• Am J Forensic Med Pathol · Mar 2009

    Case Reports

    Head injuries, pentobarbital, and the determination of death.

    • D Kimberley Molina, J R McCutcheon, and Jennifer J Rulon.
    • Bexar County Medical Examiner's Office, San Antonio, TX 78229, USA. kmolina@bexar.org
    • Am J Forensic Med Pathol. 2009 Mar 1; 30 (1): 75-7.

    AbstractThe Bexar County Medical Examiner's Office in San Antonio, Texas, has encountered 3 cases within a 15-month period involving decedents who were pronounced dead by brain death or cardiac death examination and who had elevated, if not toxic concentrations of pentobarbital present at the time of examination. The elevated levels of pentobarbital were discovered during an autopsy examination performed for medicolegal reasons. The diagnosis of brain death and the implications of pentobarbital intoxication during a brain death examination are discussed.

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