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Published:
Journal of Analytical Toxicology,
ISSN 0146-4760,
Volume 32, Number 6, July/August,
pp.422-427
Quantitative
Analysis of the Aminosteroidal Non-Depolarizing Neuromuscular Blocking
Agent Vecuronium by LC–ESI-MS: A Postmortem Investigation
Shawn P. Vorce1, Craig T. Mallak2, and Aaron Jacobs3
1Division of Forensic Toxicology and
2Chief Medical Examiner, Armed
Forces Medical Examiner System, Armed Forces Institute of Pathology,
1413 Research Boulevard, Building 102, Rockville, Maryland 20850-3125
and
3Air Force Medical Operations Agency, Brooks City-Base, Texas
78235
The apparent recreational use of an aminosteroidal
non-depolarizing neuromuscular blocking agent, vecuronium, is
reported in this postmortem investigation. A quantitative method
for the analysis of vecuronium and its active metabolite, 3-desacetylvecuronium,
in blood and tissue samples was developed using liquid chromatography–electrospray
ionization mass spectrometry operated in positive selected ion
monitoring mode. Chromatographic separation was performed on
a Gemini® 5-µm C18 column using a mobile phase of 0.1%
formic acid/acetonitrile at 0.700 mL/min. The method was linear
from 0.01 to 1.00 mg/L with correlation coefficients of 0.999
and greater for both compounds. The limits of detection and quantitation
were determined in blood to be 0.005 and 0.010 mg/L, respectively.
The coefficients of variation were less than 10% for both intra-
and interday assays. Vecuronium was quantitated in blood at 0.070
mg/L and in the kidney, liver, and spleen at 0.224, 0.045, and
0.080 mg/kg, respectively. The active metabolite 3-desacetylvecuronium
was quantitated in blood at 0.100 mg/L, in the urine at 0.040
mg/L and in the kidney, liver, spleen, and lung at 0.271, 0.100,
0.082, and 0.164 mg/kg, respectively.
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