Article Instance

HTTP 200 OK
Allow: GET
Content-Type: application/json
Vary: Accept

{
    "pk": 1105,
    "title": "Needle Decompression of Tension Pneumoperitoneum: A Case Report",
    "subtitle": null,
    "abstract": "Introduction:\n Tension pneumoperitoneum is rarely encountered in the emergency department but can have disastrous effects on the body when it is. However, an emergency physician has skills that can be readily applied to needle decompress the abdomen for rapid stabilization.\nCase Report:\n A 42-year-old male arrived via ambulance after a likely overdose with mental status improvement following naloxone administration. He was found to be in respiratory distress due to a rigid, distended abdomen that required intubation for stabilization. Computed tomography imaging showed significant pneumoperitoneum with tension physiology. Surgery consultation was unable to intervene immediately, and needle decompression with an angiocatheter was performed at the bedside with immediate ventilatory improvement.\nConclusion: \nTension pneumoperitoneum is a rare but potentially disastrous consequence of overdose secondary to emesis and rupture of the gastric wall. Needle decompression is a skillset already in the emergency physician’s toolbox and can be applied for emergency stabilization of a tension pneumoperitoneum with proper forethought and technique.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "tension pneumoperitoneum"
        },
        {
            "word": "needle decompression"
        },
        {
            "word": "overdose"
        },
        {
            "word": "gastric perforation"
        }
    ],
    "section": "ACOEP Case Reports (Invitation Only)",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/4zr548wk",
    "frozenauthors": [
        {
            "first_name": "Joseph",
            "middle_name": "",
            "last_name": "Ray",
            "name_suffix": "",
            "institution": "AdventHealth East Orlando, Department of Emergency Medicine, Orlando, Florida",
            "department": "None"
        },
        {
            "first_name": "Nadin",
            "middle_name": "",
            "last_name": "Exantus",
            "name_suffix": "",
            "institution": "AdventHealth East Orlando, Department of Emergency Medicine, Orlando, Florida",
            "department": "None"
        }
    ],
    "date_submitted": "2021-11-02T06:58:23+01:00",
    "date_accepted": "2021-11-02T06:58:23+01:00",
    "date_published": "2021-11-02T06:59:08+01:00",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/1105/galley/846/download/"
        }
    ]
}