Article ID Journal Published Year Pages File Type
1969341 Clinical Biochemistry 2011 9 Pages PDF
Abstract

ObjectivesPerform a comparison of results obtained with a LC-MS/MS method and a Remedi® instrument on clinical serum samples.Design and methodsResults obtained on 146 selected plasma samples were compared between the two methods.ResultsOn the 336 positive identifications, 89% were obtained using the LC-MS/MS technique and 57% by the LC-DAD. Benzodiazepines were well recognized by LC-MS/MS. For some compounds such as antidepressant agents, sensitivity was improved using LC-MS/MS. Moreover, this method extended the panel of drugs detected in clinical toxicology.ConclusionThe new software platform developed for screening and identification of small molecules (SmileMS) allows an easy and reproducible detection of drugs and toxic compounds in blood for general unknown screening. It offers automated generation of reports, which makes the LC-MS/MS easier to use without having specialised skills in mass spectrometry.This LC-MS/MS screening method will be a reliable alternative to the Remedi® instrument in the global process of screening in emergency clinical toxicology laboratories.

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