ASIM ENES OZBEK
@kocaelieah.saglik.gov.tr
University of Health Sciences Derince Training and Research Hospital Department of Emergency Medicine
University of Health Sciences Derince Training and Research Hospital
RESEARCH INTERESTS
Airway, critical care, POCUS
Scopus Publications
Scopus Publications
Elif Cinar, Emre Sanci, Hatice Sinav Utku, and Asim Enes Ozbek
Springer Science and Business Media LLC
Asim E. Ozbek and Emre Sanci
Cambridge University Press (CUP)
AbstractIntroduction:The first priority of the primary survey of trauma care is airway management. For patients who have a known or suspected cervical spine injury, using the jaw-thrust maneuver is critical. It was hypothesized that the jaw-thrust maneuver would ease the insertion of the laryngeal mask airway (LMA) by moving the tongue forward from the palate and posterior pharyngeal wall.Study Objectives:The aim of the study was to evaluate the effect of jaw-thrust maneuver on LMA insertion times of the paramedics with or without chest compression and with or without cervical stabilization in a manikin.Methods:Eleven experienced paramedics inserted LMA in jaw-thrust position and standard position in chest compression without cervical stabilization scenario, chest compression with cervical stabilization scenario, cervical stabilization without chest compression scenario, and the scenario where neither cervical stabilization nor chest compression were performed. The primary outcome of the study was the comparison of LMA insertion times for each method. The secondary outcome measures were first-pass success rates and the comparison of the difficulty level of each method.Results:During the LMA placement, performing the jaw-thrust maneuver instead of the standard method did not shorten the LMA insertion times. Adding chest compression and/or cervical stabilization did not complicate the LMA insertion. All of the LMA insertion attempts during the jaw-thrust maneuver and standard method were successful.Conclusion:The findings of this study suggest that LMA insertion might be attempted both during the jaw-thrust maneuver and standard position in patients with or without chest compression and with or without cervical stabilization.
Asim Enes Ozbek, Emre Sanci, and Huseyin Cahit Halhalli
Springer Science and Business Media LLC
Asim Enes Ozbek, Huseyin Cahit Halhalli, and Emre Şancı
Elsevier BV
Asim Enes Ozbek, Huseyin Cahit Halhalli, Serkan Yilmaz, Emrah Celik, Hakan Ozerol, and Emre Şancı
Elsevier BV
Ibrahim Ulas Ozturan, Elif Yaka, Selim Suner, Asim Enes Ozbek, Cansu Alyesil, Nurettin Ozgur Dogan, Serkan Yilmaz, and Murat Pekdemir
Informa UK Limited
Abstract Background: Acute carbon monoxide poisoning is a common environmental emergency worldwide. Treatment options are limited to normobaric oxygen therapy with a nonrebreather face mask or endotracheal tube and hyperbaric oxygen. The aim of this study is to determine the half-life of carboxyhemoglobin (COHb) in adult patients admitted to the emergency department with acute carbon monoxide poisoning receiving high flow nasal cannula (HFNC) oxygen. Device tolerability and patient comfort with the high flow nasal cannula were also evaluated. Methods: This study was conducted between January 2017 and February 2018 in two academic emergency departments. Venous blood samples were obtained at 10 minute intervals to determine the rate of elimination of COHb. Patient comfort was evaluated by a verbal numeric rating scale. The primary outcome was the determination of the half-life of COHb. The secondary outcome was device tolerability and patient comfort with the high flow nasal cannula oxygen delivery system. Results: A total of 33 patients were enrolled in the study. The mean baseline COHb level of the patients was 22.5% (SD 8%). The mean half-life of carboxyhemoglobin was determined as 36.8 minutes (SD 9.26 min) with high flow nasal cannula oxygen. COHb levels were halved during the first 40 minutes in 22 (67%) of the study patients. Twenty of the patients receiving HFNC oxygen did not report intolerance or discomfort. Among the 11 patients who requested a change in the flow rate, the median verbal numeric rating score was 7. After decreasing the flow rate, the median verbal numeric rating score was 9. Conclusion: High flow nasal cannula oxygen is an easy, safe, comfortable and effective method to reduce COHb. HFNC may be a promising alternative method if it is validated as effective in future studies with clinical outcomes.
Hüseyin Cahit Halhalli, Asım Enes Özbek, Emrah Çelİk, Yavuz Yİğİt, Serkan Yilmaz, and Müge Çardak
World Journal of Emergency Medicine
or in cases with operator limitations. [4] An endotracheal tube introducer (ETI) is an effective, inexpensive, and easy-to-use tool for opening airways [5] in adult patients with a Cormack-Lehane score of 3. [6] Endotracheal intubation using an ETI can be learned quickly with brief instructions. [7] In adult patients, there is no study evaluating the experience of ETI during Lucas with CPR. The study is to compare the fi rst-attempt success rates of inexperienced doctors in an ambulance simulation for endotracheal intubation performed on mannequins with a Macintosh laryngoscope (ML) with or without an ETI while performing CPR using a continuous mechanical CPR device.
Asım Enes Özbek, Yavuz Selim Divrikoğlu, Serkan Yılmaz, Nurcihan Ülkü Aytaş, and Emrah Çelik
Elsevier BV
İbrahim Ulaş Özturan, Nurettin Özgür Doğan, Onur Karakayalı, Asım Enes Özbek, Serkan Yılmaz, Murat Pekdemir, and Selim Suner
Elsevier BV
Hüseyin Acar, Serkan Yılmaz, Elif Yaka, Nurettin Özgür Doğan, Asım Enes Özbek, and Murat Pekdemir
AVES Publishing Co.
Background: Despite the existence of detailed consensus guidelines, challenges remain regarding efficient, appropriate, and safe imaging methods for the diagnosis of suspected pulmonary embolism. Aims: To investigate the role of the wedge sign, B-lines, and pleural effusion seen on bedside lung ultrasound in the diagnosis of pulmonary embolism. Study Design: Diagnostic accuracy study. Methods: During the first evaluation of patients with suspected pulmonary embolism, bedside lung ultrasound was performed, and the B-lines, wedge sign, and pleural effusion were investigated. Computed tomography angiography was used as a confirmatory test and was compared with the lung ultrasound findings. Results: Pulmonary embolism was detected in 38 (38%) patients. In the comparison of bedside lung ultrasound results, statistically significant differences were found between the groups in terms of the B-lines and wedge sign (p=0.005 and p<0.001, respectively). There were no significant differences in terms of effusion (p=0.234). Comparison of these findings with computed tomography angiography of the chest showed weak negative correlations between the groups in terms of B-lines (r=-0297) and a moderately positive correlation in terms of the wedge sign (r=0.523). The sensitivity, specificity, and positive and negative predictive values of lung ultrasound findings alone were low. In the logistic regression analysis, the wedge sign (p<0.01, OR=69.45, 95% CI=6.94-695.17) and B-line (p=0.033, OR=1.96, 95% CI=0.41-8.40) were found to be effective in the diagnosis of pulmonary embolism. Conclusion: Although the role of lung ultrasound has been increasing in the management of critically ill patients, its value is limited and cannot replace the gold standard tests in the diagnosis of pulmonary embolism.