Introduction
The snake bite is the leading toxin-related injury in Bangladesh,
causing significant mortality and morbidity, particularly in rural
regions (1). A comprehensive community-based survey conducted in
Bangladesh documented an annual incidence of 700,000 snake bites,
resulting in 6000 fatalities (2). In our country, there exist five snake
groups that hold significant medical importance, namely the cobra,
krait, Russell’s viper, green pit viper, and sea snake. The predominant
species responsible for venomous bites in our country are cobras and
kraits. The bulk of poisonous bites are caused by kraits, accounting for
77.78% of cases, followed by cobras at 22.23% (3). Neurotoxicity is
the primary characteristic of these venomous snakes, with respiratory
failure being the primary cause of mortality after envenomation (2).
Kraits typically engage in nocturnal biting behavior upon entering
residences in pursuit of sustenance (4). Most of the bites took place
during the nighttime while the victims were sleeping on the floor (5).
Historically, snakebite cases have been addressed by traditional
healers, known as Ozhas, employing non-scientific approaches that
frequently result in adverse consequences for the affected individuals
(1).
The venoming caused by these snakes is a critical medical situation that
poses a serious risk to life. It necessitates the use of specific
antivenoms and other interventions, including immediate assisted
ventilation in cases of respiratory paralysis (6). Hence, the presence
of endotracheal intubation and artificial breathing facilities is
essential for the thorough and comprehensive treatment of neurotoxic
snake bite (7).
In developing-country rural areas, the absence of quick access to
life-saving anti-snake venom serum (ASVS) and mechanical ventilation for
respiratory support leads to increased case fatality rates (8).