Objectives:To evaluate the knowledge of ophthalmologists regarding local anesthesia toxicity syndrome (LATS) and intravenous lipid emulsion used in treatment, and to raise awareness of this issue.Materials and Methods:A questionnaire comprising 14 questions about demographics, local anesthesia (LA) use, toxicity, and treatment methods was administered to ophthalmologists at different hospitals.Results:The study included 104 ophthalmologists (25% residents, 67.3% specialists, 7.7% faculty members) with a mean age of 35.71±6.53 years. The highest number of participants was from state hospitals (65.4%), and 34.6% of the physicians had been working in ophthalmology for more than 10 years. Seventy-six percent of the participants reported using LA every day or more than twice a week, but 56.7% had received no specific training on this subject. No statistically significant difference was observed between different education levels and the rates of training (p=0.419). Bupivacaine was the most preferred LA and the majority of respondents (97.1%) did not use a test dose. Allergy (76%) and hypotension (68.3%) were the most common responses for early findings of LATS, while cardiac arrest (57.4%) and hepatotoxicity (56.4%) were given for late findings. The most common responses concerning the prevention of LATS included monitorization (72.4%) and use of appropriate doses (58.2%). Symptomatic treatment was selected by 72.4% of respondents and cardiopulmonary resuscitation and antihistamine treatment by 58.8%. Of the ophthalmologists in the study, 62.5% had never encountered LATS. The use of 20% intravenous lipid emulsion therapy for toxicity was known by 65% of the physicians, but only 1 participant stated having used it previously.Conclusion:The importance of using 20% lipid emulsion in LATS treatment and having it available where LA is administered must be emphasized, and there should be compulsory training programs for ophthalmologists on this subject.

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Objective:The aim of this study was to investigate the attitudes of patient relatives about organ donation for patients with brain death diagnosis and to identify the cause of negative attitudes related to donation.Methods: A retrospective examination was made of the archived records of patients with brain death (BD) diagnosis from September 2007 to August 2018 in Anesthesia Reanimation Intensive Care Unit. Demographic factors of the cases with BD such as age, gender, and admission diagnosis were recorded. The patient families were then contacted by telephone and organ donation acceptance or rejection was assessed in terms of reasons. Results:A total of 86 cases with brain death diagnosis were identified. When cases were assessed in terms of admission diagnoses, post-CPR hypoxic brain was the most common diagnosis (30.2%). The organ donation rate was identified as 12.8% (n=11). The mean age of patients was 31.09±20.98 years in those who donated organs, and 35.62±21.45 years in those whose families rejected donation (p=0.614). When the factors causing brain death of patients with organ donation were assessed, 54.4% died due to traumatic reasons. The two most important factors identified in the study for families rejecting organ donation were religious beliefs (41.3%) and beliefs about not disrupting the integrity of the body after death (37.3%). The most important factor for acceptance was the wish to help other people (91%). Conclusion:In our study, religious beliefs were found as the main reason for rejection of organ donation. To be able to increase cadaver-sourced donation rates, there is a need for society to be informed by religious leaders, family interviews should be held with an experienced and trained organ donation co-ordinator and families should definitely be fully informed about the sensitivity shown to bodily integrity during the organ donation procedure and surgical procedures.Amaç: Çalışmanın amacı beyin ölümü tanısı konulan hastaların yakınlarının organ bağışı ile ilgili tutumunu incelemek ve bağışla ilgili olumsuz tutumların nedenlerini tespit etmektir. Gereç ve Yöntemler:Retrospektif desende tasarlanan çalışma kapsamında, Eylül 2007 ve Ağustos 2018 tarihleri arasında Anestezi Yoğun Bakımda beyin ölümü tanısı alan hastaların arşiv kayıtları incelenmiş, beyin ölümü gerçekleşen hastaların yaş, cinsiyet, yatış tanıları gibi demografik özellikleri incelenmiştir. Hastaların ailelerine telefonla ulaşılmış, ailelerin organ nakli kabul ve ret nedenleri değerlendirilmiştir.Bulgular: Yapılan arşiv incelemesi sonucunda beyin ölümü tanısı konmuş olan 86 olgu tespit edilmiştir. Olgular yatış tanıları açısından değerlendirildiğinde post CPR hipoksik beyin'in en sık görülen tanı (%30.2) olduğu görülmüştür. Organ bağış oranının %12.8 (n=11) olduğu tespit edilmiştir. Organ bağışında bulunan hastaların ortalama yaşları 31.09±20.98, aileleri tarafından organ bağışında bulunulmayan hastaların yaş ortalamarı ise 35.62±21.45 olarak belirlenmiştir. Organ bağışı yapılan hastalarda beyinin ölümüne neden olan faktörler d...

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