We agree with the comments made by Devgan, et al. regarding use of
National protocol for management of snake bite(1). We have some points to
offer. Firstly, there is lack of literature regarding management of
neonatal snake bite. The dose of ASV to be administered in such cases is
open to further research. Secondly, we were guided a good clinical
response to ASV beyond 25 vials. Though supportive therapy in the form of
ventilatory support and management of shock formed the mainstay of
therapy, it is difficult to postulate that response was attributable to
these alone and not ASV.
References
1. Simpson ID. The pediatric management of snakebite: the national
protocol. Indian Pediatr 2007; 44: 173-176.
No further correspondence regarding this article would be
entertained.
Editor-in-Chief
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