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Journal Article

Citation

Colucci AP, Gagliano-Candela R, Aventaggiato L, De Donno A, Leonardi S, Strisciullo G, Introna F. J. Forensic Sci. 2013; 58(3): 837-841.

Affiliation

Laboratory of Forensic Toxicology of Department of Internal Medicine and Public Health, University of Bari, Bari, Italy.

Copyright

(Copyright © 2013, American Society for Testing and Materials, Publisher John Wiley and Sons)

DOI

10.1111/1556-4029.12053

PMID

23406307

Abstract

The authors report an unusual case of suicide of an anesthesiologist, in which the suicide manner and means depend upon the victim's occupation. This is the first case report published in Italy of a death involving propofol and other drugs. The anesthesiologist was found dead with an empty drip still inserted in the hand and another one near his body. Forensic and toxicological findings suggested that the cause of death was a respiratory depression due to a self-administration of a rapidly infused lethal drug mixture. Analytical drug quantification was performed by gas chromatography-mass spectrometry. Blood analysis revealed: zolpidem (0.86 μg/mL), propofol (0.30 μg/mL), midazolam (0.08 μg/mL), thiopental (0.03 μg/mL), and amitriptyline (0.07 μg/mL). Adipose tissue and hair analysis suggested a previous and repeated use of these drugs verifying the fact that in Italy recreational abuse of anesthetic and sedative agents in health care practitioners is becoming an increasing problem.


Language: en

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