<- Home <- Arhive <- Vol. 26, Issue 1, March 2018



Rom J Leg Med26(1)62-66(2018)
DOI:10.4323/rjlm.2018.62
© Romanian Society of Legal Medicine


Lethal injection with the muscle relaxant rocuronium

C. Hess, M. Krämer, R. Wagner, B. Madea,


Abstract: We describe a case in which a 35 year old man injected himself a lethal dose of the aminosteroid nondepolarizing muscle relaxant rocuronium. He had stolen the syringes containing rocuronium (and other substances) from a hospital. Rocuronium was quantified in various matrices post mortem using high performance liquid chromatography coupled to triple quadrupole mass spectrometry. Concentrations of 190 ng/mL in femoral blood and up to 1300 ng/mL in bile were detected in addition to MDMA, MDA, amphetamine, olanzapine, tilidine, nortilidine, bisnortilidine, buprenorphine, norbuprenorphine, methadone, EDDP, THC carboxylic acid and 7-aminoclonazepam. Rocuronium tissue concentrations in kidney, liver and brain were 9100 ng/g, 7500 ng/g and 600 ng/g. Without respiratory assistance the cause of death was recorded to be rocuronium intoxication.
Keywords: .



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