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Treatment of the first known case of king cobra envenomation in the United Kingdom, complicated by severe anaphylaxis
Author(s) -
Veto T.,
Price R.,
Silsby J. F.,
Carter J. A.
Publication year - 2007
Publication title -
anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.839
H-Index - 117
eISSN - 1365-2044
pISSN - 0003-2409
DOI - 10.1111/j.1365-2044.2006.04866.x
Subject(s) - medicine , cobra , antivenom , envenomation , bronchospasm , anaphylaxis , anesthesia , intubation , tracheal intubation , ventilation (architecture) , surgery , allergy , asthma , venom , ecology , mechanical engineering , computer science , engineering , immunology , biology , programming language
Summary We report the first known case of envenomation following snake bite by a king cobra in the UK. The patient required tracheal intubation and ventilation. Treatment with king cobra antivenom resulted in anaphylaxis (bronchospasm and hypotension), requiring adrenaline infusion. The patient's trachea was extubated 11 h after administration of antivenom.