Person: KARACABEY, SİNAN
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KARACABEY
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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 Open Access The Cardiopulmonary Effects of Medical Masks and Filtering Facepiece Respirators on Healthy Health Care Workers in the Emergency Department: A Prospective Cohort Study(Elsevier Inc., 2022-01) DENİZBAŞI ALTINOK, ARZU; Sanri E., Karacabey S., Unal E., Kudu E., Cetin M., Ozpolat C., Denizbasi A.Background: International COVID-19 guidelines recommend that health care workers (HCWs) wear filtering facepiece (FFP) respirators to reduce exposure risk. However, there are concerns about FFP respirators causing hypercapnia via rebreathing carbon dioxide (CO2). Most previous studies measured the physiological effects of FFP respirators on treadmills or while resting, and such measurements may not reflect the physiological changes of HCWs working in the emergency department (ED). Objective: Our aim was to evaluate the physiological and clinical impacts of FFP type II (FFP2) respirators on HCWs during 2 h of their day shift in the ED. Methods: We included emergency HCWs in this prospective cohort study. We measured end-tidal CO2 (ETCO2), mean arterial pressure (MAP), respiratory rate (RR), and heart rate values and dyspnea scores of subjects at two time points. The first measurements were carried out with medical masks while resting. Subjects then began their day shift in the ED with medical mask plus FFP2 respirator. We called subjects after 2 h for the second measurement. Results: The median age of 153 healthy volunteers was 24.0 years (interquartile range 24.0–25.0 years). Subjects’ MAP, RR, and ETCO2 values and dyspnea scores were significantly higher after 2 h. Median ETCO2 values increased from 36.4 to 38.8 mm Hg. None of the subjects had hypercapnia symptoms, hypoxia, or other adverse effects. Conclusion: We did not observe any clinical reflection of these changes in physiological values. Thus, we evaluated these changes to be clinically insignificant. We found that it is safe for healthy HCWs to wear medical masks plus FFP2 respirators during a 2-h working shift in the ED. © 2021Publication 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 Open Access Diagnostic Accuracy of the Electrocardiography Criteria for Left Ventricular Hypertrophy (Cornell Voltage Criteria, Sokolow-Lyon Index, Romhilt-Estes, and Peguero-Lo Presti Criteria) Compared to Transthoracic Echocardiography(CUREUS INC, 2021-03-14) DENİZBAŞI ALTINOK, ARZU; Bayram, Nurseli; Akoglu, Haldun; Sanri, Erkman; Karacabey, Sinan; Efeoglu, Melis; Onur, Ozge; Denizbasi, ArzuObjective/Aim: We aimed to evaluate the diagnostic utility of the widely used left ventricular hypertrophy (LVH) electrocardiography (ECG) criteria (Cornell Voltage Criteria [CVC], Sokolow-Lyon Index [SLI], Romhilt-Estes [REC], and Peguero-Lo Presti [PLP] Criteria) compared with the left ventricular mass measured by echocardiography. Methods: In this prospective diagnostic accuracy study, we screened all consecutive adults (18 to 65 years) who presented to our academic emergency department (ED) with increased blood pressure (>= 130/85 mmHg) between January 2016 and January 2017, and we enrolled a convenience sample of 165 patients in our study. The attending emergency physician managed all patients as per their primary complaint. The consulting cardiologist performed a transthoracic echocardiogram (TTE) of the patient and calculated the left ventricular mass (LVM) according to the American Society of Echocardiography (ASE) formula. After completing the patient recruitment phase, researchers evaluated all ECGs and calculated scores for SLI, CVC, REC, and PLP. We used contingency tables to calculate the diagnostic utility metrics of all ECG criteria. Results: The prevalence of LVH by TTE was 31.5%. CVC, SLI, REC, and PLP criteria correctly identified (true positive rate) abnormal LVM in only 3.9%, 1.9%, 9.6%, and 19.2% of the patients, respectively. CVC, SLI, REC score and PLP criteria performed poorly with extremely low sensitivities (3.9%, 1.9%, 10%, 19.2%) and poor accuracies (67.3%, 64.9%, 57.7%, 69.7%). Conclusion: ECG voltage criteria's clinical utility in estimating LVM and LVH is low, and it should not be used for this purpose.Publication Open Access Diagnostic accuracy of the ECG criteria for left ventricular hypertrophy (cornell voltage criteria, sokolow-lyon index, romhilt-estes, and peguero-lo presti criteria) compared to transthoracic echocardiography(2021-03-01) AKOĞLU, HALDUN; ONUR, ÖZGE ECMEL; KARACABEY, SİNAN; EFEOĞLU, MELİS; DENİZBAŞI ALTINOK, ARZU; Akoğlu H., Onur Ö. E., Karacabey S., Efeoğlu Saçak M., Denizbaşı Altınok A.Objective/Aim: We aimed to evaluate the diagnostic utility of the widely used left ventricular hypertrophy (LVH) electrocardiography (ECG) criteria (Cornell Voltage Criteria [CVC], Sokolow-Lyon Index [SLI], RomhiltEstes [REC], and Peguero-Lo Presti [PLP] Criteria) compared with the left ventricular mass measured by echocardiography. Methods: In this prospective diagnostic accuracy study, we screened all consecutive adults (18 to 65 years) who presented to our academic emergency department (ED) with increased blood pressure (≥130/85 mmHg) between January 2016 and January 2017, and we enrolled a convenience sample of 165 patients in our study. The attending emergency physician managed all patients as per their primary complaint. The consulting cardiologist performed a transthoracic echocardiogram (TTE) of the patient and calculated the left ventricular mass (LVM) according to the American Society of Echocardiography (ASE) formula. After completing the patient recruitment phase, researchers evaluated all ECGs and calculated scores for SLI, CVC, REC, and PLP. We used contingency tables to calculate the diagnostic utility metrics of all ECG criteria. Results: The prevalence of LVH by TTE was 31.5%. CVC, SLI, REC, and PLP criteria correctly identified (true positive rate) abnormal LVM in only 3.9%, 1.9%, 9.6%, and 19.2% of the patients, respectively. CVC, SLI, REC score and PLP criteria performed poorly with extremely low sensitivities (3.9%, 1.9%, 10%, 19.2%) and poor accuracies (67.3%, 64.9%, 57.7%, 69.7%). Conclusion: ECG voltage criteria's clinical utility in estimating LVM and LVH is low, and it should not be used for this purpose.Publication 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.