Indian Journal of Respiratory Care

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VOLUME 1 , ISSUE 2 ( July-December, 2012 ) > List of Articles


Role of noninvasive ventilation for acute respiratory failure due to snakebite

Saumy Johnson, Eldo Vijo

Keywords : Noninvasive ventilation, Snake bite, Acute respiratory failure

Citation Information : Johnson S, Vijo E. Role of noninvasive ventilation for acute respiratory failure due to snakebite. Indian J Respir Care 2012; 1 (2):167-168.

DOI: 10.5005/ijrc-1-1-167

License: NA

Published Online: 01-12-2022

Copyright Statement:  NA


Introduction: Noninvasive ventilation (NIV) has revolutionised the management of diverse forms of respiratory failure.1 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 kidneys. He was administered anti-snake venom and given supportive 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 intermittently alternating with 60 percent oxygen 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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