Michael Jackson's death ruled homocide

I am not surprised by this. There is no reason for propofol (diprivan) to be used outside of an OR by anyone other than a board certified anesthesiologist. When it first came out in the late 1980's, we were not sure what to do with it. It literally looks like milk, and it is best given as an IV infusion because it has such a short half-life. Think of it as sodium pentothal, but much shorter acting. It is useful for short surgical procedures, but you must supplement with opioids (Fentanyl, Morphine, etc..) to provide pain relief. When surgery is over, you can turn the IV off, and the patient wakes up right way unless they have been given too many other drugs.

Why someone would use this to induce sleep in an insomniac is beyond reason, and IMO is grounds for malpractice and possibly manslaughter/murder. This doctor was not experienced in giving anesthetic drugs, and there is no evidence that he monitored MJ afterward.
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Someone please give the doctor a medal of valor and get it over with. At least no more children will be molested by his planet of the apes looking ***.
 
You are making a bold statement in the use of propofol. If trained adequately (not some weekend conference but real residency training), it is not just limited to anesthesiologists.

Propofol can also be used safely and effectively by board certified emergency physicians. It can be used for conscious sedation and to assist sedation in the post intubation patient.

That being said, it should never be used in an outpatient setting and certainly not to fix insomnia.
 

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