Compartment syndrome, fasciotomy, and neuropathy after a rattlesnake envenomation: Aspects of monitoring and diagnosis

Wilderness and Environmental Medicine

Volumn 17, Issue 1, 2006, Pages 36-40

  Hardy Sr , David L ^a   Zamudio, Kelly R ^b  

^a Cornell University ^*  (United States)

^b Department of Obstetrics Gynecology   (United States)

Author keywords

Blacktailed rattlesnake; Compartment syndrome; Crotalus molossus; Fasciotomy; Peroneal neuropathy; Pitviper envenomation; Snake; Snakebite

Indexed keywords

CROFAB; MORPHINE; SNAKE VENOM; SNAKE VENOM ANTISERUM;

ADULT; ARTICLE; CASE REPORT; COMPARTMENT SYNDROME; CROTALUS MOLOSSUS; DECOMPRESSION SURGERY; DEVICE; DIAGNOSTIC APPROACH ROUTE; DIFFERENTIAL DIAGNOSIS; EARLY DIAGNOSIS; EMERGENCY SURGERY; ENVENOMATION; FASCIOTOMY; FEMALE; FOOT DISEASE; HUMAN; MEDICAL DECISION MAKING; NEUROPATHY; NONHUMAN; NORTH AMERICA; PAIN; PARESTHESIA; PATIENT MONITORING; PRESSURE MEASUREMENT; SNAKE; SNAKEBITE;

EID: 33644859486     PISSN: 10806032     EISSN: None     Source Type: Journal    
DOI: 10.1580/1080-6032(2006)17[36:csfana]2.0.co;2     Document Type: Article

References (20)

1. Norris R. Venom poisoning by North American reptiles. In: Campbell JA, Lamar LL, eds. The Venomous Reptiles of the Western Hemisphere. Ithaca, NY: Cornell University Press; 2004:683-708.
2. Hall EL. Role of surgical intervention in the management of crotaline snake envenomation. Ann Emerg Med. 2001;37:175-180.
3. Rowland SA. Fasciotomy: the treatment of compartment syndrome. In: Green DP, Hotchkiss RN, Pederson WC, eds. Green's Operative Hand Surgery. 4th ed. New York, NY: Churchill Livingstone; 1999:689-710.
4. Crother BI. Scientific and standard English names of amphibians and reptiles of North America north of Mexico, with comments regarding confidence in our understanding. SSAA Herpetol Circ No 29. 2000:1-82.
5. Hardy DL, Jetter M, Corrigan JJ Jr. Envenomation by the northern blacktail rattlesnake (Crotalus molossus molossus): report of two cases and the in vitro effects of the venom on fibrinolysis and platelet aggregation. Toxicon. 1982;20:487-493.
6. Yarema MC, Curry SC. Envenomation by the northern blacktail rattlesnake (Crotalus molossus molossus). Pediatr Emerg Care. 2005;21:40-42.
7. Dart RC. Can steel heal a compartment syndrome caused by rattlesnake venom? Ann Emerg Med. 2004;44:105-107.
8. Tokish JT, Benjamin J, Walter F. Crotalid envenomation: the southern Arizona experience. J Orthop Trauma. 2001;15:5-9.
9. Tanen DA, Ruha AM, Graeme KA, Curry SC. Epidemiology and hospital course of rattlesnake envenomations cared for at a tertiary referral center in central Arizona. Acad Emerg Med. 2001;8:177-182.
10. Hardy DL Sr, Bush SP. Pressure/immobilization as first aid for venomous snakebite in the United States. Herpetol Rev. 1998;29:204-208.
11. Klauber LM. A statistical study of the rattlesnakes. VI. Fangs. Occas Pap San Diego Soc Nat Hist. 1939;5:1-61.
12. Rosen PB, Leiva JI, Ross CP. Delayed antivenom treatment for a patient after envenomation by Crotalus atrox. Ann Emerg Med. 2000;35:86-88.
13. Tunget-Johnson CL, Pearigen PD, McDermott MJ, Gillingham BL. Resolution of elevated compartment pressures after rattlesnake envenomation with antivenin. J Toxicol Clin Toxicol. 1998;36:458-459.
14. Gold BS, Barish RA, Dart RC, Silverman RP, Bochicchio GV. Resolution of compartment syndrome after rattlesnake envenomation utilizing non-invasive measures. J Emerg Med. 2003;24:285-288.
15. Garfin SR, Castilonia RR, Mubarak SJ, Hargens AR, Russell FE, Akeson WH. Rattlesnake bites and surgical decompression: results using a laboratory model. Toxicon. 1984;22:177-182.
16. CroFab, Crotalidae Polyvalent Immune Fab (Ovine) [package insert]. Brentwood, TN: Protherics Inc; 2000.
17. Bush SP, Green SM, Moynihan JA, Hayes WK, Cardwell MD. Crotalidae Polyvalent Immune Fab (Ovine) antivenom is efficacious for envenomations by Southern Pacific rattlesnakes (Crotalus helleri). Ann Emerg Med. 2002;40:619-624.
18. Boyer LV, Seifert SA, Cain JS. Recurrence phenomena after immunoglobulin therapy for snake envenomations: part 2. Guidelines for clinical management with crotaline Fab antivenom. Ann Emerg Med. 2001;37:198-201.
19. Dart RC, Seifert SA, Boyer LV, et al. A randomized multicenter trial of Crotalinae Polyvalent Immune Fab (Ovine) antivenom for the treatment for crotaline snakebite in the United States. Arch Intern Med. 2001;161:2030-2036.
20. Tanen DA, Danish DC, Grice GA, Riffenburgh RH, Clark RF. Fasciotomy worsens the amount of myonecrosis in a porcine model of crotaline envenomation. Ann Emerg Med. 2004;44:99-104.