Document Detail


Hyperbaric oxygen therapy after Bothrops lanceolatus snake bites in Martinique: a brief report.
MedLine Citation:
PMID:  21226390     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Every year 10 to 20 cases of snake bites are reported on the Caribbean island of Martinique. The only snake involved, Bothrops lanceolatus, is endemic on the island, and its bite may lead to systemic multifocal thrombotic complications in the'absence of the monospecific antivenom. Between January 1988 and January 2009, more than 250 snake bites have been reported, and five patients were treated with hyperbaric oxygen (HBO2) therapy for local complications. The patients were male, bitten on the leg or the hand, and presented with severe complications such as necrotizing soft tissue infections, compartment syndrome or abscesses despite prompt wound care and administration of antivenomous serum. Outcomes were favorable for these five patients, except for one who was left with a functional defect of the hand. Although snake bites are not part of the currently recommended indications for HBO2 therapy, local complications, namely compartment syndrome, necrotizing soft tissue infections and enhancement of healing in selected problem wounds, are approved uses of HBO2 therapy as defined by the Hyperbaric Oxygen Therapy Committee and would benefit from prospective studies.
Authors:
P Hochedez; L Thomas; H Mehdaoui
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Undersea & hyperbaric medicine : journal of the Undersea and Hyperbaric Medical Society, Inc     Volume:  37     ISSN:  1066-2936     ISO Abbreviation:  Undersea Hyperb Med     Publication Date:    2010 Nov-Dec
Date Detail:
Created Date:  2011-01-13     Completed Date:  2011-01-24     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9312954     Medline TA:  Undersea Hyperb Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  399-403     Citation Subset:  IM; S    
Affiliation:
Infectious Disease Department, Teaching Hospital, Fort de France, Martinique, France. p.hochedez@free.fr
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Animals
Antivenins / administration & dosage
Bothrops*
Compartment Syndromes / therapy
Hand Injuries / etiology,  therapy
Humans
Hyperbaric Oxygenation / methods*
Leg Injuries / etiology,  therapy
Male
Martinique
Middle Aged
Retrospective Studies
Snake Bites / complications,  therapy*
Thrombosis / therapy
Young Adult
Chemical
Reg. No./Substance:
0/Antivenins
Comments/Corrections
Comment In:
Undersea Hyperb Med. 2010 Nov-Dec;37(6):393-4   [PMID:  21226388 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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