标题: 杰克逊的死亡引发对异丙酚管控的争论 [打印本页] 作者: 华西小卒 时间: 2009-7-4 09:24 标题: 杰克逊的死亡引发对异丙酚管控的争论 转自瑞金麻醉网 杰克逊的死亡引发对异丙酚管控的争论-Jackson Death Renews Debate Over Propofol Status
一代歌手Michael Jackson的突然死亡让许多喜爱他的人都非常难过，虽然目前对于他的真正死因还是不知道，但是从他在好莱坞住所发现了临床常用的静脉全麻药物——异丙酚，杰克逊的私人护士承认这个歌手曾经向她要过异丙酚，用来治疗他的失眠，但是这位护士拒绝了杰克逊的要求。现在其家里的药物可能是杰克逊通过网络购买得到的，并且已经用过，以用来治疗他的失眠症，虽然还不能肯定杰克逊的死亡是否与静脉注射异丙酚有关，但是关于异丙酚是不是应该成为严格管理控制麻醉精神类药物，还是引起了麻醉界业内和专业外学者专家的激烈讨论。
异丙酚真的要被控制么？
目前的意见还是不统一的。在美国也许很难做到严格的管控异丙酚，但是严格的管理和麻醉医师专门性的使用还是需要承认。 Jackson Death Renews Debate Over Propofol Status Hospital sedative found in singer's home
The discovery of propofol in Michael Jackson’s Beverly Hills mansion has reopened the debate about whether the drug should be scheduled as a controlled substance.
The Associated Press, the Web site TMZ.com and other news outlets have reported that Mr. Jackson begged his personal nurse to provide him propofol to help him overcome insomnia. Mr. Jackson’s nurse, Cherilyn Lee, said he pressed her to give him the drug, which must be injected or administered intravenously, insisting that a physician had told him it was safe. Ms. Lee said she denied the request and tried to dissuade Mr. Jackson from taking the drug.
Propofol is addictive—although to what extent remains unknown—and potentially deadly if administered in too large a dose. Respiratory suppression is the most common adverse reaction to an overdose, but some patients have suffered heart-rhythm disturbances and other cardiac anomalies after receiving the sedative.
Mr. Jackson, who was 50, is said to have died of a heart attack June 25. Mr. Jackson reportedly had been taking a vast array of prescription medications, including opioid painkillers, antidepressants and other psychoactive drugs. News reports said lidocaine, which can cause severe cardiac reactions, also was found in Mr. Jackson’s home.
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请看：http://www.anesthesiologynews.com/index.asp?section_id=175&show=dept&article_id=13406
Powerful sedative found in Michael Jackson's home
The powerful sedative Diprivan was found in Michael Jackson's home, a law enforcement official said Friday as the city planned for a massive crowd at the singer's memorial service
Diprivan is an anesthetic widely used in operating rooms to induce unconsciousness. Also known as Propofol, it's given intravenously and is very unusual to have in a private home.
The law enforcement official spoke on condition of anonymity because the person was not authorized to speak about the matter.
A Los Angeles Police spokesman, Lt. John Romero, declined to discuss the case. "It's an ongoing investigation," he said
At the downtown Staples Center, where Jackson's memorial will be held Tuesday, Assistant Police Chief Earl Paysinger said up to 700,000 people could try to reach the arena, even though only 17,500 free tickets will be available
City Councilwoman Jan Perry urged people to stay home and watch the memorial on TV. There will not be a funeral procession through the city.
Free tickets to Jackson's memorial service can be obtained by registering at Staplescenter.com. There will be 11,000 tickets for seats inside Staples Center and 6,500 for seats in the adjacent Nokia Theatre, where fans can watch a simulcast. After 6 p.m. Saturday, 8,750 names will be randomly selected to receive two tickets each
No details of the memorial service itself have been released
Authorities are investigating allegations that the 50-year-old Jackson had been consuming painkillers, sedatives and antidepressants. Any criminal charges would depend on whether Jackson had been overly prescribed medications, given drugs inappropriate for his needs, or if doctors knowingly prescribed Jackson medications under an assumed name.
Edward Chernoff, an attorney for Jackson's doctor, Dr. Conrad Murray, said Friday through a spokeswoman that he had agreed with investigators not to comment until information is released through official channels. Murray was in Jackson's rented mansion when the singer collapsed June 25
Murray has spoken to police and authorities say he is not a suspect. In an earlier interview, Chernoff said Murray never gave or prescribed Jackson the painkillers Demerol or OxyContin, and denied reports suggesting that the doctor gave the pop star drugs that contributed to his death.
Chernoff would not discuss what drugs the doctor administered to Jackson, but said they would have been prescribed in response to a specific complaint
As Jackson recently prepared for a massive series of comeback concerts, he was so distraught over persistent insomnia that he pleaded for Diprivan, according to Cherilyn Lee, a registered nurse who was working with the singer.
Lee said she repeatedly rejected his demands because the drug was unsafe.
I t's still not known what caused Jackson's death at age 50. The pop star went into cardiac arrest in his bedroom and his personal physician, Dr. Conrad Murray, performed CPR while an ambulance was called, according to Murray's lawyers. Murray has spoken to police and authorities say he is not a suspect.
An autopsy was conducted but results are not expected for several weeks. The Jackson family had a second autopsy performed and those results also are pending作者: donggua2214 时间: 2009-7-4 12:48
华西的见闻真多真快！
学习啦！作者: xanaduyly 时间: 2009-7-4 13:26
我也在想这方面的问题。作者: xanaduyly 时间: 2009-7-4 19:32
a talent disppeared.作者: 周松涛 时间: 2009-7-4 21:54
异丙酚治疗失眠也是一种有效的方式作者: lzdb00 时间: 2009-7-4 22:02
组织几个医闹小组到美国闹去，包你拿它十来万美金玩玩作者: xyz-cn99 时间: 2009-7-12 19:53
异丙酚害了杰克逊？
