Postmortem toxicology

Results from toxicological analyses in death investigations are used to determine whether foreign substances were a cause of death, whether they contributed to death, or whether they caused impairment. Drug concentrations are likely to change during pre-terminal stages due to altered pharmacokinetic...

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1. Verfasser: Skopp, Gisela (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: 4 March 2010
In: Forensic science, medicine, and pathology
Year: 2010, Jahrgang: 6, Heft: 4, Pages: 314-325
ISSN:1556-2891
DOI:10.1007/s12024-010-9150-4
Online-Zugang:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1007/s12024-010-9150-4
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Verfasserangaben:Gisela Skopp

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520 |a Results from toxicological analyses in death investigations are used to determine whether foreign substances were a cause of death, whether they contributed to death, or whether they caused impairment. Drug concentrations are likely to change during pre-terminal stages due to altered pharmacokinetics, to treatment during resuscitation or in the intensive care unit, to concomitant illness or to the presence of drug tolerance. The potential for postmortem changes must be considered in all but a few drugs. Formation of new entities as well as degradation of drugs may occur, especially in putrefied corpses; in addition, body fluids and tissues may be severely affected by autolysis and putrefaction. Specimens should be selected based on individual case history and on their availability. Analytical procedures should be performed in accordance with a proper quality assurance program for toxicological investigations. Problems are most likely to occur during the isolation and identification of a drug. Interpretation of analytical results is often limited by the inadequate information provided in a particular case. 
650 4 |a Analysis 
650 4 |a Antemortem factors 
650 4 |a Autolysis 
650 4 |a Changes during the postmortem interval 
650 4 |a Drug redistribution 
650 4 |a Putrefaction 
650 4 |a Selection of samples 
650 4 |a Specimen collection 
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