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Research Article

Unmet clinical laboratory need in patients hospitalized for acute poisoning from long-acting anticoagulant rodenticides

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Figures & data

Figure 1. After treatment of whole blood or plasma with organic solvent to precipitate proteins and then centrifugation, the supernatant is analyzed using reversed phase ultrahigh-pressure liquid chromatography-tandem mass-spectrometry (UHPLC-MS/MS). In this example, the long-acting anticoagulant rodenticides (LAARs) brodifacoum, bromadiolone, difenacoum, difethialone, and flocoumafen were extracted from 100 µL human plasma, separated using reversed phase UHPLC and measured in a single analysis using negative ion electrospray tandem mass spectrometry with selected-reaction monitoring (SRM). Note that each racemic LAAR was detected as a pair of cis/trans diastereomers due to the presence of two chiral centers.

Figure 1. After treatment of whole blood or plasma with organic solvent to precipitate proteins and then centrifugation, the supernatant is analyzed using reversed phase ultrahigh-pressure liquid chromatography-tandem mass-spectrometry (UHPLC-MS/MS). In this example, the long-acting anticoagulant rodenticides (LAARs) brodifacoum, bromadiolone, difenacoum, difethialone, and flocoumafen were extracted from 100 µL human plasma, separated using reversed phase UHPLC and measured in a single analysis using negative ion electrospray tandem mass spectrometry with selected-reaction monitoring (SRM). Note that each racemic LAAR was detected as a pair of cis/trans diastereomers due to the presence of two chiral centers.