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ÇALIM, MUHITTIN

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MUHITTIN
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ÇALIM
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    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, KAZıM
    Background/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 surgery
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    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
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    MRI and Anesthesia & Sedation
    (2017-08-01) ESEN, ASIM; ÇALIM, MUHİTTİN; KADIOĞLU, HÜSEYİN; ÇALIM, MUHITTIN; KADIOĞLU, HÜSEYİN
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    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, CEMALETTİN
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    MRI and Anesthesia & Sedation
    (2017-08-01T00:00:00Z) ESEN, ASIM; ÇALIM, MUHİTTİN; KADIOĞLU, HÜSEYİN; ESEN, ASIM; ÇALIM, MUHITTIN
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    PublicationOpen Access
    Usefulness of oxidative stress marker evaluation at admission to the intensive care unit in patients with COVID-19
    (2021-07-01T00:00:00Z) Daşkaya, Hayrettin; Yılmaz, Sinan; Uysal, Harun; Sümbül, Bilge; Karaaslan, Kazım; DAŞKAYA, HAYRETTİN; YILMAZ, SİNAN; UYSAL, HARUN; ÇALIM, MUHITTIN; SÜMBÜL, BİLGE; YURTSEVER, İSMAİL; KARAASLAN, KAZıM
    Objective:Two critical processes in the coronavirus disease 2019 (COVID-19) pandemic involve assessing patients- intensive care needs and predicting disease progression during patients- intensive care unit (ICU) stay. We aimed to evaluate oxidative stress marker status at ICU admission and ICU discharge status in patients with COVID-19.Methods:We included patients in a tertiary referral center ICU during June-December 2020. Scores of Acute Physiology and Chronic Health Evaluation II (APACHE II), Sequential Organ Failure Assessment (SOFA), and clinical severity, radiologic scores, and healthy discharge status were noted. We collected peripheral blood samples at ICU admission to evaluate total antioxidants, total oxidants, catalase, and myeloperoxidase levels.Results:Thirty-one (24 male, 7 female) patients were included. At ICU admission, patients- mean APACHE II score at ICU admission was 17.61 ± 8.9; the mean SOFA score was 6.29 ± 3.16. There was no significant relationship between clinical severity and oxidative stress (OS) markers nor between radiological imaging and COVID-19 data classification and OS levels. Differences in OS levels between patients with healthy and exitus discharge status were not significant.Conclusions:We found no significant relationship between oxidative stress marker status in patients with COVID-19 at ICU admission and patients- ICU discharge status.
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    Ecmo İle Takip Edilen Covid-19 Pnömonili Hastada Geniş Pnömotosel Oluşumunun Weaning Sürecine Etkisi
    (2021-11-01T00:00:00Z) Çalış, Büşra; Çalım, Muhittin; Daşkaya, Hayrettin; ÇALIŞ, BÜŞRA; ÇALIM, MUHITTIN; DAŞKAYA, HAYRETTİN
    Corona virüs; ilişkili sitokin fırtınası ile birlikte alveolleri tahrip ederek pnomotoraks ve hava kistlerinin oluşumuna neden olabilmektedir. Literatürde Covid-19 pnömonisi ile takip edilen hastalarda pnömotosel oluşumu bildiren sayılı olgu sunumu bulunmaktadır fakat ECMO uygulaması esnasında gelişen pnömotosel ve bununla ilişkili weaning sürecini bildiren yayın bulunmamaktadır. Sunumumuzda bu şartlar dahilinde takip ettiğimiz vakayı sunup tartışmayı amaçladık Olgu: 66 yaşında, bilinen ek hastalığı olmayan kadın hasta ilerlemiş COVID-19 pnömonisi tanısıyla dış merkez Yoğun Bakım Ünitesinden (YBÜ) OTE halde kabul edildi. PCR+ olan hastaya trakeostomi açılarak koruyucu akciğer ventilasyon stratejileri uygulandı. Uygulanan stratejilerle etkin ventilasyon-perfüzyon sağlanamayınca veno-venöz bifemoral ECMO başlandı. ECMO öncesi toraks BT’lerinde sadece diffüz buzlu cam manzarası tespit edilen (Resim 1) hastanın süreç içerisinde PA akciğer direkt grafi takiplerinde havalanma artışı gözlendi(Resim 2). ECMO altında hastanın transpotu riskli olacağı için toraks BT’si çekilemedi. ECMO uygulaması esnasında etkin tidal volüm oluştuğu gözlenmesine rağmen iki başarısız weanin denemesi yaşandı. ECMO takibinin 31.gününde başarılı bir şekilde tamamlanan ECMO weaning sonrasında çekilen BT’sinde sağ akciğer de 133x96 mm, sol akciğerde en büyüğü 68x50 mm boyutunda ölçülen birkaç adet pnomotosel izlendi (Resim3). Pnömotosellerin büyük olması ve hava kaçağına neden olabileceğinden cerrahi girişimin riskli olacağına karar verildi, takip edilmeye başlandı. Hasta yatışının 91. gününde trakeostomisi dekanüle edilerek Göğüs Hastalıkları Kliniğine devir edildi. 7 günlük servis takibinden sonra hasta oksijen konsantratörü (4 lt/dk) eşliğinde eve taburcu edildi.
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    Utility of the gastro-laryngeal tube during transesophageal echocardiography: A prospective randomized clinical trial.
    (2022-12-16) Calim M.; Uysal H.; Kahraman Ay N.; Karaaslan K.; Daskaya H.; ÇALIM, MUHITTIN; UYSAL, HARUN; DAŞKAYA, HAYRETTİN
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    Pediyatrik tonsillektomide intranazal katamin ve intranazal fentanil’xxin analjezik etkisinin gösterilmesi
    (2017-11-12) YENİGÜN, ALPER; YILMAZ, SİNAN; DOĞAN, REMZİ; ÇALIM, MUHİTTİN; OZTURAN, ORHAN; YENİGÜN, ALPER; YILMAZ, SİNAN; DOĞAN, REMZI; ÇALIM, MUHITTIN; ÖZTURAN, ORHAN
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    Privacy awareness among healthcare professionals in intensive care unit: A multicenter, cross-sectional study
    (2023-02-01) Özdinç A.; Aydın Z.; Çalım M.; Özkan A. S.; Bakır H.; Akbaş S.; ÇALIM, MUHITTIN; AKBAŞ, SEDAT