Paramedics administer first two rounds of heart starter drugs via jugular vein; notice lidocaine vials used to lessen burn of Propofol injection; Murray has not disclosed use of Propofol (12 h 34 min, 25 juin 2009 ans – 12 h 40 min, 25 juin 2009 ans)

Description:

P. 211: It was now 12:40pm and despite the singer’s EKG showing he had flat-lined, and the capnography reading 16 instead of the normal 36 to 40, the paramedics had been administering both Epinephrine and Atropine since 12:34pm. Epinephrine is adrenaline and it can kick-start the heart, while Atropine is used to take the brakes off the heart so it can accelerate. But the paramedics found administering these drugs into Jackson wasn’t straightforward as they struggled to find a vein in the singer’s arms. […] Senneff found he could get an IV into Jackson’s jugular vein and they were able to administer the first round of drugs via the left jugular vein in Jackson’s neck.

[…]

[…] Martin Blount’s attention was drawn to some vials of medicine he saw scattered on the floor. Looking closer he saw that they were vials of Lidocaine and, moreover, that three of them were open and had been emptied. Lidocaine is a drug administered with Propofol to ease the burning sensation. These three opened vials could only have been used by Murray to treat Jackson whilst administering Propofol to him.

[…] ‘Lidocaine is widely used to reduce the pain associated with injection of Propofol, administered either mixed with Propofol or as a separate injection. […] The use of a freshly prepared mix of Propofol 1% Lidocaine 1% in a 10:1 volume did not affect the dose of Propofol required for the induction of anesthesia.’

This potentially means that if Murray used three vials of Lidocaine, then it is conceivable that ten times as much Propofol could have been used on the singer, based on this 10:1 ratio. And at this point, Murray hadn’t even revealed to any of the paramedics on the scene that he had given Jackson Propofol earlier in the morning.

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