A study of outcome of neuroparalytic snake bite patients treated with fixed dose of antisnake venom

Snake Bite Victim Treatment Outcome in Tertiary Care Setting in Kumaon Region of Uttarakhand

“…Maximum patient reached to hospital after the bite within 3-6 hour after bite, which is closely comparable with others like Sharma et al (18). and Kakaria as et el (12) and also by Anti et al (22) , Kularatne (23)and Harssor et al (24) who reported a time range from 0.5 to 10 hour , however, in the later years (2009) Instead of loosing time in bizarre remedies, victims were probably rushed to the hospital. Improvement in early referral and appropriate care will only occur when traditional healers are integrated into primary health care and hospital based health care system.…”

“…This finding was also similarily reported by other author. (11,12). At the time of presentation 69.6% of bite were of vasculotoxic nature followed by 30.3% were of neurotoxic nature as observed by Shradha M et al ( 11), virendra .C patil (13), Majority of bite encountered during monsoon season of year i.e from June to September as in most studies like Gimkala et al, and kakaria et al (8,12,14 ) due to flooding of dwelling of snake force them to come out and cause accidental human victimization.…”

Case Report: Management of Respiratory Failure Following Snake Bite

“…There were numerous and variant type of snakes. Indonesian government combined for 3 types of SAV in 1 (polyvalent) for the snake species Bungarus spp, Naja spp, Ankilostrodon spp (Warrell, 2010;Kakaria, Narkhede, Agrawal, Bhavsar, & Nukte, 2014). Patients suffering from snake bites should be taken to the hospital immediately to get primary clinical assessment and rapid resuscitation.…”

“…In the case of snake bites, consider the possibility of cardiotoxic, renotoxic, myotoxic, neurotoxic and hematotoxic snakebites. Careful history taking, physical examination and complete supporting examination is needed to rule out other toxic diagnoses (Ranakawa, Lalloo, & de Silva, 2013;Kakaria, Narkhede, Agrawal, Bhavsar, & Nukte, 2014). Examination of hemostasis profile, ECG, urinalysis, and neurological status were needed.…”

“…Supportive therapy was given to promote the primary life functions by providing mechanical ventilation to support adequate respiration, nutrition and fluids. Additional therapy was done by treating wound area with wound care, antibiotics for the prevention of infection and fasciotomy if needed (Ranakawa, Lalloo, & de Silva, 2013;Warrell, 2010;Kakaria, Narkhede, Agrawal, Bhavsar, & Nukte, 2014).…”