Role of surgical intervention in the management of crotaline snake envenomation☆☆☆
Abstract
Crotaline venoms produce various toxic effects. Although these are most commonly treated with specific antivenoms, surgical management of snakebite has also been practiced for many years. Surgical approaches to pit viper envenomation include incision or excision of the bite site, fasciotomy, and digit dermotomy. The evidence regarding each of these procedures is sparse; however, incision or excision of the bite site are difficult to advocate. Fasciotomy and digit dermotomy may be appropriate in carefully selected patients. [Hall EL. Role of surgical intervention in the management of crotaline snake envenomation. Ann Emerg Med. February 2001;37:175-180.]
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☆ Dr. Hall was a clinical investigator in the trials of the experimental antivenom described in the text and was a paid speaker in the symposium Advances in the Management of Snakebite that was sponsored by Savage Laboratories.
☆☆ Address for reprints: Edward L. Hall, MD, South Georgia Surgical Associates, PC, 100 Mimosa Drive, Thomasville, GA 31799-0520;,912-226-8881, fax 912-225-2165;,E-mail sgsa@rose.net .
PII: S0196-0644(01)43644-4
doi:10.1067/mem.2001.113373
© 2001 American College of Emergency Physicians. Published by Elsevier Inc. All rights reserved.
Refers to article:
- Out-of-hospital and interhospital management of crotaline snakebite
- Efficacy, safety, and use of snake antivenoms in the United States
- Recurrence phenomena after immunoglobulin therapy for snake envenomations: part 1. Pharmacokinetics and pharmacodynamics of immunoglobulin antivenoms and related antibodies
- Recurrence phenomena after immunoglobulin therapy for snake envenomations: part 2. Guidelines for clinical management with crotaline fab antivenom
