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Research Article

JCDR. 2021; 12(5): 843-847

Study on the factors affecting the need for invasive ventilation in patients of neurotoxic snake bite at a tertiary care center of Bihar

Dr. Rituraj Lahkar, Dr. Ashish Prakash Prasad, Dr. Abhishek Kamendu, Dr. Chandan Kumar, Dr. Ranjan Kumar.


Twelve patients with severe neuroparalytic snake envenomation were admitted to the intensive care unit
with respiratory failure over one year period. Initially, ptosis and ophthalmoplegia, followed by bulbar
palsy and respiratory muscle weakness were the common sequelae. All of them received cardiorespiratory
support with mechanical ventilation, anti-snake venom (median dose of 20 vials), and
anticholinesterase therapy. Most survived with complete neurological recovery. So, good outcome in
such cases is related to early cardiorespiratory support and anti-venom therapy.

Key words: anticholinesterase, envenomation, polyvalent anti-snake venom

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