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M Mosimann

Publications and source records attributed to M Mosimann.

4 recordsLinked to original sources

Automated determination of midazolam in human plasma by high-performance liquid chromatography using column switching.

An automated gradient high-performance liquid chromatographic method using a column-switching technique was developed in order to determine and quantify midazolam (separated from the metabolite alpha-hydroximidazolam) in human plasma. After dilution with an internal standard (flurazepam) solution, containing 20% acetonitrile, 400 microliters of the plasma samples were injected onto a precolumn (17 x 4.6 mm I.D., C18 Corasil 37-53 microns) and retained. Proteins and polar plasma components were washed out using a 0.1 M sodium hydroxide solution, followed by an equilibration with a phosphate buffer of pH 8.0. After column-switching midazolam and flurazepam were eluted and transferred to the analytical column (RP-select B) in the backflush mode, separated by gradient elution and detected at 230 nm by ultraviolet detection. Precision of replicate analyses on the same day was 1.5% for midazolam and 0.7% for flurazepam. Recovery of midazolam was in the range 80-89% and the detection limit was 2 ng/ml plasma.

Autoanalysis

An evaluation of the Rapid Infusion System.

The performance of the Rapid Infusion System was evaluated in the laboratory. Using a conventional mixture of two units of packed red cells, two units of fresh frozen plasma and 500 ml crystalloid, a single line and a driving pressure of 300 mmHg, the highest flow in our study was 970 ml.min-1 (2.8 mm catheter, no stopcock). With a 1.6 mm venous cannula the measured flow was 640 ml.min-1. Additional diluting of the standard 'blood cocktail' did not add much to the performance of the system. When primed with tap water 21 degrees C (12 degrees C respectively), the fluid at the outlet of the system reached a maximum temperature of 37.8 degrees C (37.4 degrees C) after 6 min at a flow of 400 ml.min-1. At flows higher than 1150 ml.min-1 (priming with 12 degrees C tap water: 800 ml.min-1), the system slowed down to flows of 700 to 1000 ml.min-1 in order to maintain an adequate temperature. We conclude, that the Rapid Infusion System is a valuable tool for situations where a rapid but controlled replacement with warmed blood at rates up to at least 1100 ml.min-1 is needed. The use of large bore intravenous catheters and avoiding additional resistors such as standard 3-way stopcocks is highly recommended.

Blood Transfusion