Delayed Neurological Manifestation in Krait Bites Despite Anti-snake Venom Therapy

Sawhney, Shraddha; Vagha, Keta; Lohiya, Sham; Mishra, Naman; Vagha, Jayant D; Varma, Ashish

doi:10.7759/cureus.29849

Cited by 1 publication

(2 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Successful ventilation with survival to discharge is documented in case reports using SIMV and mandatory pressure-controlled ventilation for Bungarus sp. envenomation ( 61 , 62 ). Volume-controlled mandatory ventilation was compared to adaptive support ventilation in a prospective randomized trial of 48 adults with neuroparalytic snake envenomation; mode did not appear to significantly affect outcome with respect to time to weaning, incidence of VAP or length of hospital stay ( 63 ).…”

Section: Ventilator Settingsmentioning

confidence: 99%

“…A systematic review in humans found early tracheostomy tube placement in patients undergoing MV reduces sedative requirements but does not significantly affect incidence of VAP, duration of MV or mortality ( 143 ). A 1964 study of elapid envenomation described tracheostomy tube placement in 30% (16/52) of affected patients with common complications including minor tracheostomy site hemorrhage (11%, 6/52) tube obstruction and displacement ( 144 ), More recent literature does not report tracheostomy for snake envenomation, so the utility of this procedure in this context is unclear ( 61 , 63 , 64 , 85 , 87 , 89 , 129 , 137 , 144 – 147 ). Emergency cricothyroidotomy has been described in a person with crotalid envenomation when severe facial and oral oedema prevented successful orotracheal intubation ( 148 ).…”

Section: Weaning From Mechanical Ventilationmentioning

confidence: 99%

See 1 more Smart Citation

Mechanical ventilation in snake envenomation of dogs and cats

Morris¹,

Donaldson²

2023

Front. Vet. Sci.

View full text Add to dashboard Cite

Envenomation by snakes in Elapidae and Viperidae families have been associated with respiratory failure in dogs and cats. Mechanical ventilation may be required for hypoventilation due to neuromuscular paralysis or hypoxemia due to pulmonary hemorrhage or aspiration pneumonia. Median incidence of dogs and cats with snake envenomation that require mechanical ventilation is 13% (0.06–40%). Standard treatment of snake envenomation in dogs and cats includes prompt administration of appropriate antivenom and management of envenomation complications such as coagulopathy, rhabdomyolysis and acute kidney injury. When mechanical ventilation is required, overall prognosis is good with appropriate treatment. Standard anesthetic protocols and mechanical ventilator settings are generally appropriate, with lung protective ventilation strategies typically reserved for patients with pulmonary disease. Median survival to discharge for cats and dogs with elapid envenomation is 72% (76–84%) with 33 h (19.5–58 h) median duration of mechanical ventilation and 140 h (84–196 h) median hospitalization. This article reviews indications for mechanical ventilation in cats and dogs with snake envenomation, and discusses ventilator settings, anesthetic and nursing considerations, complications and outcomes specific to this disease.

show abstract

Section: Ventilator Settingsmentioning

confidence: 99%