Person: SANRI, ERKMAN
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SANRI
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ERKMAN
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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 Aortic rupture secondary to blunt trauma(2021-11-28) SANRI, ERKMAN; DENİZBAŞI ALTINOK, ARZU; ÖZVARİNLİ H. M., Altun M., YAKIN F., TIRIŞ C., KURULAY İ., ÜNAL E., Demir H., SANRI E., DENİZBAŞI ALTINOK A.Publication 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 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 EVALUATION AND COMPARISON OF SCREENING TOOLS USED TO PREDICT THE ADVERSE OUTCOMES OF ELDERLY PATIENTS IN THE EMERGENCY DEPARTMENT(CARBONE EDITORE, 2021) SANRI, ERKMAN; Bahadirli, Suphi; Kurt, Erdem; Ak, Rohat; Kurt, Sebnem Zeynep Eke; Sanri, Erkman; Bulut, MehtapIntroduction: The proportion of the geriatric population, who visited the emergency departments (EDs) more frequently and with more complicated problems, is increasing every passing day. The use of screening tools to identify high-risk patients among elderly patients gains importance as it facilitates the selection of appropriate treatment and follow-up. In this study, we evaluate and compare the predictive ability of the Identification of Seniors at Risk (ISAR) and the Silver Code (SC) screening tools in Turkey. Materials and methods: Patients aged 65-year and over who visited our ED over a ten-month period were enrolled. ISAR and SC tools were applied to participants following the initial medical assessment. Receiver operating characteristic (ROC) analysis was used to evaluate the predictive ability of the tools in short and long-term adverse outcomes such as ED re-visit, hospitalization, and mortality. These evaluations were performed following the initial ED visit, 1 and 6-month after the initial ED visit. Results: The median (IQR) age of 497 participants was 73.0 (68.5, 79.0), and %53.9 were women. ISAR was slightly better than SC in predicting all adverse outcomes, except hospitalization following the initial visit, with poor-fair results [area under the ROC curves (AUCs) between 0.62-0.78]. SC was excellent in predicting hospitalization following the initial visit (AUC: 0.90) and poor in all other outcomes (AUCs between 0.58-0.71). Conclusion: Although the results of our study underline that SC was excellent at predicting hospitalization following the initial ED visit, both tools were insufficient to make decisions for other adverse outcomes. Of course, this does not mean that the tools have no clinical value; but indicates that they are not suitable for clinical decision-making on their own and need improvements.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.