Johnson, Saumy and Vijo, Eldo (2012) Role of noninvasive ventilation for acute respiratory failure due to snakebite. Indian Journal of Respiratory Care, 1 (1). pp. 167-168.

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Abstract

Introduction: Noninvasive Ventilation (NIV) has revolutionised the management of diverse forms of respiratory failure. Case Report: An 18 year old male patient presented to the emergency department with a history of an Indian krait snake bite on his left upper limb about seven hours ago. He had signs and symptoms of local and systemic envenomation , left upper limb cellulitis and suspected acute tubular necrosis of the kindeys. He was administered anti-snake venom and given suppotive care. He was shifted to the intensive care unit where a noninvasive ventilator was used for supporting his respiratory system via a full face mask. He received NIV for thirteen days intermittenly alternating with 60 percent oxygon via a Venturi mask.Progressively, he showed significant improvement and was weaned off NIV. he was discharged from hospital with no neurological sequelae. Conclusion : NIV can be used in selected patients with acute neuromuscular respiratory failure while awaiting improvement from specific therapies.

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