Drugs and brain death diagnostics: determination of drugs capable of inducing EEG zero line.

Abstract:

BACKGROUND:Several drugs may affect the diagnosis of brain death by depressing the electroencephalographic signal. Serum levels of these drugs must be below their respective therapeutic ranges. METHODS:A high performance liquid chromatography-based fast and simple method was developed for determination of thiopentone, pentobarbitone, phenobarbitone, methohexital and propofol in serum and validated according to international recommendations. RESULTS:Separation of extracted analytes was performed on a reversed phase column [Agilent Zorbax SB C18, 5 microm, 4.6 x 250 mm; mobile phase 50% 50 mM NaH(2)PO(4) pH 4.6 mixed with 35% (v/v) acetonitrile and 15% (v/v) methanol]. Calibration curves were linear throughout the selected ranges (microg/mL, thiopentone 0.25-50, pentobarbitone 0.25-25, phenobarbitone 2.5-50, methohexital 0.125-2.50, propofol 0.25-5.0). The standard deviations for the regression line, recovery, imprecision and accuracy results were all highly satisfactory. The lower limits of quantification for propofol, thiopentone and pentobarbitone were set at 0.25 microg/mL, for phenobarbitone 2.5 microg/mL, and for methohexital 0.125 microg/mL, which are below the lowest pharmacologically relevant serum concentrations. Intra- and inter-day coefficients of variation were less than 10% throughout as determined with six replicates. CONCLUSIONS:The method presented is suitable for drug monitoring to help enhance the reliability of the diagnosis of brain death.

journal_name

Clin Chem Lab Med

authors

Meinitzer A,Kalcher K,Gartner G,Halwachs-Baumann G,März W,Stettin M

doi

10.1515/CCLM.2008.335

subject

Has Abstract

pub_date

2008-01-01 00:00:00

pages

1732-8

issue

12

eissn

1434-6621

issn

1437-4331

pii

10.1515/CCLM.2008.335

journal_volume

46

pub_type

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