Amalachukwu Amanda Chime, Michael Okwudili Chime, Ugochukwu Anthony Eze, Gloria Chizoba Eze, Onochie Ike Okoye
Clinical Profile of Patients on Highly Active Antiretroviral Therapy (HAART) Seen in a Tertiary Eye Clinic
Journal of the West African College of Surgeons
north american pit viper envenomation occurs 4000 times annually united states polyvalent fab antivenom primary treatment fasciotomy occasionally performed due concerns compartment syndrome utilized direct access texas poison center network data create new snakebite abstraction form database relevant available information 2004 2021 identify describe estimate incidence fasciotomy following pit viper envenomation texas searched texas poison center network database cases 20042021 using keywords fasciotomy surgery compartment pressure compartment syndrome descriptive statistics summarized data 16911 reported envenomations 069 percent involved fasciotomies n 117 common bite sites digitshands lower extremities patients underwent fasciotomy typically male aged 2059 10 years younger total snakebite population 6 percent reported compartment syndrome cases compartment pressure measurement antivenom administered 101 863 percent cases 92 911 percent received fab antivenom product patients bites rattlesnakes 479 percent associated fasciotomies findings suggest potential increase snakebite exposures accompanied decrease fasciotomies overall copperheads constituted majority snakebites fasciotomies rattlesnake envenomations 479 percent cohort compartment syndrome diagnosis decisions regarding fasciotomy primarily based clinical evaluationsurgeon expertise without compartment pressure measurements despite efficacy antivenom 863 percent patients study received antivenom fasciotomy north american pit viper envenomation texas uncommon 069 percent decreased time possibly due increased antivenom use surgeon comfort nonsurgical management