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Critical Care

Comparison of F(ab’)2 versus Fab antivenom for pit viper envenomation: A prospective, blinded, multicenter, randomized clinical trial

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Pages 37-45 | Received 05 Aug 2014, Accepted 04 Oct 2014, Published online: 31 Oct 2014

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Meghan Beth Spyres, Gabriel K. Padilla, Richard D. Gerkin, Christopher O. Hoyte, Brian Joseph Wolk & Anne-Michelle Ruha. (2022) Late hemotoxicity following North American rattlesnake envenomation treated with crotalidae immune F(ab’)2 (equine) antivenom and crotalidae immune polyvalent Fab (ovine) antivenom reported to the North American Snakebite Sub-registry. Clinical Toxicology 60:7, pages 838-842.
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B. Z. Wilson, J. Larsen, G. Smelski, S. Dudley & F. M. Shirazi. (2021) Use of Crotalidae equine immune F(ab’)2 antivenom for treatment of an Agkistrodon envenomation. Clinical Toxicology 59:11, pages 1023-1026.
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Charles J. Gerardo, Joao R. Nickenig Vissoci, Michael W. J. Brown & Sean P. Bush. (2017) Coagulation parameters in copperhead compared to other Crotalinae envenomation: secondary analysis of the F(ab’)2 versus Fab antivenom trial. Clinical Toxicology 55:2, pages 109-114.
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Sean P. Bush, Anne-Michelle Ruha, Steven A. Seifert, Dawn R. Sollee & Leslie V. Boyer. (2015) In Reply re: “Comparison of F(ab’)2 versus Fab antivenom for Pit Viper Envenomation: A Prospective, Blinded, Multicenter, Randomized Clinical Trial”. Clinical Toxicology 53:4, pages 414-415.
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Nicole M Acquisto, Giles W Slocum, Matthew H Bilhimer, Nadia I Awad, Stephanie Baker Justice, Gregory F Kelly, Therese Makhoul, Asad E Patanwala, Gary D Peksa, Blake Porter, Donna M Shuler Truoccolo, Cierra N Treu, Kyle A Weant & Michael C Thomas. (2020) Key articles and guidelines for the emergency medicine clinical pharmacist: 2011-2018 update. American Journal of Health-System Pharmacy 77:16, pages 1284-1335.
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Crossref
Patricia Anne O’Malley. (2019) More Snakebites and Less Antivenom. Clinical Nurse Specialist 33:6, pages 261-265.
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Benjamin M. Lee, Kristin M. Zersen, Jennifer R. Schissler & Lauren A. Sullivan. (2019) Antivenin‐associated serum sickness in a dog. Journal of Veterinary Emergency and Critical Care 29:5, pages 558-563.
Crossref
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Crossref
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Crossref
Charles J. Gerardo, Joao R. N. Vissoci, Leonardo P. de Oliveira, Victoria E. Anderson, Eugenia Quackenbush, Brandon Lewis, S. Rutherfoord Rose, Spencer Greene, Eric A. Toschlog, Nathan P. Charlton, Michael E. Mullins, Richard Schwartz, David Denning, Kapil Sharma, Kurt Kleinschmidt, Sean P. Bush, Nicklaus P. Brandehoff & Eric J. Lavonas. (2019) The validity, reliability and minimal clinically important difference of the patient specific functional scale in snake envenomation. PLOS ONE 14:3, pages e0213077.
Crossref
VG Nielsen & N Frank. (2018) Role of heme modulation in inhibition of Atheris , Atractaspis , Causus , Cerastes , Echis , and Macrovipera hemotoxic venom activity . Human & Experimental Toxicology 38:2, pages 216-226.
Crossref
Gwynn Curran-Sills & Jenna Kroeker. (2018) Venomous Snakebites in Canada: A National Review of Patient Epidemiology and Antivenom Usage. Wilderness & Environmental Medicine 29:4, pages 437-445.
Crossref
Guillermo León, Mariángela Vargas, Álvaro Segura, María Herrera, Mauren Villalta, Andrés Sánchez, Gabriela Solano, Aarón Gómez, Melvin Sánchez, Ricardo Estrada & José María Gutiérrez. (2018) Current technology for the industrial manufacture of snake antivenoms. Toxicon 151, pages 63-73.
Crossref
David J. Williams, Abdulrazaq G. Habib & David A. Warrell. (2018) Clinical studies of the effectiveness and safety of antivenoms. Toxicon 150, pages 1-10.
Crossref
Vance G. Nielsen, Nathaniel Frank & Ryan W. Matika. (2017) Carbon monoxide inhibits hemotoxic activity of Elapidae venoms: potential role of heme. BioMetals 31:1, pages 51-59.
Crossref
Vance G. Nielsen. (2018) Crotalus atrox Venom Exposed to Carbon Monoxide Has Decreased Fibrinogenolytic Activity In Vivo in Rabbits . Basic & Clinical Pharmacology & Toxicology 122:1, pages 82-86.
Crossref
Anne-Michelle Ruha, Kurt C. Kleinschmidt, Spencer Greene, Meghan B. Spyres, Jeffrey Brent, Paul Wax, Angela Padilla-Jones & Sharan Campleman. (2017) The Epidemiology, Clinical Course, and Management of Snakebites in the North American Snakebite Registry. Journal of Medical Toxicology 13:4, pages 309-320.
Crossref
Tom MunyerKaitlyn Brown. 2017. PharmacotherapyFirst: A Multimedia Learning Resource. PharmacotherapyFirst: A Multimedia Learning Resource.
Bryan Corbett & Richard F. Clark. (2017) North American Snake Envenomation. Emergency Medicine Clinics of North America 35:2, pages 339-354.
Crossref
Salome Meyer, Fabian Hartmann, Philipp Stein, Renato Lenherr, Joan Fuchs & Donat R. Spahn. (2017) Massive coagulopathy caused by the bite of a Crotalus basiliscus snake. Anaesthesia Cases 5:1, pages 60-65.
Crossref
Anne-Michelle Ruha. 2017. Critical Care Toxicology. Critical Care Toxicology 2503 2526 .
Daniel R. Lasoff, Anne-Michelle Ruha, Steven C. Curry, Cynthia Koh & Richard F. Clark. (2016) A new F(abʹ) 2 antivenom for the treatment of crotaline envenomation in children. The American Journal of Emergency Medicine 34:10, pages 2003-2006.
Crossref
Nicholas C. Kanaan, Jeremiah Ray, Matthew Stewart, Matthew Fuller, E. Martin Caravati, Katie W. Russell, Sean P. Bush, Michael D. Cardwell, Robert L. Norris & Scott A. Weinstein. (2016) In Reply to Drs Boyer and Ruha. Wilderness & Environmental Medicine 27:2, pages 342-344.
Crossref
Rashmi Dixit, Jenny Herz, Richard Dalton & Robert Booy. (2016) Benefits of using heterologous polyclonal antibodies and potential applications to new and undertreated infectious pathogens. Vaccine 34:9, pages 1152-1161.
Crossref
Anne-Michelle Ruha. 2016. Critical Care Toxicology. Critical Care Toxicology 1 24 .
Leslie V. Boyer. (2015) On 1000-Fold Pharmaceutical Price Markups and Why Drugs Cost More in the United States than in Mexico. The American Journal of Medicine 128:12, pages 1265-1267.
Crossref
Kalana Maduwage, Nick A Buckley, H Janaka de Silva, David G Lalloo & Geoffrey K Isbister. 1996. Cochrane Database of Systematic Reviews. Cochrane Database of Systematic Reviews.