Michael Jacksons Case
Michael Jacksons Case
Michael Jacksons Case
GIANI SUKARNI
0911013154
PHARMACY FACULTY
ANDALAS UNIVERSITY
Jackson's body was flown by helicopter to the Los Angeles
Coroner's offices in Lincoln Heights, where on June 26 a
three-hour autopsy was performed on behalf of the Los
Angeles County Coroner by the chief medical examiner,
Lakshmanan Sathyavagiswaran.
[
Jackson's family arranged
for a second autopsy, a practice that could yield expedited
albeit limitedresults.
Autopsies
After the preliminary autopsy was completed, Craig Harvey,
chief investigator for the coroner's office, said there was no
evidence of trauma or foul play. On August 28, the LA County
Coroner made an official statement classifying Jackson's
death as a homicide. The county coroner stated that Jackson
died from the combination of drugs in his body, with the most
significant drugs being the anesthetic propofol and the
anxiolytic lorazepam.
Less significant drugs found in Jackson's body were midazolam,
diazepam, lidocaine and ephedrine. The coroner is keeping the
complete toxicology report private, as requested by the police
and district attorney.
[
On October 1, the BBC reported that the
autopsy report revealed that Jackson was "fairly healthy" for
his age and that his heart was strong.
The document stated that Jackson's most significant health
problem was his chronically inflamed lungs, but this did not
contribute to his death.
His other major organs were normal and he had no
atherosclerosis except for some slight plaque accumulation in
his leg arteries. The autopsy stated that he weighed 136
pounds (62 kg) with a height of 5'9" (175 cm), which equates
to a BMI of 20.1 .
Fox News said that this confirmed rumors that Jackson
was emaciated,
[
while the Associated Press stated that
his weight was in the acceptable range. The autopsy
also revealed that Jackson's arms were covered with
punctures and his face and neck were scarred. He was
balding and had worn a wig for the last decade of his
life. A tattooed hairline was found on his scalp
Propofol (INN, marketed as Diprivan by AstraZeneca) is a
short-acting, intravenously administered hypnotic agent. Its
uses include the induction and maintenance of general
anesthesia, sedation for mechanically ventilated adults, and
procedural sedation. Propofol is also commonly used in
veterinary medicine. Propofol is approved for use in more
than 50 countries, and generic versions are available.
Propofol
Propofol is highly protein-bound in vivo and is
metabolised by conjugation in the liver
Its rate of clearance exceeds hepatic blood flow,
suggesting an extrahepatic site of elimination as well.
The half life of elimination of propofol has been
estimated at between 2 and 24 hours.
Pharmacokinetics Of Propofol
However, its duration of clinical effect is much
shorter, because propofol is rapidly distributed into
peripheral tissues.
When used for IV sedation, a single dose of propofol
typically wears off within minutes. Propofol is
versatile; the drug can be given for short or
prolonged sedation as well as for general anesthesia.
Its use is not associated with nausea as is often seen
with opioid medications. These characteristics of
rapid onset and recovery along with its amnestic
effects
[24]
have led to its widespread use for sedation
and anesthesia.