Person: KARAASLAN, KAZıM
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Publication Does smoking increase the anesthetic requirement?(2019-10-24T00:00:00Z) Aydoğan, MS; Karaaslan, KAZIM; Doğan, Z; Topuz, U; KARAASLAN, KAZıMBackground/aim: To examine the effects of active and passive smoking on perioperative anesthetic and analgesic consumption. Materials and methods: Patients were divided into three groups: group S, smokers; group PS, passive smokers; and group NS, individuals who did not have a history of smoking and were not exposed to smoke. All patients underwent the standard total intravenous anesthesia method. The primary endpoint of this study was determination of the total amount of propofol and remifentanil consumed. Results: The amount of propofol used in induction of anesthesia was significantly higher in group S compared to groups PS and NS. Moreover, the total consumption of propofol was significantly higher in group S compared to groups PS and NS. The total propofol consumption of group PS was significantly higher than that of group NS (P = 0.00). Analysis of total remifentanil consumption showed that remifentanil use was significantly higher in group S compared to group NS (P = 0.00). Conclusion: The amount of the anesthetic required to ensure equal anesthetic depth in similar surgeries was higher in active smokers and passive smokers compared to nonsmokers.Publication COMPARISON OF PLETH VARIABILITY INDEX, TRANSESOPHAGEAL ECHOCARDIOGRAPHY, TRANSTHORACIC ECHOCARDIOGRAPHY AND PULMONARY ARTERY CATHETER MEASUREMENTS TO EVALUATE PATIENT VOLUME STATUS(2016-09-01T00:00:00Z) UYSAL, HARUN; KARAASLAN, Kazım; ÇALIM, Muhittin; Nasifov, M.; AYDIN, CEMALETTİN; UYSAL, HARUN; KARAASLAN, KAZıM; ÇALIM, MUHITTIN; AYDIN, CEMALETTİNPublication The Relationship Between Vitamin D Deficiency and Burnout Syndrome in Operating Room Workers: Correlational Research(2023-10-01) Akıllı Z. S.; Başaranoğlu G.; Çalım M.; Demircan F.; Çakırca M.; Karaaslan K.; BAŞARANOĞLU, GÖKÇEN; ÇALIM, MUHITTIN; ÇAKIRCA, MUSTAFA; KARAASLAN, KAZıMObjective:The aim of this study was to determine the relationship between burnout syndrome and vitamiMethods:Vitamin D, phosphor, complete blood count, iron, alanine aminotransferase and aspartate amino transferase, thyroid stimulating hormone, vitamin B12 and creatinine levels were examined in the healthy staff working in the operating room (minimum 1 year) between the ages of 18-50. The General Health scale, Maslach Burnout inventory and the Beck Depression inventory (BDI) were applied to the operating room staff.Results:There were a low degree of correlation between age and vitamin D levels, positive and modest correlation between income and emotional exhaustion, and low degree of negative correlation between personal accomplishment (PA) and sleep duration. There were low positive correlation between BDI and emotional exhaustion, low positive correlation between BDI and depersonalization, moderate positive correlation between emotional exhaustion (EE) and personal accomplishment, moderate positive correlation between EE and depersonalization, and low positive correlation between PA and depersonalization. There was no significant correlation between other variables.Conclusion:As a conclusion, a significant relationship could not be determined between the scores of the BDI and the emotional exhaustion, depersonalization and PA subscales of the Maslach Burnout scale and the level of vitamin D.Keywords:Vitamin D, burnout, depression, questionnairesPublication Ultrasound-guided erector spinae plane block in patients undergoing pediatric abdominal surgery: a randomized study(2022-05-01T00:00:00Z) PINAR, PARVİN; YEŞİLTAŞ, SERDAR; TÜRKAY, MELTEM; KARAASLAN, Kazım; TÜRKÖZ, Ayda; PINAR, PARVİN; YEŞİLTAŞ, SERDAR; TÜRKAY, MELTEM; KARAASLAN, KAZıM; TÜRKÖZ, AYDABackground: Erector spinae plane block (ESPB) can provide effective analgesia in pediatric abdominal surgery. Additionally, when used as an analgesic method in abdominal surgery, ESPB may increase regional intra-abdominal tissue oxygen saturation (rSO(2)) throughout the operation. However, the number of related studies conducted on pediatric patients is insufficient.Publication Comparison of serratus plane block alone and in combination with pectoral type 1 block for breast cancer surgery: a randomized controlled study(2022-03-01T00:00:00Z) Yeşiltaş, Serdar; Türköz, Ayda; Çalım, Muhittin; Esen, Asım; Daşkaya, Hayrettin; Karaaslan, Kazım; YEŞİLTAŞ, SERDAR; TÜRKÖZ, AYDA; ÇALIM, MUHITTIN; ESEN, ASIM; DAŞKAYA, HAYRETTİN; KARAASLAN, KAZıMBackground/Aim: Concurrent application of ultrasound-guided pectoral type 1 (PECS I) and serratus plane block (SPB) is one of the most appropriate multimodal analgesic strategies for reducing acute post-mastectomy pain. The purpose of the present study was to compare the analgesic efficacy of SPB alone, or in combination with PECS I block for postmastectomy pain following breast cancer surgery. Materials and Methods: Sixty participants undergoing breast cancer surgery were randomly assigned to two groups. After anesthesia induction, group S (n =30) received SPB alone, whereas the SPECS group (n =30) received a combination of PECS I and SPB. Pain scores at 0, 1, 2, 6, 12, 24 h postoperatively, intra-operative fentanyl consumption, postoperative time to first rescue analgesia, nausea, vomiting, patient satisfaction, and anesthesia-related complications were recorded. Results: Pain scores in the SPECS group were significantly lower than group S throughout the follow-up period (p <0.001). A significant reduction in postoperative rescue morphine consumption (p =0.01, median difference 7 mg, 95 % confidence interval: 5.1-7.9 mg) and intraoperative fentanyl consumption (p =0.01) in the SPECS group compared with group S. Moreover, postoperative nausea and vomiting were lower, and patient satisfaction was higher in the SPECS group compared with that of the group S. Conclusions: These results suggest that SPB application and PECS I provide more effective and reliable perioperative analgesia and increase patient satisfaction in breast cancer surgeryPublication Esmolol Administration for the Treatment of Refractory Ventricular Fibrillation(2016-12-01) Karaaslan, KAZIM; UMUTOGLU, Tarik; TOPUZ, Ufuk; Ay, YASİN; KARAASLAN, KAZıM; AY, YASİNVentricular fibrillation (VF) after releasing an aortic cross clamp in patients undergoing open heart surgery procedures is not rare. Ischemiareperfusion injury after release of the aortic clamp, increased adrenergic tone, and insufficient protection of the myocardium are the possible causes. Amiodarone, lidocaine, and beta blockers have been added to the cardioplegia solutions as a preventive measure for reperfusion VF. We report a case of life-threatening, shock-resistant VF during the weaning period of a cardiopulmonary bypass (CPB) in a 61-yearold male who underwent a mitral valve repair surgery for mitral valve regurgitation. After several defibrillation attempts, refractory VF was turned to normal sinus rhythm shortly after ultra-short acting, beta blocking agent esmolol administration. CPB was terminated successfully following this. In conclusion, VF is still a major problem for clinicians and the treatment of refractory VF is not well defined. In contrast with the absence of the sufficient randomized controlled human studies, theoretically beta blockers could be a choice alternative for shock refractory VF.Publication Use of the gastro-laryngeal tube in endoscopic retrograde cholangiopancreatography cases under sedation/analgesia(2016-05-01) Daskaya, HAYRETTİN; UYSAL, HARUN; Ciftci, Taner; BAYSAL, Birol; IDIN, Kadir; Karaaslan, KAZIM; DAŞKAYA, HAYRETTİN; UYSAL, HARUN; KARAASLAN, KAZıMBackground/Aims: In this study, we aimed to analyze the effects of Gastro-Laryngeal Tube (GLT) use on intraoperative and postoperative hemodynamic parameters, comfort of the procedure, and patients’ satisfaction in endoscopic retrograde cholangiopancreatography (ERCP). Materials and Methods: A total of 80 patients between the ages of 20 and 75 years who were scheduled for elective ERCP were enrolled. The patients were randomly assigned to two groups: groups N and G. Those in group N underwent the procedure with sedation without any airway instruments and those in group G underwent procedure after sedation and airway management with GLT. Intraoperative and postoperative vital signs as well as the satisfaction of the patients were recorded. Results: The duration to esophageal visualization was found to be significantly higher in group N (16 s) than in group G (7 s) (p=0.001). The mean Visual Analogue Scale for Pain (VAS) was significantly higher in group G (1.85) than in group N (0.45) (p=0.016). Group G had higher endoscopist satisfaction scores than group N. The incidence of desaturation during ERCP was significantly higher in group N (60%) than in group G (0%) (p=0.000). Conclusion: In conclusion, ERCP should be performed under optimal conditions to avoid the occurrence of unwanted complications, such as aspiration-related disorders. Therefore, according to the structural properties of GLT, sedation anesthesia application with GLT in ERCP will be safer, more comfortable, and more effective.Publication Recommendation for Resuming Elective Surgery during the Normalising Period in COVID-19 Pandemic.(2021-02-01T00:00:00Z) Sungur, Zerrin; Ergil, Jülide; Karaaslan, Kazım; Tomak, Yakup; Turgut, Namigar; Kurtipek, Ömer; KARAASLAN, KAZıMPublication A new maneuver for classical laryngeal mask airway insertion: Prospective randomized study(2022-08-01) Esen A.; Bakan M.; Topuz U.; Ertaş Dursun Z.; Karaaslan K.; ESEN, ASIM; KARAASLAN, KAZıMBackground/Aim: Laryngeal mask airway (LMA) has been frequently used for airway management. But the satisfaction of the insertion and trauma at insertion remain problems. We present a new insertion maneuver for classical LMA (cLMA) with a partially inflated cuff and examine its success and complication rate.Methods: In 4 months, 158 patients who were classified as ASA I–III and older than 18 years old and were planned for LMA were included in this study consecutively (according to the study design, one patient was excluded during the study). Emergency cases, patients with any contraindications with LMA, patients who were expected to undergo surgery for more than 2 h, patients with preoperative respiratory tract infection or sore throat, patients undergoing oral or nasal surgery, and patients with aspirated oropharyngeal secretions after removal of LMA was excluded from the study. Age, gender, height, weight, ASA scores, comorbidities, and the duration of anesthesia and surgery of the patients were recorded. One-hundred-fifty-seven consecutive patients were randomized into two groups by a coin toss [control group (group C) and study group (group S)]. The groups were compared in terms of LMA insertion success, the number of insertion attempts, the presence of blood on the LMA or in secretions, and postoperative sore throat. Classical Laryngeal Mask Airway was inserted with Brain’s standard technique in group C and with the new technique in group S. In the new technique, the head and neck of the patient were supported in a straight position, the mouth was opened, cLMA was held with a dominant hand from the tube part and inserted until the tip touches to the oropharynx. The index finger of the non-dominant hand was inserted into the mouth to pass by the cLMA and reach the tip of the cLMA. The tip of cLMA was directed to the caudal by the index finger. Then, cLMA was inserted by the guidance of the index finger until it reached the triangular base of the oropharynx.Results: There was no statistically significant difference in terms of demographic data and placement success; placement success was better in the study group (100% versus 98.6% and P = 0.45). Similarly, the count of attempts was better in the study group. The mean attempt number was 1.11 in group S and 1.28 in group C (P = 0.02). Also, blood on LMA was seen to be more common in group C (P = 0.04). There were no statistical differences in sore throat, but it was less seen in group S.Conclusion: The new maneuver was better than the standard technique and easy to use in daily practice.Keywords: Airway management, Laryngeal mask airway, ComplicationsPublication Retroperitoneal Kitle Nedeniyle Opere Edilen Hastada Devamlı Erector Spina Düzlem Bloğu Uygulaması(2018-11-11T00:00:00Z) YEŞİLTAŞ, SERDAR; DAŞKAYA, HAYRETTİN; YILMAZ, SİNAN; ÇALIM, MUHİTTİN; KARAASLAN, KAZİM; YEŞİLTAŞ, SERDAR; DAŞKAYA, HAYRETTİN; YILMAZ, SİNAN; ÇALIM, MUHITTIN; KARAASLAN, KAZıM