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September 20, 2012Journal of Analytical Toxicology223 citationsOpen Access

Analysis of Clothing and Urine from Moscow Theatre Siege Casualties Reveals Carfentanil and Remifentanil Use

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JRJames R. RichesRRRobert W. ReadRBRobin M. Black

Key Points

  • The study aims to identify substances used during the 2002 Moscow Theatre Siege and their effects.
  • Liquid chromatography-tandem mass spectrometry analyzed clothing and urine samples from survivors.
  • Two British survivors' clothing samples were examined, along with urine from a third survivor.
  • Carfentanil and remifentanil were detected in clothing samples from two survivors.
  • Norcarfentanil, a metabolite of carfentanil, was found in urine from a survivor.
  • The study could not determine the relative proportions of carfentanil and remifentanil present.

Abstract

On October 26, 2002, Russian Special Forces deployed a chemical aerosol against Chechen terrorists to rescue hostages in the Dubrovka theatre. Its use confirmed Russian military interest in chemicals with effects on personnel and caused 125 deaths through a combination of the aerosol and inadequate medical care. This study provides evidence from liquid chromatography-tandem mass spectrometry analysis of extracts of clothing from two British survivors, and urine from a third survivor, that the aerosol comprised a mixture of two anaesthetics--carfentanil and remifentanil--whose relative proportions this study was unable to identify. Carfentanil and remifentanil were found on a shirt sample and a metabolite called norcarfentanil was found in a urine sample. This metabolite probably originated from carfentanil.

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Cite This Study

Riches et al. (2012) studied this question.

synapsesocial.com/papers/69df4eb16324afb55d592601https://doi.org/10.1093/jat/bks078
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