Management of respiratory failure in severe neuroparalytic snake envenomation.

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dc.contributor.authorAgrawal, P Nen_US
dc.contributor.authorAggarwal, A Nen_US
dc.contributor.authorGupta, Den_US
dc.contributor.authorBehera, Den_US
dc.contributor.authorPrabhakar, Sen_US
dc.contributor.authorJindal, S Ken_US
dc.date.accessioned2001-03-17en_US
dc.date.accessioned2009-06-03T11:46:34Z
dc.date.available2001-03-17en_US
dc.date.available2009-06-03T11:46:34Z
dc.date.issued2001-03-17en_US
dc.description.abstractFourteen patients with severe neuroparalytic snake envenomation, resulting in acute type II respiratory failure, admitted to respiratory critical care unit for mechanical ventilation during one year period, were studied. Ventilatory requirements, amount of anti snake venom (ASV) infused, period of neurological recovery and hospital survival were evaluated. All patients had severe manifestations such as ptosis, extraocular muscle paresis and limb weakness along with dyspnoea. Seven patients (50%) had additional complaints of dysphagia and dysphonia. ASV was administered to all, with a median requirement of 900 ml. Mechanical ventilation was required for a median duration of 17 hours and all except one patient, who had suffered irreversible hypoxic cerebral injury prior to resuscitation, survived with complete neurological recovery. We conclude, that the timely institution of ventilatory support and anti-venom therapy in such patients, is associated with an excellent outcome.en_US
dc.description.affiliationDepartment of Pulmonary Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh - 160012, India.en_US
dc.identifier.citationAgrawal PN, Aggarwal AN, Gupta D, Behera D, Prabhakar S, Jindal SK. Management of respiratory failure in severe neuroparalytic snake envenomation. Neurology India. 2001 Mar; 49(1): 25-8en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/121113
dc.language.isoengen_US
dc.source.urihttps://neurologyindia.comen_US
dc.subject.meshAdolescenten_US
dc.subject.meshAdulten_US
dc.subject.meshBungarotoxinsen_US
dc.subject.meshChilden_US
dc.subject.meshCobra Venomsen_US
dc.subject.meshFemaleen_US
dc.subject.meshHumansen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshRespiration, Artificialen_US
dc.subject.meshRespiratory Insufficiency --etiologyen_US
dc.subject.meshSnake Bites --complicationsen_US
dc.titleManagement of respiratory failure in severe neuroparalytic snake envenomation.en_US
dc.typeJournal Articleen_US
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