Ethanol level

Keywords: Alcohol, EtOH

Specimen:

The venepuncture site must not be swabbed with alcohol.

5 mL blood in lithium heparin tube (for plasma) or oxalate (whole blood).

Medico-legal specimens require proof of identity and ethanol is measured in a whole blood specimen.

Method:

Gas liquid chromatography or spectro­photometry.

Reference Interval:

Not detected in the absence of ethanol ingestion.

Application:

To establish recent ingestion. As the estimation of ethanol levels in breath samples is inaccurate a blood sample may be required (eg, in the assessment of possible drug overdose and impaired consciousness after trauma).

Interpretation:

Intoxicated: 22-33 mmol/L (0.10-0.15 g/100 mL)

Poisoned: 44-66 mmol/L (0.20-0.30 g/100 mL)

Often fatal: > 88 mmol/L (> 0.40 g/100 mL).

Legal limits vary. For specific information contact local authorities.

Commonly, the legal driving limit is ' 0.05% ' that is, 11 mmol/L or 0.05 g/100 mL. In some regions it is ' 0.08% ',that is, 18 mmol/L or 0.08 g/100 mL.

Reference:

Montalto NJ and Bean P. Med Sci Monit 2003; 9(12): 285-290.