PMID- 20170082 OWN - NLM STAT- MEDLINE DCOM- 20100608 LR - 20191210 IS - 1520-6882 (Electronic) IS - 0003-2700 (Linking) VI - 82 IP - 6 DP - 2010 Mar 15 TI - Automated needle trap heart-cut GC/MS and needle trap comprehensive two-dimensional GC/TOF-MS for breath gas analysis in the clinical environment. PG - 2541-51 LID - 10.1021/ac100061k [doi] AB - This study was intended to evaluate low-volume (20 mL) multibed needle trap (NTD) sampling combined with heart-cut gas chromatography/mass spectrometry (GC/MS) and comprehensive two-dimensional gas chromatography/time-of-flight mass spectrometry (GC x GC/TOF-MS) for trace gas analysis under clinical conditions. NTDs, high-throughput automatic desorption and separation systems, were tested in vitro and within a study in 11 patients undergoing cardiac surgery with respect to reproducibility, reliability, and clinical applicability. NTD-heart-cut GC/MS analysis of standard mixtures containing different volatile organic compounds (VOCs) yielded relative standard deviations (RSDs) from 4.0% to 18.5%. Substance adsorption was stable for 1 day if NTDs were closed on both ends and was stable for approximately 7.8 h when NTD tip ends had to be left open during autosampler storage. Even in the presence of high concentrations of contaminants linearity of heart-cut GC/MS was conserved. In patients' breath potential biomarkers could be determined even in the presence of very high concentrations of sevoflurane. Profiles of blood-borne biomarkers, intravenous drugs, and clinical contaminants were characterized. Comprehensive GC x GC/TOF-MS may be used as a screening tool for new biomarkers, if patterns are generated from deconvoluted normalized areas. Needle trap sampling in combination with hyphenated chromatographic techniques can thus be used to provide well-tailored solutions for complex problems occurring in clinical breath analysis. FAU - Mieth, Maren AU - Mieth M AD - Department of Anesthesiology and Intensive Care Medicine, University Rostock, Schillingallee 35, 18057 Rostock, Germany. FAU - Schubert, Jochen K AU - Schubert JK FAU - Groger, Thomas AU - Groger T FAU - Sabel, Bastian AU - Sabel B FAU - Kischkel, Sabine AU - Kischkel S FAU - Fuchs, Patricia AU - Fuchs P FAU - Hein, Dietmar AU - Hein D FAU - Zimmermann, Ralf AU - Zimmermann R FAU - Miekisch, Wolfram AU - Miekisch W LA - eng PT - Comparative Study PT - Evaluation Study PT - Journal Article PL - United States TA - Anal Chem JT - Analytical chemistry JID - 0370536 RN - 0 (Gases) SB - IM MH - Breath Tests/*instrumentation/methods MH - Equipment Design MH - Gas Chromatography-Mass Spectrometry/*methods MH - Gases/*analysis MH - Humans MH - Linear Models MH - Pulmonary Alveoli/*chemistry MH - Reproducibility of Results EDAT- 2010/02/23 06:00 MHDA- 2010/06/09 06:00 CRDT- 2010/02/23 06:00 PHST- 2010/02/23 06:00 [entrez] PHST- 2010/02/23 06:00 [pubmed] PHST- 2010/06/09 06:00 [medline] AID - 10.1021/ac100061k [doi] PST - ppublish SO - Anal Chem. 2010 Mar 15;82(6):2541-51. doi: 10.1021/ac100061k.