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NO SUCH THING AS THE BEST TECHNIQUE


and/or metabolites, extra precautions may be needed.


“ In the case of instability of the analyte ”


and tubes. It was observed that the use of soft push caps may reduce the recovery of some analytes, while the use of polypropylene closures (screw caps) did not have an influence at all (Table 1). It is therefore advisable to stay away from soft closures, unless testing has proven that adsorption is not an issue for the analyte being evaluated.


Table 1: Recovery (%) compared to freshly spiked plasma: collection after 5 min and 2h incubation in the tube at room temperature and cooled with melting ice.


Tube & cap MicronicTM 28 tube


with TPE cap (blue)


MicronicTM tube with EVA cap


Temperature Time (min) Cpd 1 RT RT


5


Ice RT RT


FluidX screw cap (no liner)


Ice RT RT


Ice


120 120 5


120 120 5


120 120


103 101 102 96


103 107 103 103 110


Cpd 2 90 61 85 95 85 94


100 104 100


Cpd 3 94 74 89 95 85 97 98


100 103


Cpd 4 90 54 80 97 84 99 99 96


107


Although the above described techniques will work in the majority of cases, there are situations that adaptation of the method might be necessary. These include but are not limited to instability, sensitivity and metabolites.


INSTABILITY


In the case of instability of the analyte and/or metabolites, extra precautions may be needed. By default, blood is cooled on melting ice to allow centrifugation without any risk of losing the wax plug. However, because of the small volumes and manual actions to transfer the plasma to another capillary, the sample may warm too fast to ensure sufficient analyte stability. Subsequent cooling is not immediately effective as the capillary is separated from melting ice by an air volume in the tube. In those situations a non-CMS approach is more effective. It allows for immediate addition of a stabilizer, while with the Vitrex technique this would require an immediate wash-out after sampling. Both Vitrex and Drummond techniques have the disadvantage that warming of the sample may be too quick to be controlled, because of the high surface/volume ratio of capillaries compared to a volume in a small tube.


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