[Suicide by intravenous injection of rocuronium-bromide--case report].
نویسندگان
چکیده
Suicides by intravenous injection of an overdose of medicaments are uncommon. In this paper, we present the case of a suicide by rocuronium-bromide injection in combination with an oral overdose of metoprolol. Unfortunately, in Belgrade, there is no toxicological laboratory capable of detecting rocuronium. The interpretation of autopsy and toxicological data in this case was made difficult due to the extreme putrefaction of the body of the deceased. So, by forensic investigation, the case was solved indirectly, through circumstantial evidence: an empty ampoule of rocuronium found near the body, as well as a plastic syringe and cloth-bandage found in the left hand of the deceased.
منابع مشابه
Rocuronium Bromide Inhibits Inflammation and Pain by Suppressing Nitric Oxide Production and Enhancing Prostaglandin E2 Synthesis in Endothelial Cells
PURPOSE Rocuronium bromide is a nondepolarizing neuromuscular blocking drug and has been used as an adjunct for relaxation or paralysis of the skeletal muscles, facilitation of endotracheal intubation, and improving surgical conditions during general anesthesia. However, intravenous injection of rocuronium bromide induces injection pain or withdrawal movement. The exact mechanism of rocuronium ...
متن کاملComparison of three methods of preventing rocuronium induced pain on injection using venous occlusion technique: a randomized prospective double blind controlled study.
BACKGROUND Intravenous administration of rocuronium bromide causes pain at the site of injection in most patients. The mechanism that leads to this side effect is still unknown and multiple drugs' pretreatments were used to prevent its occurrence with varying success rates. PURPOSE The study aimed to evaluate the effects of the pretreatment with lidocaine, fentanyl, and remifentanil using a v...
متن کاملPrevention of rocuronium injection pain
provided the original work is properly cited. CC The introduction of rocuronium bromide to the anesthetic field has led to its replacement of succinylcholine for rapidsequence intubation because of its rapid onset time and intermediate duration. Rocuronium is an especially good choice for children because it avoids the complications of succinylcholine; however, injection pain or withdrawal move...
متن کاملImprovement of suspected rocuronium-induced anaphylaxis after sugammadex administration: A case report
Although rare, anaphylactic and anaphylactoid reactions during anesthesia may result in fatal outcomes. A 26year-old male patient was scheduled to undergo septoplasty to correct a septal deviation. The patient’s preoperative medical history and laboratory findings revealed no specific abnormalities. Anesthesia was induced with propofol and rocuronium. Following the intravenous injection of addi...
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عنوان ژورنال:
- Srpski arhiv za celokupno lekarstvo
دوره 133 11-12 شماره
صفحات -
تاریخ انتشار 2005