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ÇALIM, MUHITTIN

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MUHITTIN
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ÇALIM
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Start date: 2020 × End date: 2023 ×

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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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    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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    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
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    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.
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    Anestezi ve Teletıp
    (Akademisyen Yayınevi Kitabevi, 2022-02-01) Çalım M.; ÇALIM, MUHITTIN
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    Yoğunbakım Sorunları ve Tedavileri
    (2020-03-01T00:00:00Z) Karaaslan, Kazım; Çalım, Muhittin; KARAASLAN, KAZıM; ÇALIM, MUHITTIN
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    Comparative efficacy and life quality effects of surgical stripping, radiofrequency ablation, and cyanoacrylate embolization in patients undergoing treatment for great saphenous vein insufficiency
    (2020-08-01T00:00:00Z) AY, YASİN; Gunes, Esra; TÜRKKOLU, ŞEVKET TUNA; SELÇUK, Emre; ÇALIM, Muhittin; AKAL, Ramazan; AYDIN, CEMALETTİN; İNAN, BEKİR; KÖKSAL, CENGİZ; KAHRAMAN AY, Nuray; AY, YASİN; TÜRKKOLU, ŞEVKET TUNA; SELÇUK, EMRE; ÇALIM, MUHITTIN; AKAL, RAMAZAN; AYDIN, CEMALETTİN; İNAN, BEKİR; KÖKSAL, CENGİZ; KAHRAMAN AY, NURAY
    Objectives To compare traditional surgery with two minimally invasive endo-venous procedures in terms of their long-term effect on the quality of life in great saphenous vein insufficiency (GSV). Method This prospective observational study included 217 patients that underwent surgical stripping (n = 62), radiofrequency ablation (n = 70), or cyanoacrylate embolization (n = 85) for the treatment of GSV insufficiency. Venous Clinical Severity Score (VCSS) assessments were made, 36-item Short-Form Health Survey (SF-36) questionnaire and Chronic Venous Insufficiency quality of life Questionnaire (CIVIQ-14) were administered, before and 1 year after the treatments. Results Surgical stripping group had significantly higher closure rates than the other groups (p < 0.05). At 12 months, decrease in VCSS scores was less pronounced in the cyanoacrylate embolization group when compared to the other two groups (p < 0.05). Improvement in CIVIQ-14 scores was better in the radiofrequency ablation group when compared to the cyanoacrylate embolization group (p < 0.05). Surgical stripping or radiofrequency ablation groups performed better on several domains of SF-36, when compared to the cyanoacrylate embolization group. Conclusions Surgical stripping and radiofrequency ablation seem to provide a better quality of life results at one year in patients undergoing treatment for GSV insufficiency.
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    Sedasyon - Entübasyon ve Ventilasyonda
    (İnönü Üniversitesi Yayınevi, 2022-07-01) Çalım M.; ÇALIM, MUHITTIN