0 penilaian0% menganggap dokumen ini bermanfaat (0 suara)
33 tayangan3 halaman
This document describes a method for determining ethyl alcohol concentrations in blood and urine samples using microdiffusion. Key points:
- The method uses Conway microdiffusion units, where alcohol diffuses from a blood or urine sample in the outer chamber into a potassium dichromate solution in the central chamber.
- The excess dichromate is then determined iodometrically by reducing it with potassium iodide and titrating the liberated iodine.
- Blood or urine samples of 0.25-1.5 mg of ethyl alcohol are used, with smaller samples for more severe intoxication.
- The microdiffusion units provide advantages over previous methods like being inexpensive, allowing multiple
This document describes a method for determining ethyl alcohol concentrations in blood and urine samples using microdiffusion. Key points:
- The method uses Conway microdiffusion units, where alcohol diffuses from a blood or urine sample in the outer chamber into a potassium dichromate solution in the central chamber.
- The excess dichromate is then determined iodometrically by reducing it with potassium iodide and titrating the liberated iodine.
- Blood or urine samples of 0.25-1.5 mg of ethyl alcohol are used, with smaller samples for more severe intoxication.
- The microdiffusion units provide advantages over previous methods like being inexpensive, allowing multiple
This document describes a method for determining ethyl alcohol concentrations in blood and urine samples using microdiffusion. Key points:
- The method uses Conway microdiffusion units, where alcohol diffuses from a blood or urine sample in the outer chamber into a potassium dichromate solution in the central chamber.
- The excess dichromate is then determined iodometrically by reducing it with potassium iodide and titrating the liberated iodine.
- Blood or urine samples of 0.25-1.5 mg of ethyl alcohol are used, with smaller samples for more severe intoxication.
- The microdiffusion units provide advantages over previous methods like being inexpensive, allowing multiple
the weight azotometer, with satisfactory results. The sample
TABLE OF ACETASILIDE I. ANALYSIS of acetanilide nas ILIallinckrodt’s U. S. P. powder recrystal- (Calcd. X = 10.3717,) lized twice from xater. I t s melting point was 114.20”, and a Series I Series I1 Series I11 cooling curve proved it to be homogeneous. A series of ten % 7c %b Kjeldahl determinations with the acetanilide averaged 10.35 10.27 10.25 10.33 10.2s 10.24 10.34 per cent, and the same number of determinations b y the 10.263 ... IO.32 Dumas method using a n old and somewhat corroded Pregl A\.. 10.29 azotometer averaged 10.45 per cent. All the results given in Table I are for analyses by the junior mined in grams of mercury and is subtracted from the weight author, and represent the valid results of three series of four of displaced mercury (the loss in weight of A ) . The percent- determinations each. age of nitrogen is given by the formula: lclinowledgment yo s = 100 x (wt. of Hg displaced - n t . of blank) X NZreduction factor The authors wish to express their thanks to density of Hg X wt. of sample the Atmater Reseaxh Fund for financial assistance and to the Coming Glass Korks for con- Results struction of the apparatus.
Acetanilide is the only substance whose analysis is reported Literature Cited
in this paper, inasmuch as the method Only with the cO1- (1) Milner and Sherman, IXD.ESG.CHEY.,ANAL.ED.,8, 331 (1936). lection of nitrogen produced b y a standard combustion pro- (2) Kiederl and Ni .derl, “Organic Quantitative Microanalysis”, cedure. If the combustion method is valid for anv substance 2nd ed., pp. 79-100, Kew York. John Wiley & Sons, 1943. when a volumetric azotometer is used, it should- be equally (3) p. ”, (4) Pregl and Fyleman, “Quantitative Organic Microanalysis”, acceptable in the present scheme. Research samples of pp. 79-94, Philadelphia. P. Blakiston’s Son & Co., 1924. materials of established structure have been analyzed using ( 5 ) Trautr, o., Mllikrochemie, 9,300 (1931).
Determination of Ethyl Alcohol
bv MicrodiffusionJ THEODORE WINNICK, Department of Surgery, Wayne University College of llledicine, Detroit, %rich.
L EVISE and Bodansky (6) have pointed out that most
current methods for the determination of ethyl alcohol in tissue and body fluids employ a solution of potassium di- and urine is roughly proportional to the degree of intoxication (4),the size of the sample taken for analysis is varied accord- ing to the apparent condition of the subject as follows: 1 ml. for mild or doubtful, 0.5 ml. for moderate, and 0.25 ml. for severe chromate in sulfuric acid for oxidation of the alcohol to acetic intoxication. acid, and that these methods differ only in the means of sepa- COLLECTIOX A S D hTEASUREMENT O F SAMPLES FOR ANALYSIS. rating the alcohol from the tissue or fluid, and in measuring Blood and freshly voided urine specimens are collected in tubes which are t,ightly fitted xith rubber stoppers. The tubes for the partial reduction of the dichromate. blood samples contain oxalate or citrate. The author has con- I n addition to distillation and aeration methods, several firmed Cavett’s observation ( 1 ) that the blood or urine can stand procedures based upon desiccation of the sample have been for 24 hours in the ice box without appreciable change in alcohol developed. These are modifications of Widmark’s alcohol concentration. The 0.25 ml. pipet is made from capillary tubing of about 1-mm. method (8), which employs a 50-ml. glass-stoppered flask with bore, and is calibrated for content. In measuring samples with, a small cup suspended from the bottom of the stopper. The this pipet, about 0.1 ml. of water is drawn up first, leaving a small alcohol passes by gaseous diffusion from the sample contained air space at the tip, and then the pipet is filled to the calibration in the cup into a solution of dichromate in sulfuric acid in the mark with blood or urine. The air space between the two columns prevents mixing of the fluids. When the pipet is emptied, the bottom of the flask. The quantity of alcohol oxidized is de- water washes out the film of blood or urine left along the inner termined by reducing the excess dichromate with potassium wall of the pipet. iodide, and titrating the liberated iodine with standard thio- MICRODIFFUSION PROCEDURE.The glass cover plate is suit- sulfate solution. I n Cavett’s modification of this method ably smeared with “cello-seal” (Fisher Scientific Co.), a lubri- cant which does not liquefy at the temperatures employcd (25’ to ( I ) , the excess dichromate is titrated with ferrous sulfate solu- 50”). tion containing methyl orange. Approximately 0.5 ml. of 0.4 N potassium dichromate in 10 W The present method substitutes the Conway microdiffusion sulfuric acid is delivered with a volumetric pipet into the central unit ( 2 ) for the Widmark flask. The alcohol diffuses from a chamber of the unit. A constant time of drainage is employed. The exact volume or concentration of the dichromate solution blood or urine sample placed in the outer chamber of the unit need not be known, since blank analyses are run with each series. into a solution of potassium dichromate in sulfuric acid in the The blood or urine sample is pipetted quickly into the outer central chamber. The excess dichromate is determined iodo- chamber, and the vessel is sealed immediately with the greased metrically, as in the method of Widmark. The apparatus is glass cover plate. The unit is rotated to spread the fluids over the floors of the chambers. After the unit has stood for 2 hours inexpensiye and simple to operate, so t h a t a large number of a t 50”, 6 hours a t 37”, or 10 hours at 25” (or for longer times), the determinations may be run simultaneously. I n addition, the cover plate is removed and the dichromate solution is diluted Conwvay unit has the advantage of being applicable to a vari- with approximately 1 ml. of water. Then about 0.5 ml. of 3 M ety of biochemical determinations ( 2 , 9). potassium iodide solution is added with stirring to the centrak solution, and the liberated iodine is titrated a t once with stand- Experimental ard 0.1 N thiosulfate solution. (The large excess of potassium iodide reduces the loss of iodine vapor from the solution before SIZESOF SAMPLES FOR AI~ALYSIS. Analyses are performed on addition of thiosulfate. Tests showed that 0.4 to 0.5 per crnt blood or urine samples containing approximately 1 to 1.5 mg. of of the iodine is lost per minute if the central solution is allowed ethyl alcohol. Since the concentration of alcohol in blood to stand after addition of the potassium iodide. Accordingly, 524 INDUSTRIAL AND ENGINEERING CHEMISTRY Vol. 14, No. 6
in the blood and urine of persons
TABLE I. RECOVERY O F ETHYL ALCOHOL ADDEDTO BLOOD AND URINE following anesthesia, were also tested. 7 .Alcohol in Blood 7 --.llcohol in Urine-- Analyses were performed at 37' on 1-ml. portions of solutions (or disper- sions) containing 50 to 100 mg. of the organic compound to be tested per 100 0.5 26.5 ... 30 47 41 ... 37.5 ... ml. of water. 1.0 57 27.5 60.5 79.5 70 44.5 72 2 0 80 48 84 9s 103 48 82 99 23 I 1 No appreciable quantity of dichromate 4.0 92 79.5 96 .. ... 66 5 92.5 .. 81 in the central chamber was reduced when 6.0 97.5 86.5 99 ... 94 5 100,s .. 103 8.0 93 .. ... 97 5 . . ... solutions of the following substances 10.0 102 .. ... 101 ... ... were placed in the outer chamber: benzene, chloroform, carbon tetrachlo- ride, naphtha, and trichloroethylene. if most of the thiosulfate is added less .than a minute after the Ten to 20 per cent of the dichromate was reduced -when liberation of the iodine, the amount of iodine. lost is, negligible,) methyl alcohol, isopropyl alcohol, amyl alcohol, octyl alcohol, The thiosulfate is added rapidly with efficient stirring, until nearly all of the iodine is reduced, and then dropwise until the isoamyl acetate, acetaldehyde, and propionaldehyde were color of the solution is light yellow-green. A drop of 1 per cent tested, indicating that the vapors of these substances were starch solution is added, and the titration is completed to the readily oxidized by the dichromate solution. Accordingly, point a t which the deep blue starch-iodine color is replaced by the drunkenness caused by these compounds cannot be differ- the light blue-green color of the chromic ion Owing to the small volume of the solution being titrated, this color change is entiated readily from ethyl alcohol intoxication by the present very abrupt. method, as is possible in the case of the preceding group. About 2 ml. of thiosulfate solution are required in the blank Diethyl ether was oxidized slowly by the dichromate. This analyses, so that the final volume of fluid in the central chamber compound is not likely to interfere seriously \vith the ethyl is never greater than 4 ml. The central chambers of the units used in this study have capacities of 4.5 to 5 ml alcohol determinations, since ethyl alcohol is present a t a BLANKANALYSIS. An analysis is performed nith water in relatively much higher level during intoxication and is more place of blood or urine in the outer chamber. In the author's rapidly oxidized by the dichromate. experience, blank analyses usually agreed to within 0.01 ml. (0.5 per cent). CALCULATION. The volume of thiosulfate solution which corresponds to the quantity of dichromate reduced, and to the TABLE11. CONCENTRATION OF ETHYLALCOHOL IN BLOOD AND quantity of alcohol oxidized to acetic acid, is given by the differ- URINEOF INTOXICATED PERSONS ence between the volumes of thiosulfate required in the blank Alcohol Found analysis, VB, and in the alcohol determination, VA. Since 1 ml. Apparent Degree of Intoxication Blood Urine of 0.1 N thiosulfate is equivalent to 1.152 mg. of alcohol, the Mg./100 ml. M g . / l O O ml milligrams of alcohol per 100 ml. of blood or urine equal Mild t o moderate 132, 135 185, 188 159, 163 260, 261 ( V B - Va) X 1,152 X 100 219, 224 276, 289 Volume of sample analyzed Moderate t o severe 162, 170 170, 176 188, 190 269, 276 236, 254 267, 278 RECOVERY OF ETHYL ALCOHOL ADDEDTO BLOODAND URINE 249, 260 313, 316 Standard solutions were prepared by adding weighed quantities 304, 310 442, 452 of 97.5 per cent ethyl alcohol (percentage determined by specific 380. 387 468, 480 gravity measurement) to urine and to a 1 per cent sodium chloride Very severe, "dead drunk" 520, 547 ..... solution. The alcohol was weighed in sealed glass bulbs, which were broken beneath the surfaces of the solutions, so that no alcohol vapor could escape. Three standard solutions, contain- ing 65.5, 155, and 341 mg. of alcohol per 100 ml. of blood, were Blood and Urine L e v e l s prepared by diluting blood (found previously to contain no alcohol) nith suitable volumes of the sodium chloride solutions, SORMAL. The blood and urine of six individuals who had which contained 1705 mg. of alcohol per 100 ml. taken no alcoholic beverages for several days contained no Series of determinations with varying reaction times were measurable amounts of alcohol. When 1-mi. samples were made a t three different temperatures on aliquots of the blood analyzed, the thiosulfate titrations ranged from 1.905 to 1.94 and urine solutions. ml., as ccmpared with 1.925 ml. for the blank titration Table I s h o w that 97.5 to 103 per cent of the added alcohol Cavett ( I ) and Gibson and Blotner (3)found traces of alcohol. was recovered from the blood or urine after reaction periods 0 to 6 mg. per 100 ml. of blood, and 0 to 2 mg. per 100 ml. of of 2 hours at 50°, 6 hours at 37", or 10 hours at 24-25'. The urine, in persons who had taken no alcohol. These levels are analyses were performed on 1-ml. portions of the solutions, probably close to the limits of sensitivity of these methods, except for the blood containing 341 mg. and the urine con- and insignificant compared to the values encountered in taining 374 mg. of alcohol per 100 ml.; 0.25-ml. samples were intoxication. analyzed in these two series. ALCOHOL LEVELSIN BLOODAND URINEDURING INTOXICA- Duplicate determinations usually agreed to within about 2 TION. The results in Table I1 conform fairly well to the per cent. Approximately two-thirds of the dichromate solu- general classification of intoxication in terms of ethyl alcohol tion was reduced by the alcohol in most cases. concentrations (4). The subjects were persons brought into INTERFERING SUBSTANCES.Of the volatile compounds the Emergency Service of the Detroit Receiving Hospital. which may be encountered in body fluids, acetone need not be I n most cases the duplicate values agree to within about 3 per considered, since it is stable even in boiling dichromate cent. The urinary levels of alcohol are considerably higher solution. than the corresponding blood concentrations in the cases A number of organic compounds, important in industry, studied. Jetter (5) has made this same observation, and are known to produce conditions resembling ethyl alcohol states that this is particularly true for cases in which the intoxication when sufficient amounts of their vapors are in- bladder was previously emptied. haled. Tests were made with some of these substances to RATE O F DISAPPEARANCE O F -4LCOHOL FROM BLOOD. determine whether they could be distinguished from ethyl Sewman, Lehman, and Cutting ( 7 ) showed that the alcohol alcohol in the present method. Chloroform and diethyl ether, concentration in blood falls in a linear fashion with increasing two common anesthetics which may linger in small amounts time, following the intravenous administration of ethyl alco- June 15, 1942 ANALYTICAL EDITION 525
Some illustrative alcohol concentrations in blood and urine
TABLE 111. RATEOF DISAPPEARANCE OF ETHYL ALCOHOLFROM during intcxication are re,ported. BLOODO F INTOXICATED P E R S O N A number of industrially important organic compounds Time after whose vapors can cause drunkenness resembling ethyl alcohol Taking First .%lcohol in B:ood Sample Blood Condition of Subject int’oxication were tested for possible interference with the Hours . V ~ . / 1 0 0ml method. 0 304, 310 Moderate t o severe intoxication. speaks with difficulty Acknowledgment 3 214. 256 UncooDerative. fiehtine restraints 6.5 164, 168 Quiet i n d sleepy- The writer appreciates the advice and ass.oLance given bin1 9 9.5, 97 Fairly rational 12 32, 38 Rational by C. G. Johnston and I. B. Taylor, relative to the clinical phase of this study. He wishes also to thank C. P. McCord and G. C. Harrold, of the Industrial Hygiene Department, Chrysler Corporation, Detroit, for supplying some of the or- hol to dogs. It was thought of interest to make a series of ganic compounds tested, and for helpful information. similar measurements with a human subject, t o illustrate further the use of the present method over a wide range of Literature Cited alcohol concentration. Table I11 gives the results obtained (1) Cavett, J. W., J . Lah. Clin. M e d . , 23, 543-6 (1938). for a 12-hour period with a patient mho is classified in the (2) Conway, E. J., “Microdiffusion Analysis and Volumetric Error”, “moderate to severe” range of intoxication in Table 11. If London, Crosby Lockwood and Son, 1939; Biochem. J . , 27, 419-34 (1933). the alcohol values are plotted against the corresponding times, (3) Gibson, J. G., and Blotner, H., J . Biol. Chem., 126, 551-9 (1938). the points fall along a straight line. (4) Goodman, L.. and Gilman, A., “Pharmacological Basis of Thera- peutics”, New York, Macmillan Co., 1941. Summary (5) Jetter, W.W., Quart. J . Alcohol, 2, 512-43 (1941). (6) Levine, H., and Bodansky, M., Am. J . Clin. Path., Tech. Section The Conway microdiffusion unit has been adapted to the 3, 159-73 (1939). determination of ethyl alcohol in blood and urine. The (7) Nemman, H. W., Lehman, A . J., and Cutting, W.C., J . Pharma- C O ~ . .61, 58-61 (1937). alcohol diffuses from the sample in the outer chamber of the (8) Widmark, E. M.P., Biochem. Z . , 131, 473-84 (1922). unit into the central chamber, where it is oxidized b y a solu- (9) Winnick, T., J . B i d . Chem., 141, 115-20 (1941): 142, 461-66 tion of potassium dichromate. The excess dichromate is (1942). determined iodometrically AIDED by a grant from the 3IcGregor Fund.
Semimicrodetermination of Carbon Using the Van Slyke-Folch Oxidation Mixture R . \I. MCCHEADY AND W. Z. HASSID, Division of Plant Nutrition, b-niversity of California, Berkeley, Calif.
open flask containing the mixture is heated over a wire gauze
V AS SLYKE and Folch (4) pointed out that all the wet carbon combustion methods hitherto employed were un- satisfactory because the oxidizing mixtures used did not give with a flame, until the temperature reaches 140” to 150” c‘. Dur- ing heating, the flask is occasionally rotated to assist in the solu- tion of the chromic anhydride. When a temperature of 150” c‘. quantitative results with the more difficultly combustible com- has been reached, the flame is removed, the flask covered with an pounds. For this reason these methods did not find a place inverted beaker, and the mixture allowed to cool to room teni- in the organic laboratory. perature. The glass stopper is then inserted, and an inverted beaker is kept over the stopper to prevent the solution from being X e t combustion methods were tried in this laboratory em- contaminated with dust. ploying either a n iodic acid (3) or chromic acid (2) oxidizing Potassium iodate, reagent grade, pulverized. mixture, but the results were unsatisfactory. While theo- Dehydrated phosphoric acid, prepared from 85 per cent acid retical results could be obtained with many organic com- by boiling. pounds, certain substances such as sugar acetates and some Apparatus organic acids invariably gave low results. The Van Slyke- Folch (4) manometric method, in which a n oxidizing mixture, The apparatus is shown in Figure 1. Tubes A A are filled with consisting of fuming sulfuric, phosphoric, chromic, and iodic soda lime and serve to obtain carbon dioxide-free air. The reac- tion flask, B , has a 15-1111. capacity and is connected to a reflux acids was used, gave excellent results with all the compounds condenser, C, with a 14/35 standard taper glass joint. The con- tried. Equally satisfactory results were obtained using the struction of an Allihn condenser is modified (Figure 2) to con- Van Slyke-Folch oxidizing mixture, and a simple apparatus, tain a cold-water column inserted into its center. This modifica- whereby the carbon dioxide evolved was absorbed in alkali tion greatly increases the efficiency of the condenser. A 5-ml. capacity cup, D, with a stopcock, b, forming part of the con- and weighed. Inasmuch as the Van Slyke manometric ap- denser, serves to introduce the oxidizing mixture into the reaction paratus is not available in many laboratories, the following flask. Stopcock b is greased with viscous dehydrated phosphoric procedure, requiring simple manipulation and inexpensive acid. The rest of the stopcocks are greased with ordinary stop- equipment, is described. cock grease. E is a bubble counter containing 0.5 ml. of concentrated sul- Reagents furic acid. A small glass-wool plug is inserted into each of its arms to trap any sulfuric acid which might splash over to tube Van Slyke-Folch combustion mixture: 25 grams of chromium F or condenser C. F is filled with granular zinc (30-mesh) to trioxide, 5 grams of potassium iodate, 167 ml. of sirupy phosphoric trap any volatile acids which form in the determination. The acid (specific gravity 1.7); and 333 ml. of fuming sulfuric acid moisture-absorption tube, G, is filled with Anhydrone (rnagne- (20 per cent free sulfur trioxide) are placed in a 1-liter Pyrex sium perchlorate) leaving 1-em. space at each end for a glsss- Erlerimever flask provided with a ground-glass stopper. The wool plug. Previous to use in the apparatus, a slow stream of
Performance Evaluation of Five Different Disseminated Intravascular Coagulation (DIC) Diagnostic Criteria For Predicting Mortality in Patients With Complicated Sepsis