Sevoflurane concentrations in blood, brain, and lung after sevoflurane-induced death.

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 microg/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.

journal_name

J Forensic Sci

authors

Rosales CM,Young T,Laster MJ,Eger EI 2nd,Garg U

doi

10.1111/j.1556-4029.2007.00556.x

subject

Has Abstract

pub_date

2007-11-01 00:00:00

pages

1408-10

issue

6

eissn

0022-1198

issn

1556-4029

pii

JFO556

journal_volume

52

pub_type

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