Volume 35, Issue 2 (March 1990)
A Dextromoramide-Related Fatality
A 38-year-old man was found in his car suffering from a heart attack. Serum analysis by capillary gas chromatography and mass spectrometry confirmed the presence of dextromoramide (Palfium®), methadone, and lidocaine. The serum concentrations at admission to the hospital were: 1.9 μg/mL of dextromoramide, 0.4 μg/mL of methadone, and 0.4 μg/mL of lidocaine. A serum alcohol analysis performed using headspace gas chromatography was negative.