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  App. Note 461: Rapid Analysis of Opiates from Low Volume Whole Blood Samples by LC-MS/MS Utilizing TurboFlow Methods
 The goal of this application note is to replace laborious off line sample preparation with TurboFlow methodology and tandem mass spectrometry for the analysis of opiates in acetonitrile extracts from low volume whole blood samples.
 

The use of a simple rapid acetonitrile work-up followed by a TurboFlow method (online extraction and chromatography) on the Thermo Scientific Transcend TLX-1 system with tandem MS/MS allowed the specific and sensitive analysis of various common opiates and their metabolites from a small volume of whole blood. Moreover, a limited portion of the acetonitrile extract volume was utilized in the analysis, thus, the method presents potential to scale down to a volume of blood achievable from a finger prick (5–10 μL). The calibration curves for all analytes analyzed were linear over the concentration range and carryover wascalculated at less than 1% for all analytes. Since the method is ~ 4 minutes, 15 samples per hour may becompleted, or indeed, doubled/quadrupled with the use of multiplexing. Significant time is saved in theabsence of SPE sample preparation. The method enables the forensic toxicologist to produce a full picture of the opiates and metabolites in blood to assist with the determination of time of injection (presence of 6-MAM) and the detection of M3G and M6G to determine prior use or accumulation following heavy use.

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