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Sevoflurane Concentrations in Blood, Brain, and Lung After Sevoflurane‐Induced Death
: Sevoflurane concentrations in blood, brain, and lung were measured in an individual apparently dying from sevoflurane inhalation. Sevoflurane is a volatile nonflammable fluorinated methyl isopropyl ether inhaled anesthetic, chemically related to desflurane and isoflurane. The incidence of abuse o...
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| Published in: | Journal of forensic sciences 2007-11, Vol.52 (6), p.1408-1410 |
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| Main Authors: | , , , , |
| Format: | Article |
| Language: | English |
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| cited_by | cdi_FETCH-LOGICAL-c3936-9110db1abcee3fda0d80d9c7f26d8717b09116d46e993984f20dc6ea516b8acf3 |
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| cites | cdi_FETCH-LOGICAL-c3936-9110db1abcee3fda0d80d9c7f26d8717b09116d46e993984f20dc6ea516b8acf3 |
| container_end_page | 1410 |
| container_issue | 6 |
| container_start_page | 1408 |
| container_title | Journal of forensic sciences |
| container_volume | 52 |
| creator | Rosales, Cecilia M. Young, Thomas Laster, Michael J. Eger, Edmond I Garg, Uttam |
| description | : Sevoflurane concentrations in blood, brain, and lung were measured in an individual apparently dying from sevoflurane inhalation. Sevoflurane is a volatile nonflammable fluorinated methyl isopropyl ether inhaled anesthetic, chemically related to desflurane and isoflurane. The incidence of abuse of sevoflurane is lower than that of other drugs of abuse possibly due to its inaccessibility to the general public and less pleasurable and addicting effects. The dead subject was an anesthetist found prone in bed holding an empty bottle of sevoflurane (Ultane®). Serum, urine, and liver were screened for numerous drugs and metabolites using enzyme immunoassays and gas chromatography‐mass spectrometry. Analysis did not reveal presence of any drug, including ethanol, other than sevoflurane. Sevoflurane was determined by headspace gas chromatography and revealed concentrations of 15 μg/mL in blood and 130 mg/kg in brain and lung. Autopsy revealed pulmonary edema and frothing in the lung, pathological findings associated with death by sevoflurane or hypoxia. The cause of death was ruled as sevoflurane toxicity and the manner of death as accident. |
| doi_str_mv | 10.1111/j.1556-4029.2007.00556.x |
| format | article |
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Sevoflurane is a volatile nonflammable fluorinated methyl isopropyl ether inhaled anesthetic, chemically related to desflurane and isoflurane. The incidence of abuse of sevoflurane is lower than that of other drugs of abuse possibly due to its inaccessibility to the general public and less pleasurable and addicting effects. The dead subject was an anesthetist found prone in bed holding an empty bottle of sevoflurane (Ultane®). Serum, urine, and liver were screened for numerous drugs and metabolites using enzyme immunoassays and gas chromatography‐mass spectrometry. Analysis did not reveal presence of any drug, including ethanol, other than sevoflurane. Sevoflurane was determined by headspace gas chromatography and revealed concentrations of 15 μg/mL in blood and 130 mg/kg in brain and lung. Autopsy revealed pulmonary edema and frothing in the lung, pathological findings associated with death by sevoflurane or hypoxia. 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Sevoflurane is a volatile nonflammable fluorinated methyl isopropyl ether inhaled anesthetic, chemically related to desflurane and isoflurane. The incidence of abuse of sevoflurane is lower than that of other drugs of abuse possibly due to its inaccessibility to the general public and less pleasurable and addicting effects. The dead subject was an anesthetist found prone in bed holding an empty bottle of sevoflurane (Ultane®). Serum, urine, and liver were screened for numerous drugs and metabolites using enzyme immunoassays and gas chromatography‐mass spectrometry. Analysis did not reveal presence of any drug, including ethanol, other than sevoflurane. Sevoflurane was determined by headspace gas chromatography and revealed concentrations of 15 μg/mL in blood and 130 mg/kg in brain and lung. Autopsy revealed pulmonary edema and frothing in the lung, pathological findings associated with death by sevoflurane or hypoxia. The cause of death was ruled as sevoflurane toxicity and the manner of death as accident.</description><subject>Adult</subject><subject>Anesthetics, Inhalation - analysis</subject><subject>Anesthetics, Inhalation - poisoning</subject><subject>Blood</subject><subject>Brain</subject><subject>Brain Chemistry</subject><subject>Death & dying</subject><subject>Drug abuse</subject><subject>fatality</subject><subject>Forensic Pathology</subject><subject>forensic sciences</subject><subject>Forensic Toxicology</subject><subject>Gas Chromatography-Mass Spectrometry</subject><subject>Humans</subject><subject>Immunoenzyme Techniques</subject><subject>Lung - chemistry</subject><subject>Lung - pathology</subject><subject>Lungs</subject><subject>Male</subject><subject>Medical screening</subject><subject>Methyl Ethers - analysis</subject><subject>Methyl Ethers - poisoning</subject><subject>Pulmonary Edema - pathology</subject><subject>sevoflurane</subject><subject>Ultane</subject><issn>0022-1198</issn><issn>1556-4029</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><recordid>eNqNkEtOwzAURS0EoqWwBWQxbsJzkjqxxKQtFIoqdcBnajmxDYlapzgJtDOWwBpZCQ6tgCGePFs-9z7pIIQJ-MSd88IngwH1IgiYHwDEPoB7--s91P352EddgCDwCGFJBx1VVQEAlFByiDokZlHECHTR4516LfWiscIoPC5NpkxtRZ2XpsK5waNFWco-HlmRmz4WRuJZY57wUNfK4j_Rz_ePqZFNpiS-VKJ-PkYHWiwqdbKbPfQwubof33iz-fV0PJx5WchC6jFCQKZEpJlSoZYCZAKSZbEOqExiEqfgCCojqhgLWRLpAGRGlRgQmiYi02EPnW17V7Z8aVRV86JsrHEreUAYZUBp7KBkC2W2rCqrNF_ZfCnshhPgrU9e8FYbb7Xx1if_9snXLnq662_SpZK_wZ1AB1xsgbd8oTb_Lua3k7m7hF-5OYQo</recordid><startdate>200711</startdate><enddate>200711</enddate><creator>Rosales, Cecilia M.</creator><creator>Young, Thomas</creator><creator>Laster, Michael J.</creator><creator>Eger, Edmond I</creator><creator>Garg, Uttam</creator><general>Blackwell Publishing Ltd</general><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K7.</scope></search><sort><creationdate>200711</creationdate><title>Sevoflurane Concentrations in Blood, Brain, and Lung After Sevoflurane‐Induced Death</title><author>Rosales, Cecilia M. ; Young, Thomas ; Laster, Michael J. ; Eger, Edmond I ; Garg, Uttam</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3936-9110db1abcee3fda0d80d9c7f26d8717b09116d46e993984f20dc6ea516b8acf3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Adult</topic><topic>Anesthetics, Inhalation - analysis</topic><topic>Anesthetics, Inhalation - poisoning</topic><topic>Blood</topic><topic>Brain</topic><topic>Brain Chemistry</topic><topic>Death & dying</topic><topic>Drug abuse</topic><topic>fatality</topic><topic>Forensic Pathology</topic><topic>forensic sciences</topic><topic>Forensic Toxicology</topic><topic>Gas Chromatography-Mass Spectrometry</topic><topic>Humans</topic><topic>Immunoenzyme Techniques</topic><topic>Lung - chemistry</topic><topic>Lung - pathology</topic><topic>Lungs</topic><topic>Male</topic><topic>Medical screening</topic><topic>Methyl Ethers - analysis</topic><topic>Methyl Ethers - poisoning</topic><topic>Pulmonary Edema - pathology</topic><topic>sevoflurane</topic><topic>Ultane</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Rosales, Cecilia M.</creatorcontrib><creatorcontrib>Young, Thomas</creatorcontrib><creatorcontrib>Laster, Michael J.</creatorcontrib><creatorcontrib>Eger, Edmond I</creatorcontrib><creatorcontrib>Garg, Uttam</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Criminal Justice (Alumni)</collection><jtitle>Journal of forensic sciences</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Rosales, Cecilia M.</au><au>Young, Thomas</au><au>Laster, Michael J.</au><au>Eger, Edmond I</au><au>Garg, Uttam</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Sevoflurane Concentrations in Blood, Brain, and Lung After Sevoflurane‐Induced Death</atitle><jtitle>Journal of forensic sciences</jtitle><addtitle>J Forensic Sci</addtitle><date>2007-11</date><risdate>2007</risdate><volume>52</volume><issue>6</issue><spage>1408</spage><epage>1410</epage><pages>1408-1410</pages><issn>0022-1198</issn><eissn>1556-4029</eissn><coden>JFSCAS</coden><abstract>: Sevoflurane concentrations in blood, brain, and lung were measured in an individual apparently dying from sevoflurane inhalation. Sevoflurane is a volatile nonflammable fluorinated methyl isopropyl ether inhaled anesthetic, chemically related to desflurane and isoflurane. The incidence of abuse of sevoflurane is lower than that of other drugs of abuse possibly due to its inaccessibility to the general public and less pleasurable and addicting effects. The dead subject was an anesthetist found prone in bed holding an empty bottle of sevoflurane (Ultane®). Serum, urine, and liver were screened for numerous drugs and metabolites using enzyme immunoassays and gas chromatography‐mass spectrometry. Analysis did not reveal presence of any drug, including ethanol, other than sevoflurane. Sevoflurane was determined by headspace gas chromatography and revealed concentrations of 15 μg/mL in blood and 130 mg/kg in brain and lung. Autopsy revealed pulmonary edema and frothing in the lung, pathological findings associated with death by sevoflurane or hypoxia. The cause of death was ruled as sevoflurane toxicity and the manner of death as accident.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>17944910</pmid><doi>10.1111/j.1556-4029.2007.00556.x</doi><tpages>4</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0022-1198 |
| ispartof | Journal of forensic sciences, 2007-11, Vol.52 (6), p.1408-1410 |
| issn | 0022-1198 1556-4029 |
| language | eng |
| recordid | cdi_proquest_journals_219690667 |
| source | Wiley-Blackwell Read & Publish Collection |
| subjects | Adult Anesthetics, Inhalation - analysis Anesthetics, Inhalation - poisoning Blood Brain Brain Chemistry Death & dying Drug abuse fatality Forensic Pathology forensic sciences Forensic Toxicology Gas Chromatography-Mass Spectrometry Humans Immunoenzyme Techniques Lung - chemistry Lung - pathology Lungs Male Medical screening Methyl Ethers - analysis Methyl Ethers - poisoning Pulmonary Edema - pathology sevoflurane Ultane |
| title | Sevoflurane Concentrations in Blood, Brain, and Lung After Sevoflurane‐Induced Death |
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