Alcohol is the most popular legal drug used in our society today, and its consumption by pregnant women remains an important public health problem. Gestational alcohol consumption can result in a continuum of adverse fetal outcomes known as fetal alcohol spectrum disorder (FASD). Effective strategies are needed to prevent the increasing adoption of risky drinking behaviors. Because ethanol itself is only measurable for a few hours after ethanol intake in conventional matrices including blood, urine, and sweat, these matrices are only useful to detect recent ethanol exposure. Since approximately early 2000, the non-oxidative ethanol metabolites have received increasing attention because of their specificity and, in some cases, wide time window of detection in non-conventional matrices including hair and meconium. In the attempt to update analytical methods for the determination of non-oxidative markers of alcohol, the objective of this study is to review published studies that measure fatty-acid ethyl esters (FAEE), ethyl glucuronide (EtG), and phosphatidylethanol (PEth) in alternative biological matrices, focusing on the extraction and detection methods and full analytical conditions used.

The purpose of this study was to validate a high-performance liquid chromatography-photodiode-array detetion method for the determination of six benzodiazepines in vitreous humor. The sample preparation was carried out using solid-phase extraction with Oasis HLB cartridges and 10% acetic acid/MeOH as elution solvent. The vitreous humor is less affected by postmortem changes and is a very useful sample when blood or urine specimens are not available. Linear curves for bromazepam, alprazolam, lorazepam, lormetazepam, diazepam, and tetrazepam were obtained within the range 0.03-3 μg/mL, with coefficients of correlation lower than 0.999. The limit of detection was 3 ng/mL, and the lower limit of quantification was 30 ng/mL for each benzodiazepine. Intra- and interassay for precision and accuracy provided results less than 16.81% and 16.78%, respectively. Recoveries were higher than 68.51% in all cases. Finally, the method was applied to determine benzodiazepines in vitreous humor from intoxicated patients.

No abstract

A rapid and sensitive method for the simultaneous determination of alfentanyl, sufentanyl and fentanyl (and its major metabolite norfentanyl) in urine was developed and validated. The method involved a liquid-liquid extraction in alkaline conditions, derivatization with pentafluoropropionic anhydride to improve the sensitivity for norfentanyl and subsequent analysis in GC/MS. The LODs are 0.08 ng ml(-1) for all substances (0.04 ng ml(-1) for alfentanyl). Intra- and inter-day precision coefficient of variation was always below 15%; mean relative error (accuracy) was always below 15%. The method was linear for all analytes, with quadratic regression of calibration curves always higher than 0.99. The method was applied to real samples of subjects who had received therapeutic doses of fentanyl, showing its suitability for the determination of low levels of these substances. The method was also applied to a subject whose death was attributed to fentanyl overdose.

No abstract