Rapid measurement of serum caffeine concentrations in acuteclinical settings

AbstractThe number of acute caffeine poisoning cases have increased in Japan. We can use serum caffeine concentrations to evaluate the severity of caffeine poisoning and determine whether or not we should perform hemodialysis. In this study, we sought to develop a rapid method for measuring serum ca...

Full description

Bibliographic Details
Main Authors: Tomoki Hanazawa, Yoshito Kamijo, Tomohiro Yoshizawa, Kiyotaka Usui
Format: Article
Language:English
Published: Taylor & Francis Group 2021-11-01
Series:Toxicology Communications
Subjects:
Online Access:https://www.tandfonline.com/doi/10.1080/24734306.2021.1928366
_version_ 1797300139736432640
author Tomoki Hanazawa
Yoshito Kamijo
Tomohiro Yoshizawa
Kiyotaka Usui
author_facet Tomoki Hanazawa
Yoshito Kamijo
Tomohiro Yoshizawa
Kiyotaka Usui
author_sort Tomoki Hanazawa
collection DOAJ
description AbstractThe number of acute caffeine poisoning cases have increased in Japan. We can use serum caffeine concentrations to evaluate the severity of caffeine poisoning and determine whether or not we should perform hemodialysis. In this study, we sought to develop a rapid method for measuring serum caffeine concentrations. We used liquid chromatography-tandem mass spectrometry (LC-MS/MS) in the new method. We chose caffeine-d9 as the internal standard, and we used the standard addition method to quantify caffeine concentrations. We collected six blood samples from three patients with acute caffeine poisoning to measure serum caffeine concentrations. In our method, retention time for caffeine was 0.4 min, and the time required for the total LC-MS/MS analysis was 1 min per sample. We obtained accurate serum caffeine concentrations 7 min after injection into the LC-MS/MS instrument. Further, time-consuming sample pretreatment was not required because each sample was diluted 10,000-fold. As a result, we could obtain serum caffeine concentrations for each patient in a total of 40 min. Our findings suggest that rapid, accurate measurement of serum caffeine concentrations by LC-MS/MS could contribute to real-time evaluation of poisoning severity and determination of appropriate therapeutic strategies in acute clinical settings.
first_indexed 2024-03-07T23:02:56Z
format Article
id doaj.art-25b60631aaeb44479719638a842eaf15
institution Directory Open Access Journal
issn 2473-4306
language English
last_indexed 2024-03-07T23:02:56Z
publishDate 2021-11-01
publisher Taylor & Francis Group
record_format Article
series Toxicology Communications
spelling doaj.art-25b60631aaeb44479719638a842eaf152024-02-22T09:16:09ZengTaylor & Francis GroupToxicology Communications2473-43062021-11-01519710110.1080/24734306.2021.1928366Rapid measurement of serum caffeine concentrations in acuteclinical settingsTomoki Hanazawa0Yoshito Kamijo1Tomohiro Yoshizawa2Kiyotaka Usui3Emergency Center and Poison Center, Saitama Medical University Hospital, Moroyama, Saitama, JapanEmergency Center and Poison Center, Saitama Medical University Hospital, Moroyama, Saitama, JapanEmergency Center and Poison Center, Saitama Medical University Hospital, Moroyama, Saitama, JapanEmergency Center and Poison Center, Saitama Medical University Hospital, Moroyama, Saitama, JapanAbstractThe number of acute caffeine poisoning cases have increased in Japan. We can use serum caffeine concentrations to evaluate the severity of caffeine poisoning and determine whether or not we should perform hemodialysis. In this study, we sought to develop a rapid method for measuring serum caffeine concentrations. We used liquid chromatography-tandem mass spectrometry (LC-MS/MS) in the new method. We chose caffeine-d9 as the internal standard, and we used the standard addition method to quantify caffeine concentrations. We collected six blood samples from three patients with acute caffeine poisoning to measure serum caffeine concentrations. In our method, retention time for caffeine was 0.4 min, and the time required for the total LC-MS/MS analysis was 1 min per sample. We obtained accurate serum caffeine concentrations 7 min after injection into the LC-MS/MS instrument. Further, time-consuming sample pretreatment was not required because each sample was diluted 10,000-fold. As a result, we could obtain serum caffeine concentrations for each patient in a total of 40 min. Our findings suggest that rapid, accurate measurement of serum caffeine concentrations by LC-MS/MS could contribute to real-time evaluation of poisoning severity and determination of appropriate therapeutic strategies in acute clinical settings.https://www.tandfonline.com/doi/10.1080/24734306.2021.1928366Caffeinequantitationliquid chromatography-tandem mass spectrometryacute clinical settings
spellingShingle Tomoki Hanazawa
Yoshito Kamijo
Tomohiro Yoshizawa
Kiyotaka Usui
Rapid measurement of serum caffeine concentrations in acuteclinical settings
Toxicology Communications
Caffeine
quantitation
liquid chromatography-tandem mass spectrometry
acute clinical settings
title Rapid measurement of serum caffeine concentrations in acuteclinical settings
title_full Rapid measurement of serum caffeine concentrations in acuteclinical settings
title_fullStr Rapid measurement of serum caffeine concentrations in acuteclinical settings
title_full_unstemmed Rapid measurement of serum caffeine concentrations in acuteclinical settings
title_short Rapid measurement of serum caffeine concentrations in acuteclinical settings
title_sort rapid measurement of serum caffeine concentrations in acuteclinical settings
topic Caffeine
quantitation
liquid chromatography-tandem mass spectrometry
acute clinical settings
url https://www.tandfonline.com/doi/10.1080/24734306.2021.1928366
work_keys_str_mv AT tomokihanazawa rapidmeasurementofserumcaffeineconcentrationsinacuteclinicalsettings
AT yoshitokamijo rapidmeasurementofserumcaffeineconcentrationsinacuteclinicalsettings
AT tomohiroyoshizawa rapidmeasurementofserumcaffeineconcentrationsinacuteclinicalsettings
AT kiyotakausui rapidmeasurementofserumcaffeineconcentrationsinacuteclinicalsettings