Indian Journal of Critical Care Medicine

Register      Login



Volume / Issue

Online First

Related articles

VOLUME 11 , ISSUE 3 ( July, 2007 ) > List of Articles


Neurotoxic snake bite with respiratory failure

Prithwis Bhattacharya, Arpan Chakraborty

Keywords : Anticholinesterase, envenomations, polyvalent anti-snake venom

Citation Information : Bhattacharya P, Chakraborty A. Neurotoxic snake bite with respiratory failure. Indian J Crit Care Med 2007; 11 (3):161-164.

DOI: 10.4103/0972-5229.35627

License: CC BY-ND 3.0

Published Online: 01-04-2011

Copyright Statement:  Copyright © 2007; The Author(s).


Thirteen patients with severe neuroparalytic snake envenomation admitted in intensive care unit with respiratory failure over a four months period. Initially ptosis and ophthalmoplegia, followed by bulbar palsy and respiratory muscle weakness was the common sequele. All of them received cardio-respiratory support with mechanical ventilation, anti-snake venom (median dose of 20 vials) and anticholinesterase therapy. Except one suffering from hypoxic brain injury due to delayed presentation, rest survived with complete neurological recovery. So good outcome in such cases is related with early cardio respiratory support and anti venom therapy

PDF Share
  1. Critical care in envenomation. In: Principles of critical care. Udwadia FE. Oxford University Press: Delhi; 1995. p. 607-11.
  2. Respiratory failure after snake bite poisoning successfully treated with prolonged artificial ventilation. Indian J Anaesth 1968;16:273-5.
  3. Artificial respiration in snake bite. J Indian Med Assoc 1969;52:476-8.
  4. Elapid snake bite. Br J Anaesth 1987;59:385-7.
  5. Elapid snake bite. A report of two cases. Br J Anaesthesia 1974;46:162.
  6. Positive response to edrophonium in patients with neurotoxic envenoming by cobras (Naja naja philippinensis). N Engl J Med 1986;315:1444-8.
  7. Snake bite in India and its management. J Indian Med Assoc 1987;85:129-31.
  8. Neurol India 2001;49:25-8.
  9. Low dose of snake antivenom is as effective as high dose in patients with severe neurotoxic snake envenoming. Emerg Med J 2005;22:397-9.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.