Air in the Belly: A Discussion of Abdominal Compartment Syndrome

Roepke, Clare; Benjamin, Elizabeth; Jhun, Paul; Bright, Aaron; Herbert, Mel

doi:10.1016/j.annemergmed.2015.11.007

Cited by 2 publications

(2 citation statements)

References 9 publications

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“…Tension pneumoperitoneum may be compared to abdominal compartment syndrome in clinical presentation. 5 This may present with abdominal distention, poor abdominal organ perfusion, and resulting elevated lactic acid levels. 6 The high abdominal compartment pressures will cause splinting of the diaphragm, preventing adequate ventilation, as well as compression of the vena cava, thus decreasing venous return and consequently cardiac output.…”

Section: Discussionmentioning

confidence: 99%

Needle Decompression of Tension Pneumoperitoneum: A Case Report

Ray

Exantus

2021

Clinical Practice and Cases in Emergency Medicine

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Introduction: 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. Case Report: 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. Conclusion: Tension 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.

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Section: Discussionmentioning

confidence: 99%

Needle Decompression of Tension Pneumoperitoneum: A Case Report

Ray

Exantus

2021

Clinical Practice and Cases in Emergency Medicine

View full text Add to dashboard Cite

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“…IAH and ACS were defined 25 years ago but they remain poorly understood and under recognized [[7], [8], [9], [10], [11], [12], [13], [14], [15], [16], [17], [18]]. This fact explains the lack of standardized definitions and the existence of different definitions to the same clinical entity.…”

Section: Discussionmentioning

confidence: 99%