The involuntary manslaughter trial went into extra innings Monday, with anesthesiology expert Dr. Paul White still on the stand at the end of the day, despite hopes that Murray's defense would rest today.
While the trial might be dragging on, however, the energy level remained high, with prosecuting attorney David Walgren hammering away at White in an effort to discredit his previous testimony for Murray's defense.
In chipping away at White's testimony, Walgren used one of the most powerful tools at his disposal -- White's own words, in the form of articles he'd written about the outpatient use of anesthetics. Walgren rattled off passage after passage written by White about the circumstances and requirements in providing anesthesia to a patient outside of a hospital setting -- and Murray's care for Michael Jackson, as depicted in previous testimony and evidence, bore little resemblance to White's description of how anesthesia should be administered safely.
Read on for a full run-down of today's court proceedings, and check back for our in-depth report tomorrow, as Murray's trial begins to wind to a close. Previously...
Update, 12:05 p.m. PT
Prosecution attorney David Walgren aggressively questioned anesthesiology expert Dr. Paul White, the final witness for the defense in the involuntary manslaughter trial of Conrad Murray on Monday, challenging White's theory on how Michael Jackson received his fatal dose of the anesthetic propofol, as well as using White's own words to paint Murray's care of Jackson grossly inadequate.
Under Walgren's questioning, White -- who maintains that Jackson most likely self-injected the dose of propofol that killed him -- admitted that Murray probably left Jackson unattended for a 35 to 40 minute period, during which the singer presumably gave himself the fatal dose of propofol. During an interview with police conducted two days after Jackson's death, Murray maintained that he had only left Jackson alone for two minutes, to take a bathroom break.
White also admitted that Jackson likely performed the injection with a syringe that Murray had prepared, then left within Jackson's reach -- which didn't exactly speak well of Murray's care and diligence.
Perhaps most damningly, Walgren presented passages on the use of anesthesia in an out-patient setting authored by White himself, which detailed the necessary components when administering anesthesia in a non-hospital setting. Many of the essential components -- such as the "continuous presence of a member of the anesthesia care team" and a written plan for emergency transport -- weren't present during Murray's treatment of Jackson.
One of White's articles stated that "vigilant monitoring is required" when administering anesthesia, as the patient could quickly slip from mild to deep sedation, "and thus may be at risk for airway obstruction, oxygen desaturation and even aspiration."
Under repeated grilling from Walgren, White reluctantly opined that the standard of care laid out in his guidelines should at least be matched when administering propofol in a patient's bedroom.
