Objectives: Carbapenem-resistant Gram-negative bacteria (CR-GNB) infections in intensive care units (ICUs) are increasingly prevalent and associated with high mortality. This study aimed to investigate the distribution of isolated bacteria and determine the factors associated with mortality among ICU patients diagnosed with CR-GNB infections. Methods: This retrospective study included 95 patients admitted to the ICU between February 2022 and July 2024 who were diagnosed with CR-GNB infections via culture and initiated on treatment. Thirty-day mortality was defined as the clinical outcome, and patients were divided into two groups: survivors (Group 1, n = 42) and deceased (Group 2, n = 53). Demographic, clinical, laboratory, and microbiological data were analyzed. Results: Advanced age, the presence of malignancy, an elevated Charlson Comorbidity Index (CCI), lower platelet counts, and higher C-reactive protein (CRP) levels were significantly associated with mortality (p < 0.05). Trauma-related admissions were more common among survivors, while sepsis-related admissions predominated among non-survivors. No statistically significant associations were observed between antibiotic regimen type and mortality. Culture-based pathogen distribution revealed A. baumannii as the predominant organism in respiratory samples, while K. pneumoniae was more frequently isolated from bloodstream and urinary specimens. Conclusions: Mortality in ICU patients with CR-GNB infections is influenced by both baseline comorbidities and infection-related inflammatory markers. This study provides region-specific insights from a high-resistance ICU setting and may inform risk stratification, prognostication, and management strategies in critically ill patients with CR-GNB infections.

Patients with physical and/or mental disabilities exhibit higher caries activity and more treatment needs compared with the general population. Thus, the number of patients awaiting dental treatment under general anesthesia (GA) is far from negligible. Factors such as disabilities, presence of comorbidities, underlying medical conditions, and potential drug interactions render these patients a high-risk group for GA. Consequently, meticulous planning is essential when scheduling dental treatment under GA. The objective of the present research was to gather the opinions of anesthesiologists and dentists regarding the prompt treatment of dental patients requiring GA in institutions that offer optimal conditions for patient safety. Data were collected using a 28-item questionnaire developed by the researchers based on a literature review and interviews with both dentists and anesthesiologists involved in dental procedures under GA. The survey was administered online via Google Forms. Nearly all respondents (95.0%) believed that having an in-house operating room would increase their work efficiency and such a facility would meet their expectations. When asked why having an in-house operating room would enhance efficiency, the most common reasons cited were the ability to schedule more surgery days, better communication from working with the same anesthesia team, and the elimination of time lost due to transfers between hospitals. Anesthesiologists stated that the most frequently encountered issues when admitting patients in operating rooms within the faculty of dentistry were the absence of another anesthesiologist in emergencies (46.7%) and difficulty in reaching a consultant physician when needed (20.0%). Furthermore, 79.2% of anesthesiologists expressed that they would not prefer to work in an operating room dedicated solely to dental patients. As a result, dentists and anesthesiologists, the two most important members of the team performing dental treatments within GA, prefer to perform the procedures within their own institutions. Considering the high number of patients waiting for dental treatment under GA, the establishment of operating rooms within dentistry can make a positive contribution to the health system by eliminating the hesitations of anesthesiologists.

Nausea and vomiting are among the most common complaints in the postoperative period. The type of surgical technique and the site of intervention, as well as the anesthetic drugs and methods directly contribute to the rates of postoperative nausea and vomiting (PONV). One of the most important factors affecting the frequency of postoperative nausea and vomiting is the anesthetic drugs and methods used. Many antiemetic drugs are used to prevent postoperative nausea and vomiting. With the use of these drugs, side effects especially such as delayed recovery from anesthesia, dry mouth, undesirable changes in blood pressure and the occurrence of extrapyramidal symptoms are seen. Several antiemetic drugs are commonly used for the treatment of postoperative nausea and vomiting; including scopolamine, chlorpromazine, diphenhydramine, metoclopramide, promethazine, and ondansetron. Low-dose haloperidol and metoclopramide are effective in opioid-induced nausea and vomiting. Dexamethasone reduces the incidence of postoperative nausea in the first 6 hours after surgery. Oral intake starts in patients with severe vomiting parenteral fluid and electrolyte treatment is required. Sometimes provide may need gastric decompression with nasogastric tube. Parenteral fluid and electrolyte treatment and in severe cases gastric decompression with a nasogastric tube may be necessary. Alternative medicine such as acupuncture and acupressure can help prevent or reduce postoperative nausea and vomiting. The aim of this review is to examine the medical therapies and drug-free methods used for the treatment of PONV in the light of the literatüre

Background: The research investigates how parents use social media to decide between general anesthesia (GA) and sedation dental treatments for their children and evaluates the impact of educational level and health literacy on this decision-making process. Method: This study used a cross-sectional analytical approach to investigate 385 parents who resided in Konya province central districts. The research collected participant data about socio-demographic characteristics and social media usage habits and information-seeking behaviors through face-to-face questionnaires while conducting trustworthiness assessments. The research divided participants into subgroups based on their educational level and age and income and health literacy to evaluate treatment decision impacts and emotional changes across these groups. The researchers conducted statistical analyses through Statistical Package for the Social Sciences (SPSS) 23 software by applying Chi-square, Mann-Whitney U, Kruskal-Wallis, and Wilcoxon tests. Results: The survey revealed that 80% of participants searched for GA/sedation information on social media platforms and 64.6% of participants stated that the information they found on social media influenced their treatment choices. The use of social media platforms was associated with decreased anxiety levels from 7.18 ± 1.82 to 6.09 ± 2.28 ( p < 0.001) while simultaneously raising confidence and satisfaction expectations (confidence: 5.31 ± 2.14 to 6.82 ± 1.94; p < 0.001). The trustworthiness score of university graduates (3.64 ± 0.71) exceeded that of primary school graduates (2.83 ± 0.91) at a statistically significant level ( p < 0.001). The exposure to negative content reached 60.1% of participants and the rate of exposure grew with increasing social media usage duration (3 + hours: 66.7% vs. < 1 h: 45.0%; p = 0.034). Conclusion: The research demonstrates that social media was reported as a primary factor associated with parental choices. Heavy social media users experienced more negative content exposure but positive content reduced their anxiety levels. Health literacy together with education determine how people evaluate information yet the research shows that less educated individuals become more influenced by social media content.

Background: Effective communication with relatives is an essential component of family-centered intensive care. This study evaluated preferences for receiving information in intensive care units (ICUs) and examined factors associated with communication expectations and perceived adequacy of information. Methods: In this cross-sectional survey, 401 participants completed a 25-item questionnaire developed from the literature, reviewed by experts, and pilot-tested. Communication preferences and perceptions were analyzed according to age, sex, education, marital status, geographic region, employment status, healthcare background, degree of kinship, duration of ICU stay, and previous ICU experience. Multivariable logistic regression was performed to identify factors independently associated with considering telephone-based communication sufficient. Results: Most participants (89.8%) preferred face-to-face communication. Overall, 62.8% considered telephone-based information insufficient, and face-to-face communication was more frequently perceived as promoting trust and understanding. Communication preferences varied according to demographic, educational, regional, and experiential characteristics. Women placed greater importance on direct interpersonal communication, whereas men favored more practical information delivery. Participants with higher educational attainment reported greater expectations regarding the structure and content of information. In multivariable analysis, male sex (OR = 2.63, 95% CI: 1.40–4.93; p = 0.003), residence outside the city where the hospital was located (OR = 2.86, 95% CI: 1.49–5.46; equivalent to OR = 0.35 for residence within the hospital city; p = 0.002), and having a relative hospitalized in the ICU for 21–31 days (OR = 3.74, 95% CI: 1.42–9.86; p = 0.008) were independently associated with considering telephone-based communication sufficient. Conclusions: Face-to-face communication was the preferred method of information delivery for most relatives. Communication preferences and the perceived adequacy of telephone-based information varied according to demographic, regional, and clinical characteristics. These findings support adopting individualized communication strategies rather than a uniform approach when communicating with relatives of intensive care patients.