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What Is Propofol, The Drug That Contributed To Michael Jackson's Death?

Arnold

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What Is Propofol, The Drug That Contributed To Michael Jackson's Death?
Singer was found with lethal levels of the drug in his system, according to court documents released Monday.

By Gil Kaufman

In court documents unsealed on Monday (August 24), Michael Jackson reportedly had lethal levels of the drug Propofol in his system, and the drug has been at the center of many of the investigations that have taken place in the wake of the singer's death in June.

The very potent drug, also known as Diprivan, is administered intravenously as a general anesthetic used to sedate patients for surgery and is only available to medical personnel.

"This is only meant for use in anesthesia and [administering it as a sleep aid] it's like giving someone chemotherapy so they don't have to shave their head," veteran anesthesiologist Dr. John F. Dombrowski ??? who has not treated Jackson and has no information about the case, but has used Propofol often in his practice ??? told MTV News last month. "It's one purpose is as an anesthetic, to induce that sleepy feeling and when I run it as an IV drip I can keep you asleep and when I turn it off you are quickly awake. It works in 30 seconds or so and it is out of your system quickly when I turn it off."

Dr. Dombrowski said the drug is so powerful that it is critical to have someone in attendance who has the ability to rescue you should your breathing cease or some other critical failure occur, which is why the drug is only used in operating rooms and in doctor's offices where providers are on hand to support patients and intervene should something go wrong. "It is never used outside a medical setting during a procedure," he said. "And it is never used as a sleeping aid. I've never heard of that in my 16 years of practice."

In the court documents, Jackson's personal physician, Dr. Conrad Murray, reportedly said that Jackson had repeatedly requested Propofol to help him sleep, and registered nurse Cherilyn Lee told The Associated Press that Jackson repeatedly begged her for the drug to help him with insomnia related to anxiety over upcoming 50-date residency at the O2 Arena in London. Lee said she declined his requests for the drug, which TMZ said could have played a part in the singer's death. According to Lee, a member of Jackson's staff called her in a panic on June 21 pleading with her to help him after what appeared to be an adverse drug reaction. "At that point, I knew that someone had given him something that hit the central nervous system," she said of the singer's complaints that half of his body felt hot and half felt cold.

A spokesperson for the drug's provider, APP Pharmaceuticals, confirmed that it is only available to medical professionals. The widely used drug is used primarily for outpatient surgical procedures because it is very fast acting, typically knocking the patient out within 30 seconds. As described by Lee to the AP, Jackson complained of hot/cold sensations and Propofol is sometimes known to create a painful burning sensation, which is often alleviated by the use of the drug Lidocaine, which TMZ reported was also found near Jackson's body.

A source told the site that the drug is so inappropriate for home use that if a doctor supplied it for Jackson or helped inject him with it and it caused his death, he or she could be prosecuted for manslaughter.

Dombrowski said that Jackson, who was reportedly on a number of different strong pain medications at the time of his death and who was alleged to have struggled with an addiction to prescription medication, likely built up a tolerance to those drugs over the years. "You not only build up a tolerance, but these drugs can also mess with your sleep cycle and so you want to be sedated, you want that feeling of being out that patients who abuse these medications like," he explained. "After a while, you are no longer getting out like you want to be, so you need an anesthetic and a cardiologist or nurse who might know of these drugs might make the leap that they could be used to help someone sleep. But again, that is way, way out there."

source
 
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 is unrelated to the barbiturates, and has largely replaced sodium thiopental (Pentothal) for induction of anesthesia as recovery from propofol is more rapid and 'clear' as compared to thiopental. Propofol is not considered an analgesic, so opioids such as fentanyl may be combined with propofol to alleviate pain.[1] Propofol for intravenous administration is a white liquid; due to its appearance and amnestic effects, it is jocularly called "milk of amnesia" by medical professionals.[2] :nerd:

Propofol - Wikipedia, the free encyclopedia
 
You have to be a hardcore user to even think of using this so carelessly, these things are the number one reason surgeries requiring General Anesthesia even if it's a very routine surgery are considered dangerous, because the surgery isn't dangerous but the knockout drug is. My GF had cosmetic surgery on her eyelids and the Anesthesiologists bill was almost as much as the surgery itself. Which makes me think Michael probably built a fondness for this drug through his numerous Plastic Surgeries.....
 
I had some of that last Friday! :thumb:

Of course, it was because I had an upper endoscopy done. :spaz: Fortunately I woke up when they were done.
 
I've only ever used it on people that are already on a ventilator!. ( We use it to sedate intubated patients that are fighting the ventilator). So it is scary as shit that someone was using it on someone who was not on a ventilator or some sort of respiratory monitor!
 
I've only ever used it on people that are already on a ventilator!. ( We use it to sedate intubated patients that are fighting the ventilator). So it is scary as shit that someone was using it on someone who was not on a ventilator or some sort of respiratory monitor!
and leaving them alone to go to the restroom and not having a defibrillator on stand-by, GROSS NEGLIGENCE all around....
 
and leaving them alone to go to the restroom and not having a defibrillator on stand-by, GROSS NEGLIGENCE all around....

The main toxicity is respiratory depression, but if that's depressed enough, cardiac arrythmias ensue, whoever the doctor was that enabled the administration of this drug, indirectly or directly, needs to have his licensce permanently revoked. His actions go beyond malpractice, and probably fits within the realm of manslaughter.

What's strange is if that cardiologist is the guilty party, most cardiologists generallly don't have much experience with this drug. When they do conscience sedation for elective cardioversion or catherizations and angioplasties, they don't use propofol. Propofol is mainly used by intensivists such as myself who routinely manage ventilated patients ( many times we do it for the cardiologists) and anesthesiologists and pulmonologists.
 
Not sure why he would give Michael prop in the morning? It's supposed to help him sleep. Why would he be trying to sleep at 10:30 in the morning?
 
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