Death in Sauna Associated With a Transdermal Fentanyl Patch

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dc.contributor.author Kriikku, Pirkko
dc.contributor.author Ojanpera, Ilkka
dc.contributor.author Lunetta, Philippe
dc.date.accessioned 2021-11-30T22:52:54Z
dc.date.available 2021-12-18T03:45:50Z
dc.date.issued 2020-12
dc.identifier.citation Kriikku , P , Ojanpera , I & Lunetta , P 2020 , ' Death in Sauna Associated With a Transdermal Fentanyl Patch ' , The American Journal of Forensic Medicine and Pathology , vol. 41 , no. 4 , pp. 313-314 . https://doi.org/10.1097/PAF.0000000000000565
dc.identifier.other PURE: 158942754
dc.identifier.other PURE UUID: f19ef13d-5a12-4210-9f3d-532d03536745
dc.identifier.other WOS: 000596038000015
dc.identifier.other ORCID: /0000-0001-5790-1473/work/86937483
dc.identifier.other ORCID: /0000-0002-5721-2827/work/86940171
dc.identifier.uri http://hdl.handle.net/10138/336956
dc.description.abstract We present a case of an accidental fatal fentanyl overdose caused by increased uptake of the drug from a transdermal patch while experiencing the heat of a sauna. The transdermal patch administers fentanyl at a relatively constant rate through the skin. However, in the subcutaneous tissue, blood circulation greatly influences the rate of this drug's systemic intake. In the present case, an elderly woman with multiple health conditions was prescribed fentanyl patches but was unaware of the risks associated with external heat sources when one wears the patch. She was found dead in the sauna with a postmortem femoral blood concentration of fentanyl that was elevated (15 mu g/L). The cause of death was determined to be fatal poisoning by fentanyl with the contributing factor of external heat from the sauna. Risks associated with transdermal administration of a potent opioid-like fentanyl are widely described in the scientific literature and described in the manufacturer's summary of product characteristics. Physicians and pharmacists should take particular care to ensure that patients understand these risks. en
dc.format.extent 2
dc.language.iso eng
dc.relation.ispartof The American Journal of Forensic Medicine and Pathology
dc.rights cc_by_nc
dc.rights.uri info:eu-repo/semantics/openAccess
dc.subject fentanyl
dc.subject transdermal patch
dc.subject opioid intoxication
dc.subject sauna
dc.subject 319 Forensic science and other medical sciences
dc.title Death in Sauna Associated With a Transdermal Fentanyl Patch en
dc.type Article
dc.contributor.organization Medicum
dc.contributor.organization Department of Forensic Medicine
dc.description.reviewstatus Non peer reviewed
dc.relation.doi https://doi.org/10.1097/PAF.0000000000000565
dc.relation.issn 0195-7910
dc.rights.accesslevel openAccess
dc.type.version acceptedVersion

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