Chitta Ranjan Mohanty, Rakesh Vadakkethil Radhakrishnan1, Ijas Muhammed Shaji, Neha Singh2, Subhasree Das

Department of Trauma and Emergency, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India
1Department of College of Nursing, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India
2Department of Anesthesiology and Critical Care, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India

Keywords: Emergency department, pain, peripheral nerve block, snakebite


Envenomation from snakebites (SBs) is a significant public health hazard globally. The venomous SB is associated with moderate-to-severe pain. Weak opioids such as tramadol or acetaminophen are commonly used for pain management but often provide inadequate analgesia. We hereby report our experience of using ultrasound guided selective superficial peroneal, sural, and saphenous nerve blocks for pain management following SBs in nine patients. The selective peripheral nerve blocks are achieved with a small amount of local anesthesia and without loss of motor functions.

How to cite this article: Mohanty CR, Radhakrishnan RV, Shaji IM, Singh N, Das S. Ultrasound-guided selective peripheral nerve block for the snakebite pain management in the emergency department: Our experience. Turk J Emerg Med 2024;24:122-5.

Author Contributions

CRM: Conceptualization (lead); Methodology (lead); Software and investigation (lead); Formal Analysis; Writing – original draft (lead); Supervision, Project administration. RVR: Methodology (support); Investigation (support); Data Curation; Writing – original draft (lead); Writing– review and editing; Visualization. NS: Methodology(support); Software and investigation (support); Writing – review and editing; Visualization. IMS: Investigation (lead); Resources; Writing – original draft (support); Writing – review and editing. SD: Software and investigation (support); Writing – review, and editing; Visualization. CRM did the overall supervision of the whole study and all authors made a substantial contribution. All authors have read and agree to the content of the final manuscript.

Consent to participate
The authors certify that they have obtained all appropriate written consent forms from the patients. In the form, the patients have given their consent for the images and other clinical information to be reported in the journal. The patient understands that their name and initials will not be published, and due efforts will be made to conceal the identity, but anonymity cannot be guaranteed.

Conflict of Interest

None declared.

Financial Disclosure