneyimlerini belirlemeye yönelik 39 adet çoktan seçmeli sorudan oluşan anket formu kullanılmıştır. Araştırma öncesinde gerekli izinler alınmış, katılımcılardan onam alınmıştır. Araştırma verilerinin istatiksel analizleri NCSS (Number Cruncher Statistical System) 2007 paket programı ile yapılmıştır. Verilerin değerlendirilmesinde tanımlayıcı istatiksel metotlar (sıklık dağılımları) kullanılmıştır. Bulgular: Araştırma sonucunda yoğun bakım hemşirelerinin; %78’i haftada ortalama 40-50 saat çalıştığını, %52,2’si hemşirelerin yoğun bakım eğitiminin lisans sonrası sertifika eğitimi şeklinde olması gerektiğini, %52,5’i ünitede çalışan hemşire sayısını yetersiz bulduklarını, %74,6’sı maaşını yeterli bulmadığını, %57,5’i iş güvenliklerinin sağlanmadıklarını belirtmişlerdir. Sonuç: Yoğun bakım çalışanlarının iş doyumu ve mesleki tatmini açısından beklentilerinin karşılanması kritik hastaların fiziksel ve psikolojik bakımına olumlu yansıyacağından önemlidir. Böylece yoğun bakım ünitelerinde etkin ve verimli çalışma ortamı sağlanmış olur. Anah tar Ke li me ler: Yoğun bakım ünitesi, hemşire, beklenti ABSTRACT Objective: This study was conducted as a descriptive study to investigate the problems and expectations of intensive care unit nurses in Turkey. Materials and Methods: The study was conducted with the participation of 207 volunteer nurses working in different hospitals’ various intensive care nurses symposium organized in cooperation with İstanbul Health Care Directorate and İstanbul University in 2010. In gathering data; a questionnaire consisting of 39 multiple choice questions was prepared in the light of literature by researchers in order to determine descriptive characteristics, opinions and experiences of intensive care nurses. The necessary permissions were taken before the research and informed consent was taken from all the participants. Statistical analyzes of the research data were made with NCSS (Number Cruncher Statistical System) 2007 package program. Descriptive statistical methods (frequency distributions) were used in evaluation of data. Results: As a result of the research, for intensive care nurses; 78% of them work 40-50 hours per week on average, 52.2% of them should be in the form of post-graduate education for intensive care nursing. 52.5% of nurses said that they found the number of nurses working in their unit insufficient, 74.6% of nurses said that they did not find their salaries adequate and 57.5% of
{"title":"Expectations of Intensive Care Unit Nurses in Turkey","authors":"S. Eraslan, Meral Madenoğlu Kıvanç","doi":"10.4274/tybdd.49404","DOIUrl":"https://doi.org/10.4274/tybdd.49404","url":null,"abstract":"59 ÖZ Amaç: Araştırma, yoğun bakım hemşirelerinin yaşadığı sorun ve beklentilerini incelemek amacıyla tanımlayıcı olarak yapılmıştır. Gereç ve Yöntem: Çalışma, 2010 yılında İstanbul Sağlık Müdürlüğü ve İstanbul Üniversitesi işbirliği ile düzenlenen yoğun bakım hemşireleri sempozyumuna çeşitli hastanelerin bu ünitelerinde görev yapan gönüllü 207 hemşirenin katılımı ile yapılmıştır. Verilerin toplanmasında; araştırmacılar tarafından ilgili literatür ışığında hazırlanan, çalışanların tanıtıcı özellikleri, meslekle ilgili düşünce ve deneyimlerini belirlemeye yönelik 39 adet çoktan seçmeli sorudan oluşan anket formu kullanılmıştır. Araştırma öncesinde gerekli izinler alınmış, katılımcılardan onam alınmıştır. Araştırma verilerinin istatiksel analizleri NCSS (Number Cruncher Statistical System) 2007 paket programı ile yapılmıştır. Verilerin değerlendirilmesinde tanımlayıcı istatiksel metotlar (sıklık dağılımları) kullanılmıştır. Bulgular: Araştırma sonucunda yoğun bakım hemşirelerinin; %78’i haftada ortalama 40-50 saat çalıştığını, %52,2’si hemşirelerin yoğun bakım eğitiminin lisans sonrası sertifika eğitimi şeklinde olması gerektiğini, %52,5’i ünitede çalışan hemşire sayısını yetersiz bulduklarını, %74,6’sı maaşını yeterli bulmadığını, %57,5’i iş güvenliklerinin sağlanmadıklarını belirtmişlerdir. Sonuç: Yoğun bakım çalışanlarının iş doyumu ve mesleki tatmini açısından beklentilerinin karşılanması kritik hastaların fiziksel ve psikolojik bakımına olumlu yansıyacağından önemlidir. Böylece yoğun bakım ünitelerinde etkin ve verimli çalışma ortamı sağlanmış olur. Anah tar Ke li me ler: Yoğun bakım ünitesi, hemşire, beklenti ABSTRACT Objective: This study was conducted as a descriptive study to investigate the problems and expectations of intensive care unit nurses in Turkey. Materials and Methods: The study was conducted with the participation of 207 volunteer nurses working in different hospitals’ various intensive care nurses symposium organized in cooperation with İstanbul Health Care Directorate and İstanbul University in 2010. In gathering data; a questionnaire consisting of 39 multiple choice questions was prepared in the light of literature by researchers in order to determine descriptive characteristics, opinions and experiences of intensive care nurses. The necessary permissions were taken before the research and informed consent was taken from all the participants. Statistical analyzes of the research data were made with NCSS (Number Cruncher Statistical System) 2007 package program. Descriptive statistical methods (frequency distributions) were used in evaluation of data. Results: As a result of the research, for intensive care nurses; 78% of them work 40-50 hours per week on average, 52.2% of them should be in the form of post-graduate education for intensive care nursing. 52.5% of nurses said that they found the number of nurses working in their unit insufficient, 74.6% of nurses said that they did not find their salaries adequate and 57.5% of ","PeriodicalId":448120,"journal":{"name":"Türk Yoğun Bakim Derneği Dergisi","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130046298","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Retrospective Investigation of Intoxication Cases Followed up in Intensive Care Unit","authors":"Dilara Tüfek, B. Taşdemir, R. Sıvacı","doi":"10.4274/TYBDD.42243","DOIUrl":"https://doi.org/10.4274/TYBDD.42243","url":null,"abstract":"","PeriodicalId":448120,"journal":{"name":"Türk Yoğun Bakim Derneği Dergisi","volume":"56 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127549496","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Vomiting associated with anaphylaxis may lead to the aspiration of gastric contents with subsequent development of chemical pneumonitis. In cases with large volumes of aspiration, respiratory failure may develop. There are some differences of chemical pneumonitis from aspiration pneumonia like rapid development of respiratory failure and clinical and radiological recovery within a short time. We present this case because it is a rare and important case of gastric content aspiration during an anaphylactic reaction with subsequent development of chemical pneumonitis. Anaphylactic reaction was developed in a 26-year old female after intravenous injection of sultamicilline and metamizole. The patient vomited during the reaction leading to the aspiration of the gastric contents. She had dyspnea and low oxygen saturation at presentation to our emergency unit. She was cyanotic, sweaty, dyspneic and tachypneic. She was transferred to the intensive care unit on the basis of possible need for ventilation support. Her chest radiography showed bilateral basal infiltrations, more pronounced on the right side. With oxygen therapy, respiratory exercise, agents to ease expectoration, and postural drainage oxygen saturation was obtained to be 90%. No further invasive procedures (bronchoscopy, etc.) were deemed necessary due to rapid clinical improvement. A good radiological response was obtained on the first day. A possibility of vomiting during anaphylaxis should be borne in mind and measures should be taken to prevent gastric aspiration whenever possible. The aspiration of gastric contents may lead to severe clinical course including respiratory failure, therefore close monitoring of the patient is necessary. Also, it should be remembered that clinical presentation, treatment and complications are different in chemical pneumonitis from aspiration pneumonia.
{"title":"Chemical Pneumonitis Due to the Aspiration of Gastric Content Following Anaphylaxis-Related Vomiting","authors":"Ö. Diken, Mesut Arslan","doi":"10.4274/TYBDD.36036","DOIUrl":"https://doi.org/10.4274/TYBDD.36036","url":null,"abstract":"Vomiting associated with anaphylaxis may lead to the aspiration of gastric contents with subsequent development of chemical pneumonitis. In cases with large volumes of aspiration, respiratory failure may develop. There are some differences of chemical pneumonitis from aspiration pneumonia like rapid development of respiratory failure and clinical and radiological recovery within a short time. We present this case because it is a rare and important case of gastric content aspiration during an anaphylactic reaction with subsequent development of chemical pneumonitis. Anaphylactic reaction was developed in a 26-year old female after intravenous injection of sultamicilline and metamizole. The patient vomited during the reaction leading to the aspiration of the gastric contents. She had dyspnea and low oxygen saturation at presentation to our emergency unit. She was cyanotic, sweaty, dyspneic and tachypneic. She was transferred to the intensive care unit on the basis of possible need for ventilation support. Her chest radiography showed bilateral basal infiltrations, more pronounced on the right side. With oxygen therapy, respiratory exercise, agents to ease expectoration, and postural drainage oxygen saturation was obtained to be 90%. No further invasive procedures (bronchoscopy, etc.) were deemed necessary due to rapid clinical improvement. A good radiological response was obtained on the first day. A possibility of vomiting during anaphylaxis should be borne in mind and measures should be taken to prevent gastric aspiration whenever possible. The aspiration of gastric contents may lead to severe clinical course including respiratory failure, therefore close monitoring of the patient is necessary. Also, it should be remembered that clinical presentation, treatment and complications are different in chemical pneumonitis from aspiration pneumonia.","PeriodicalId":448120,"journal":{"name":"Türk Yoğun Bakim Derneği Dergisi","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115950700","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Zerrin Özçelik, Neslihan Uçar, D. Yılmaz, Nuran Koç, S. B. Akinci
{"title":"Yoğun Bakım Hastalarında Erken mobilizasyon Uygulanması ve Erken Mobilizasyonun Hasta Hemodinamiğine Etkileri","authors":"Zerrin Özçelik, Neslihan Uçar, D. Yılmaz, Nuran Koç, S. B. Akinci","doi":"10.4274/tybdd.62634","DOIUrl":"https://doi.org/10.4274/tybdd.62634","url":null,"abstract":"","PeriodicalId":448120,"journal":{"name":"Türk Yoğun Bakim Derneği Dergisi","volume":"220 1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127325950","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
H. Pınar, R. Doğan, Mine Konuk, Aylin Sener, Omer Karaca
{"title":"Acetamiprid Poisoning Followed By Prolonged Muscle Weakness","authors":"H. Pınar, R. Doğan, Mine Konuk, Aylin Sener, Omer Karaca","doi":"10.4274/TYBDD.65265","DOIUrl":"https://doi.org/10.4274/TYBDD.65265","url":null,"abstract":"","PeriodicalId":448120,"journal":{"name":"Türk Yoğun Bakim Derneği Dergisi","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134121250","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Home Mechanical Ventilation in Children: Erciyes University Experience","authors":"N. Tekerek, A. Dursun, B. Akyıldız","doi":"10.4274/TYBDD.57070","DOIUrl":"https://doi.org/10.4274/TYBDD.57070","url":null,"abstract":"","PeriodicalId":448120,"journal":{"name":"Türk Yoğun Bakim Derneği Dergisi","volume":"58 3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126075726","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nurdan Ünlü, G. Calıskan, N. Girgin, R. İşçimen, F. Kahveci
{"title":"Amitriptyline Cardiac Toxicity Treated with Hemoperfusion","authors":"Nurdan Ünlü, G. Calıskan, N. Girgin, R. İşçimen, F. Kahveci","doi":"10.4274/TYBDD.46338","DOIUrl":"https://doi.org/10.4274/TYBDD.46338","url":null,"abstract":"","PeriodicalId":448120,"journal":{"name":"Türk Yoğun Bakim Derneği Dergisi","volume":"185 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124705372","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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