{"id":295041,"date":"2010-02-08T17:02:02","date_gmt":"2010-02-08T22:02:02","guid":{"rendered":"tag:typepad.com,2003:post-6a00d8341c630a53ef0120a877131a970b"},"modified":"2010-02-08T17:24:18","modified_gmt":"2010-02-08T22:24:18","slug":"coroner-michael-jackson-given-amount-of-anesthetic-used-in-major-surgery-updated","status":"publish","type":"post","link":"https:\/\/mereja.media\/index\/295041","title":{"rendered":"Coroner: Michael Jackson given amount of anesthetic used in ‘major surgery’ [Updated]"},"content":{"rendered":"
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In the last hours of his life, Michael Jackson was given a powerful anesthetic at a level equivalent to what would be used in a \u201cmajor surgery\u201d and in a manner that did not live up to medical standards, according to the\u00a0autopsy report on the pop icon released Monday by the Los Angeles County coroner’s office.<\/p>\n

\u201cThe standard of care for administering propofol was not met,\u201d coroners\u2019 examiners wrote in the report. \u201cRecommended equipment for patient monitoring, precision dosing, and resuscitation was not present.\u201d <\/p>\n

The report said Jackson died of \u201cacute propofol intoxication\u201d administered by another. Coroner\u2019s officials described a scene around Jackson’s bedside that showed a host of problems in using propofol at such a high level. <\/p>\n<\/p>\n

An oxygen tank was empty and equipment disconnected, and there were no monitors or controlled infusion pump for intravenous administration, they wrote.<\/p>\n

They also found that an anesthesiologist would have noted the other sedative drugs in Jackson\u2019s system would have increased the propofol\u2019s effect on the singer\u2019s lungs and heart. In addition to propofol, Jackson\u2019s blood contained lidocaine, diazepam, nordiazepam, lorazepam, midazolam and ephedrine.\u201c<\/p>\n

[Updated at 2:08 p.m.:<\/strong> There are NO reports of [propofol’s] use for insomnia relief, to my knowledge,\u201d anesthesiology consultant Selma Calmes wrote in the report, underlining and capitalizing the word "no." <\/p>\n

\u201cThe only reports of its use in homes are cases of fatal abuse (first reported in 1992), suicide, murder and accident,\u201d she wrote.<\/p>\n

Because of the risks associated with the drug, it should be administered only by anesthesiologists or other supervised anesthesia providers, trained to recognize respiratory or cardiac problems that can arise, Calmes wrote.<\/p>\n

\u201cFull patient monitoring is required any time propofol is given,\u201d she wrote.<\/p>\n

Precision in the drug\u2019s dosage through a controlled pump is necessary because \u201cof the narrow margin between mere sedation and full general anesthesia,\u201d she wrote. \u201cThe levels of propofol found on [the] toxicology exam are similar to those found during general anesthesia for major surgery (intra-abdominal) with propofol infusions.\u201d]\u00a0 <\/p>\n

— Victoria Kim at the L.A. County coroner’s office<\/p>\n

Photo: Murray arrives in court. Don Bartlelli \/ L.A. Times <\/p>\n","protected":false},"excerpt":{"rendered":"

In the last hours of his life, Michael Jackson was given a powerful anesthetic at a level equivalent to what would be used in a \u201cmajor surgery\u201d and in a manner that did not live up to medical standards, according to the\u00a0autopsy report on the pop icon released Monday by the Los Angeles County coroner’s […]<\/p>\n","protected":false},"author":5470,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[7],"tags":[],"class_list":["post-295041","post","type-post","status-publish","format-standard","hentry","category-news"],"_links":{"self":[{"href":"https:\/\/mereja.media\/index\/wp-json\/wp\/v2\/posts\/295041","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/mereja.media\/index\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/mereja.media\/index\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/mereja.media\/index\/wp-json\/wp\/v2\/users\/5470"}],"replies":[{"embeddable":true,"href":"https:\/\/mereja.media\/index\/wp-json\/wp\/v2\/comments?post=295041"}],"version-history":[{"count":0,"href":"https:\/\/mereja.media\/index\/wp-json\/wp\/v2\/posts\/295041\/revisions"}],"wp:attachment":[{"href":"https:\/\/mereja.media\/index\/wp-json\/wp\/v2\/media?parent=295041"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/mereja.media\/index\/wp-json\/wp\/v2\/categories?post=295041"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/mereja.media\/index\/wp-json\/wp\/v2\/tags?post=295041"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}