Chernova A P, Shormanov V K, Davydkina A E
Tomsk Polytechnic University, Tomsk, Russia.
Kursk State Medical University, Kursk, Russia.
Sud Med Ekspert. 2022;65(5):46-51. doi: 10.17116/sudmed20226505146.
The study objective is to review the literature on the use, pharmacological properties, toxicology, and assay methods for intravenous anesthetic propofol. The scope and forms of propofol use, its pharmacokinetics, biotransformation features, which occurs more than 90% in the liver, and side effects associated with propofol use for anesthesia, are addressed. Propofol infusion syndrome (also known as PrIS) and deaths from propofol overdose due to medical errors, abuse, suicide attempts, and homicide are reported. Propofol identification and assay methods based on high-performance liquid chromatography (HPLC), gas chromatography with mass spectrometry (GC-MS), and liquid chromatography (LC) are described. The features of the methods performance are outlined; biological materials (the study objects) are listed: mainly blood and plasma, as well as urine, bile, hair, etc. The relevance of a comprehensive forensic chemical study of propofol is indicated, though there are few forensic studies of propofol.
本研究的目的是回顾有关静脉麻醉药丙泊酚的使用、药理特性、毒理学及检测方法的文献。文中阐述了丙泊酚的使用范围和形式、其药代动力学、在肝脏中发生率超过90%的生物转化特征,以及丙泊酚用于麻醉时的副作用。报告了丙泊酚输注综合征(也称为PrIS)以及因医疗差错、滥用、自杀未遂和他杀导致的丙泊酚过量致死情况。描述了基于高效液相色谱法(HPLC)、气相色谱 - 质谱联用(GC-MS)和液相色谱法(LC)的丙泊酚鉴定和检测方法。概述了这些方法的性能特点;列出了生物材料(研究对象):主要是血液和血浆,以及尿液、胆汁、毛发等。指出了对丙泊酚进行全面法医化学研究的相关性,尽管对丙泊酚的法医研究很少。