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Dying science gal
Dying science gal
- Apr 27, 2023
- 76
I propose a new method based off BC's MAiD process:
Accessible Version
Full details below~
What you need:
1000mg of propofol - You can get this from Russian clearnet pharmacies. It is marketed for the euthanasia for animals. Propofol is generally not a controlled substance, and is widely used for the induction of anesthesia.
10ml of saline for injection - You can get this from your local pharmacy. Just ask.
0.5mg per kg Lidocaine 1% - You can also get this from your local pharmacy. Again, just ask.
IV Catheter (20G) - You can buy this from medical suppliers online.
IV tubing - You can buy this from any medical supply store... Again...
Tegaderm dressing for the IV - Again, purchasable from the pharmacy. Just ask.
Procedure:
Push 10ml of saline to ensure patency of IV catheter
Push lidocaine 0.5mg/kg of 1% preparation to numb the veins as sometimes propofol hurts on injection.
Wait for five minutes.
Administer propofol 1000mg via an IV syringe pump or drip (just stick the end of the iv tubing into the bottle) over 30 seconds — This induces anaesthesia and death. The IV syringe pump or drip is chosen as it will continue the infusion postmortem to ensure sufficient serum concentration.
Full Article
I came by a document titled "Medical Assistance in Dying (MAID) Protocols and Procedures Handbook of the Comox Valley, BC" (Reggler & Daws, 2021) and found interest in this document. It outlines the following protocol for medically assisted suicide by the intravenous route:
I have decided to investigate the intravenous route as the oral route is extremely uncomfortable and can take up to twelve hours for an individual to die from such ingestion, and a complication rate of up to 14.8%. (pp. 18-19, Worthington, Finlay & Regnard, 2022)
Based on this guideline, I propose the following:
Bibliography:
1. Anna Pia Colucci, Gagliano‐Candela R, Aventaggiato L, et al. Suicide by Self‐Administration of a Drug Mixture (Propofol, Midazolam, and Zolpidem) in an Anesthesiologist: The First Case Report in Italy. Journal of Forensic Sciences. 2013;58(3):837-841. doi:https://doi.org/10.1111/1556-4029.12053
2. Silviya Stoykova, Kiryakova T, Nikolov D, Nedzhib A, Ivayla Pantcheva, Vasil Atanasov. Self-administrated propofol – a case report of a physician suicide. Annales de Toxicologie Analytique. 2018;30(2):142-148. doi:https://doi.org/10.1016/j.toxac.2018.03.002
3. Kirby RR, Colaw JM, Douglas MM. Death from Propofol: Accident, Suicide, or Murder? Anesthesia & Analgesia. 2009;108(4):1182-1184. doi:https://doi.org/10.1213/ane.0b013e318198d45e
4. Reggler J, Daws T. Medical Assistance in Dying (MAID) Protocols and Procedures Handbook Comox Valley, BC 2017.; 2017. https://divisionsbc.ca/sites/default/files/51936/Medical Assistance in Dying (MAID) Protocols and Procedures Handbook Comox Valley 2017 - 2nd edition_0.pdf
5. Yentis, S.M., Shinde, S., Plunkett, E. and Mortimore, A. (2019), Suicide amongst anaesthetists – an Association of Anaesthetists survey. Anaesthesia, 74: 1365-1373. https://doi.org/10.1111/anae.14727
Accessible Version
Full details below~
What you need:
1000mg of propofol - You can get this from Russian clearnet pharmacies. It is marketed for the euthanasia for animals. Propofol is generally not a controlled substance, and is widely used for the induction of anesthesia.
10ml of saline for injection - You can get this from your local pharmacy. Just ask.
0.5mg per kg Lidocaine 1% - You can also get this from your local pharmacy. Again, just ask.
IV Catheter (20G) - You can buy this from medical suppliers online.
IV tubing - You can buy this from any medical supply store... Again...
Tegaderm dressing for the IV - Again, purchasable from the pharmacy. Just ask.
Procedure:
Push 10ml of saline to ensure patency of IV catheter
Push lidocaine 0.5mg/kg of 1% preparation to numb the veins as sometimes propofol hurts on injection.
Wait for five minutes.
Administer propofol 1000mg via an IV syringe pump or drip (just stick the end of the iv tubing into the bottle) over 30 seconds — This induces anaesthesia and death. The IV syringe pump or drip is chosen as it will continue the infusion postmortem to ensure sufficient serum concentration.
Full Article
I came by a document titled "Medical Assistance in Dying (MAID) Protocols and Procedures Handbook of the Comox Valley, BC" (Reggler & Daws, 2021) and found interest in this document. It outlines the following protocol for medically assisted suicide by the intravenous route:
- Saline 10 ml (upon insertion of new cannula or to ensure patency of existing)
- Midazolam 10-20mg 2-4ml of 5mg/ml preparation
- Saline 10ml (may be omitted)
- Lidocaine 40mg 4ml of 1% preparation; pause to allow effect
- Saline 10ml (may be omitted)
- Propofol 1000mg 100ml of 10mg/ml preparation; give slowly especially if veins small or patient)
- Saline 10ml (mandatory; prevents crystallization or Propofol with Rocuronium)
- Rocuronium 200mg 20ml of 10mg/ml preparation
- Saline 10ml (mandatory; ensures full dose delivered centrally)
I have decided to investigate the intravenous route as the oral route is extremely uncomfortable and can take up to twelve hours for an individual to die from such ingestion, and a complication rate of up to 14.8%. (pp. 18-19, Worthington, Finlay & Regnard, 2022)
Based on this guideline, I propose the following:
- Saline 10ml (To ensure patency of IV catheter)
- The midazolam is excluded as it's primary purpose is to reduce awareness of mild burning sensation, which the lidocaine should be effective at preventing. Ten to seventy percent of patients experience this in the absence of pretreatment. (p. 8, Reggler & Daws, 2021). However, pretreatment with lidocaine at 0.5mg/kg should be sufficient. (Kang et al, 2010)
- Lidocaine 0.5mg/kg of 1% preparation; (The lidocaine is set to 0.5mg/kg as per Kang et al., 2010)
- Propofol 1000mg via an IV syringe pump over 30 seconds - This induces anesthesia and death. The IV syringe pump is chosen as it will continue the infusion postmortem to ensure sufficient serum concentration.
Bibliography:
1. Anna Pia Colucci, Gagliano‐Candela R, Aventaggiato L, et al. Suicide by Self‐Administration of a Drug Mixture (Propofol, Midazolam, and Zolpidem) in an Anesthesiologist: The First Case Report in Italy. Journal of Forensic Sciences. 2013;58(3):837-841. doi:https://doi.org/10.1111/1556-4029.12053
2. Silviya Stoykova, Kiryakova T, Nikolov D, Nedzhib A, Ivayla Pantcheva, Vasil Atanasov. Self-administrated propofol – a case report of a physician suicide. Annales de Toxicologie Analytique. 2018;30(2):142-148. doi:https://doi.org/10.1016/j.toxac.2018.03.002
3. Kirby RR, Colaw JM, Douglas MM. Death from Propofol: Accident, Suicide, or Murder? Anesthesia & Analgesia. 2009;108(4):1182-1184. doi:https://doi.org/10.1213/ane.0b013e318198d45e
4. Reggler J, Daws T. Medical Assistance in Dying (MAID) Protocols and Procedures Handbook Comox Valley, BC 2017.; 2017. https://divisionsbc.ca/sites/default/files/51936/Medical Assistance in Dying (MAID) Protocols and Procedures Handbook Comox Valley 2017 - 2nd edition_0.pdf
5. Yentis, S.M., Shinde, S., Plunkett, E. and Mortimore, A. (2019), Suicide amongst anaesthetists – an Association of Anaesthetists survey. Anaesthesia, 74: 1365-1373. https://doi.org/10.1111/anae.14727
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