Person: KARACABEY, SİNAN
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KARACABEY
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SİNAN
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Publication Metadata only THE IMPACT OF HEAD OF BED ELEVATION ON OPTIC NERVE SHEATH DIAMETER IN CERVICAL COLLAR APPLIED HEALTHY VOLUNTEERS(ELSEVIER SCIENCE INC, 2019) SANRI, ERKMAN; Sanri, Erkman; Karacabey, SinanBackground: Guidelines recommend placing a cervical collar (c-collar) until spinal injury is excluded. Previous studies have shown that c-collar placement increases intracranial pressure (ICP), which can worsen outcomes for trauma patients who are at risk of increased ICP. Head of bed elevation (HBE) has been found to decrease ICP. However, there is no consensus in the literature for the optimal degree of HBE to decrease ICP. Objective: We aimed to find an optimal HBE degree to decrease ICP to its baseline values in healthy volunteers with increased ICP caused by c-collar. Methods: This is a randomized controlled and blinded study performed in healthy volunteers. Two sonographers measured the optic nerve sheath diameter (ONSD) of each subject's eyes separately for different time points. Then, we calculated a mean ONSD value for five time points: before c-collar placement (T-0), 5 and 20 min in supine position after c-collar placement (T-5 and T-20), and 5 and 20 min after HBE (T-25 and T-40). We randomized the subjects into three groups of HBE: 15, 30, and 45 degrees, and compared the mean ONSD values among groups. Results: All groups were similar with regard to baseline demographics and ONSD measurements before HBE. We found significant increases in mean ONSD values at T-5 and at T-20 caused by the c-collar. Thirty and forty-five degrees of HBE for 20 min decreased ONSD to its baseline values. The inter-rater reliability of the sonographers was > 0.9. Conclusions: Our results show that c-collar increases ONSD in healthy volunteers. Elevating the head of the bed 30 and 45 degrees for 20 min decreased ONSD to baseline values. (C) 2018 Elsevier Inc. All rights reserved.Publication Metadata only ULTRASOUND APPRAISAL OF OPTIC NERVE SHEATH DIAMETER IN CERVICAL COLLAR APPLIED HEALTHY VOLUNTEERS REPLY(ELSEVIER SCIENCE INC, 2020) SANRI, ERKMAN; Sanri, Erkman; Karacabey, SinanPublication Metadata only Disosiyatif anestezikler, narkotiklerin farmakolojisi ve endikasyon doz örnekleri(Türkiye Klinikleri Yayınları, 2022-01-01) SANRI, ERKMAN; KARACABEY, SİNAN; SANRI E., KARACABEY S.Publication Metadata only Evaluation Of Patients Admitted to the Emergency Department of a Tertiary Level Hospital with Extremity Laceration on Feast of Sacrifice(2021-10-31) KARACABEY, SİNAN; BAYSAL Ö., KARACABEY S.Background and aim: This study aimed to evaluate the patients who applied to the emergency department of a university hospital due to extremity laceration and were consulted to a hand surgery clinic on the Feast of sacrifice in 2021. Results: Fifty patients were evaluated. The mean age of the patients was 40. 90% of the patients were made on the first day of the Feast of sacrifice. 98% of the patients were male. The occupation of 18 patients was a butcher. When the educational status of the injured patients was examined, they were literate (n=2), primary school (n=12), secondary school (n=15), high school (n=16), university (n=5) graduates. An average of 63.38 minutes was found between laceration and admission to the hospital. Extremity lacerations occurred in 6 patients during pre-sacrifice, 28 during the sacrifice, and 16 patients after sacrifice. Finger in 31 patients, hand in 6 patients, wrist in 3 patients, forearm in 6 patients, foot in 1patient, and in the cruris region in 3patients laceration was detected. Skin-subcutaneous-fascia laceration was in 31 patients, extensor tendon injury in 8 patients, flexor tendon injury (superficial and deep) in 1patient, digital nerve injury in 8 patients, 2 (presented with digital artery incision in 4%, radial artery injury in 1 patient, tip amputation in 3 patients, and total finger amputation in 1 patient. 40 patients were treated as outpatients, and 7 patients were treated as inpatients. 3 patients left the hospital with treatment rejection. Conclusions: Injuries related to sacrificial slaughter create a significant workload in emergency services during the Feast of sacrifice. Prevention of extremity morbidity and mortality associated with laceration injuries is only possible with experienced teams in the field of emergency medicine and microsurgery. Methods: Demographic characteristics, laceration time, hospital admission time, laceration size,- laceration localization, injured structures, type of treatment were recorded prospectively. The data were analyzed retrospectively. Keywords : extremity injury, feast of sacrifice, lacerationPublication Metadata only Covid-19 ilişkili izole korpus kallosum splenium enfarktı(2021-11-28) SANRI, ERKMAN; DENİZBAŞI ALTINOK, ARZU; AKOĞLU, HALDUN; ONUR, ÖZGE ECMEL; KARACABEY, SİNAN; Ünlü B., Altun M., ALTUNBAS E., ADANÇ M., SANRI E., KARACABEY S., AKOĞLU H., ONUR Ö. E., DENİZBAŞI ALTINOK A.Publication Metadata only The utility of adding 1 l intravenous normal saline to standard 75 mg intramuscular diclofenac potassium injection in patients presented to the emergency department with an acute migraine attack: a randomizedcontrolled trial(2021-11-28) KARACABEY, SİNAN; AKOĞLU, HALDUN; SANRI, ERKMAN; ÖZPOLAT, ÇİĞDEM; DENİZBAŞI ALTINOK, ARZU; ONUR, ÖZGE ECMEL; Turan Y., AKOĞLU H., SANRI E., KARACABEY S., ÖZPOLAT Ç., ONUR Ö. E., DENİZBAŞI ALTINOK A.Publication Metadata only Geriatrik acil tıp(Kongre Kitabevi, 2021-01-01) DENİZBAŞI ALTINOK, ARZU; KARACABEY, SİNAN; SANRI, ERKMAN; DENİZBAŞI ALTINOK A., ÇETİN M., KARCIOĞLU Ö., KARACABEY S., KORKMAZ T., KÖKSAL Ö., OKTAY C., SANRI E.Publication Metadata only Use of ultrasonography for differentiation between bullae and pneumothorax(SPRINGER HEIDELBERG, 2019) SANRI, ERKMAN; Karacabey, Sinan; Sanri, Erkman; Metin, Bayram; Erkoc, Fatih; Yildirim, Sener; Intepe, Yavuz Selim; Yalcinli, SercanPurposeModern lung ultrasound (US) is mainly applied not only in critical care, emergency medicine, and trauma surgery, but also in pulmonary and internal medicine. In some cases, pneumothorax (PTX) distinguishes with bullous diseases. In this study, we aimed to discuss the success of US on detecting PTX versus bullae.MethodsWe performed a prospective blinded study. Patients underwent thorax computed tomography (CT) if bullae or pneumothorax could not be differentiated from the chest radiography. An emergency medicine specialist trained in lung US and unaware of x-ray and CT findings performed US. All patients US performed from anterior and lateral wall.ResultsFinal study population included 81 patients. The sensitivity of the presence of pleural sliding in the diagnosis of bullae was 97.50% (86.84-99.94%), and specificity was 100.0% (91.4-100.0%).ConclusionIn conclusion, direct visualisation of ultrasonographic pleural sliding can be a good tool for differentiating bullae and pneumothorax.Publication Metadata only Diagnostic utilities of tracheal ultrasound and USB-endoscope for the confirmation of endotracheal tube placement: A cadaver study(W B SAUNDERS CO-ELSEVIER INC, 2018) DENİZBAŞI ALTINOK, ARZU; Sanri, Erkman; Akoglu, Ebru Unal; Karacabey, Sinan; Verimli, Ural; Akoglu, Haldun; Sehirli, Umit; Denizbasi, ArzuObjectives: Confirmation of the endotracheal tube placement (CoETP) has the utmost importance in the management of an airway. Visualization of tracheal rings or carina with a fiber-optical bronchoscope (FOB) has considered to be a reliable method for the CoETP. However, FOB is expensive, time-consuming, and not always practical. Inexpensive endoscopic USB-cameras were shown to aid intubation successfully and reliably. On the other hand, there have been no studies investigating their use for the CoETP. Tracheal ultrasonography (TUS) is also a new, inexpensive and widely available alternative. A cadaver study has planned to evaluate the diagnostic utility of TUS and a USB-camera. Methods: This study was conducted in the Anatomy Lab of a University on a fresh frozen female cadaver. Three senior Emergency Physicians have intubated the cadaver, and performed TUS or USB-endoscopy. We have prepared a randomized intubation list (n = 96) in three blocks (3 times 32) as to include equal number of esophageal and tracheal intubations (48 for each). Each EP is performed all three interventions (intubation, TUS and USB-endoscopy) in consecutive blocks of 32 intubations, in turn. The position of the tube has been verified from a 2 cm wide ostium on the proximal trachea. Results: In this study, all intubations (n = 96, 100%) were correctly identified as tracheal or esophageal with both TUS and USB-camera. Both the sensitivity and specificity of TUS and USB-endoscopy for the CoETP were 100.0%. Conclusion: The perfect accuracy of TUS and USB-endoscopy, have placed those techniques in a unique position as an alternative in resource-poor situations. (C) 2018 Elsevier Inc. All rights reserved.Publication Metadata only Variables affecting mortality among covid-19 patients with lung involvement admitted to the emergency department(2021-11-28) SANRI, ERKMAN; ONUR, ÖZGE ECMEL; AKOĞLU, HALDUN; DENİZBAŞI ALTINOK, ARZU; KARACABEY, SİNAN; EFEOĞLU M., KARACABEY S., SANRI E., Omercikoglu S., ÜNAL E., ONUR Ö. E., AKOĞLU H., DENİZBAŞI ALTINOK A.