Snake Bite: Pit Vipers

Peterson, Michael E.

doi:10.1053/j.ctsap.2006.10.008

Cited by 67 publications

(153 citation statements)

References 40 publications

Supporting

Mentioning

145

Contrasting

Unclassified

Order By: Relevance

“…As it is known, the grade of envenomation is closely related to the depth of the bite [18]. In the upper extremities, especially the hand, there is almost no subcutaneous fat tissue.…”

Section: Discussionmentioning

confidence: 99%

“…Anaphylaxis is treated by stopping the infusion of antivenin and administering epinephrine, corticosteroids, and crystalloid fluid infusion [18].…”

Section: Discussionmentioning

confidence: 99%

“…Another important feature of snakebites is hematologic complications. The most common hematologic complications are consumption coagulopathy, diffuse vascular damage, DIC-like syndrome, localized massive clotting, hyperfibrinolysis, venom-induced thrombocytopenia, and blood vessel injury [18]. There are also articles indicating that these complications can be late-onset.…”

Section: Discussionmentioning

confidence: 99%

“…The family of Viperidae is seen in the Old World: Africa, Europe, and Asia. Snake venom contains several components [18]. Cytotoxic enzymes are responsible for proteolysis, cytolysis, blisters, necrosis, and gangrene.…”

Section: Introductionmentioning

confidence: 99%

“…1) and Vipera xanthina are the most common venomous snakes [11]. The majority of envenomations result in hematological, neurotoxic, and myotoxic complications [18].…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

The Management of Pit Viper Envenomation of the Hand

Bozkurt

Külahçi²,

Zor

et al. 2008

Hand (New York, N,Y.)

View full text Add to dashboard Cite

Snakebites are common among the rural population of developing countries. The severity of venomous snakebites depends on several factors, including the location of the bite, the amount of venom injected, and the effectiveness of the initial therapy. Snakebites frequently occur in the extremities with approximately two thirds of envenomations occurring in the upper extremities. In this study, we presented 12 cases of hand reconstruction after Vipera snakebites and discussed how to minimize functional loss and maximize hand rehabilitation. Twelve patients bitten by Vipera between 2001 and 2006 were included in this study. Groin flaps were performed in three cases, full-thickness grafts in two cases, thenar flaps in three cases, and cross finger flaps in three cases. With medical management, spontaneous healing occurred in one case. We prefer to use flaps on the volar site of the hand and, if the bone is not exposed, full-thickness grafts on the dorsal site of the hand. We also recommend starting rehabilitation of the hand early.

show abstract

“…As it is known, the grade of envenomation is closely related to the depth of the bite [18]. In the upper extremities, especially the hand, there is almost no subcutaneous fat tissue.…”

Section: Discussionmentioning

confidence: 99%

“…Anaphylaxis is treated by stopping the infusion of antivenin and administering epinephrine, corticosteroids, and crystalloid fluid infusion [18].…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…1) and Vipera xanthina are the most common venomous snakes [11]. The majority of envenomations result in hematological, neurotoxic, and myotoxic complications [18].…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations