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ÇALIM, MUHITTIN

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MUHITTIN
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ÇALIM
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Now showing 1 - 10 of 10
  • PublicationMetadata only
    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
  • 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.
  • PublicationMetadata only
    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.
  • PublicationMetadata only
    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
  • PublicationMetadata only
    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
  • PublicationMetadata only
    Lifesaving Treatment of Aortic Valve Staphylococcus aureus Endocarditis: Daptomycin and Early Surgical Therapy
    (2021-11-01T00:00:00Z) Yozgat, Can Yilmaz; UZUNER, SELÇUK; AY, YASİN; Temur, Hafize Otcu; Bursal Duramaz, Burcu; TÜREL, Özden; ÇALIM, Muhittin; Buyukpinarbasili, Nur; Yozgat, Yilmaz; UZUNER, SELÇUK; AY, YASİN; BURSAL DURAMAZ, BURCU; TÜREL, ÖZDEN; ÇALIM, MUHITTIN; YOZGAT, YILMAZ
    Infective endocarditis (IE) is an uncommon infection in children. The recommended treatment for native valve endocarditis secondary to methicillin-susceptible Staphylococcus aureus infection is antistaphylococcal penicillins such as nafcillin or oxacillin. If the initial therapy fails in IE, it can lead to catastrophic results. Nowadays, daptomycin is the best alternative antimicrobial agent to treat children with severe infections, when standard antimicrobial therapy does not yield a result. Herein, in this article, we described a case of a 16-year-old boy who had aortic valve S. aureus endocarditis with septic embolization and stroke. The patient was successfully treated only with daptomycin as well as surgical therapy in the early phase of the infection.
  • PublicationMetadata only
    Anestezi ve Teletıp
    (Akademisyen Yayınevi Kitabevi, 2022-02-01) Çalım M.; ÇALIM, MUHITTIN
  • PublicationMetadata only
    Sedasyon - Entübasyon ve Ventilasyonda
    (İnönü Üniversitesi Yayınevi, 2022-07-01) Çalım M.; ÇALIM, MUHITTIN
  • PublicationMetadata only
    Plasminogen Activator Inhibitor-1 Levels as an Indicator of Severity and Mortality for COVID-19
    (2023-02-01) Baycan Ö. F.; Barman H. A.; Bölen F.; Atıcı A.; Erman H.; Korkmaz R.; Çalım M.; Atalay B.; Açıksarı G.; Çekmen M. B.; et al.; ÇALIM, MUHITTIN
  • PublicationMetadata only
    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, KAZıM
    Objective: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, questionnaires