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The advantages of standardizing exhaled breath-alcohol concentration to a reference respiratory gas—water vapor

Lindberg, Lars LU orcid and Jones, Alan Wayne (2023) In Journal of Breath Research 17(1).
Abstract

Measuring the concentration of alcohol (ethanol) in exhaled breath (BrAC) provides a rapid and non-invasive way to determine the co-existing concentration in arterial blood (A-BAC). The results of breath-alcohol testing are used worldwide as evidence of excessive drinking, such as when traffic offenders are prosecuted. Two types of breath-alcohol analyzer are in common use; hand-held instruments used as preliminary screening tests of sobriety and more sophisticated evidential instruments, the results of which are accepted as evidence for prosecution of drunken drivers. Most evidential breath-alcohol analyzers are designed to capture the last portion of a prolonged exhalation, which is thought to reflect the alcohol concentration in... (More)

Measuring the concentration of alcohol (ethanol) in exhaled breath (BrAC) provides a rapid and non-invasive way to determine the co-existing concentration in arterial blood (A-BAC). The results of breath-alcohol testing are used worldwide as evidence of excessive drinking, such as when traffic offenders are prosecuted. Two types of breath-alcohol analyzer are in common use; hand-held instruments used as preliminary screening tests of sobriety and more sophisticated evidential instruments, the results of which are accepted as evidence for prosecution of drunken drivers. Most evidential breath-alcohol analyzers are designed to capture the last portion of a prolonged exhalation, which is thought to reflect the alcohol concentration in substantially alveolar air. The basic premise of breath-alcohol analysis is that there is a physiological relationship between A-BAC and BrAC and close agreement between the two analytical methods. This article reviews the principles and practice of breath-alcohol analysis and introduces the concept of standardizing the results to a secondary physiological gas (water vapor), which therefore serves as an internal standard. The measured BrAC is thus adjusted to an alveolar air water content of 43.95 mg l−1 at 37 °C. This has several advantages, and means that a sample of breath can be captured without the person having to blow directly into the instrument. Adjusting the breath-alcohol concentration to water vapor concentration also compensates for variations in temperature of the expired air. The contact-free method of sampling breath means that a mouthpiece is unnecessary and the test subject does not need to make a continuous end exhalation.

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author
and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
alcohol, breath-alcohol, ethanol, infrared technology, respiratory gases, standardization, water-vapor
in
Journal of Breath Research
volume
17
issue
1
article number
014002
publisher
IOP Publishing
external identifiers
  • scopus:85142918825
  • pmid:36368034
ISSN
1752-7155
DOI
10.1088/1752-7163/aca21b
language
English
LU publication?
yes
id
3bc1dc5a-c977-4d0e-b6a7-2e2997e27d9a
date added to LUP
2023-02-07 15:36:15
date last changed
2025-11-16 00:22:41
@article{3bc1dc5a-c977-4d0e-b6a7-2e2997e27d9a,
  abstract     = {{<p>Measuring the concentration of alcohol (ethanol) in exhaled breath (BrAC) provides a rapid and non-invasive way to determine the co-existing concentration in arterial blood (A-BAC). The results of breath-alcohol testing are used worldwide as evidence of excessive drinking, such as when traffic offenders are prosecuted. Two types of breath-alcohol analyzer are in common use; hand-held instruments used as preliminary screening tests of sobriety and more sophisticated evidential instruments, the results of which are accepted as evidence for prosecution of drunken drivers. Most evidential breath-alcohol analyzers are designed to capture the last portion of a prolonged exhalation, which is thought to reflect the alcohol concentration in substantially alveolar air. The basic premise of breath-alcohol analysis is that there is a physiological relationship between A-BAC and BrAC and close agreement between the two analytical methods. This article reviews the principles and practice of breath-alcohol analysis and introduces the concept of standardizing the results to a secondary physiological gas (water vapor), which therefore serves as an internal standard. The measured BrAC is thus adjusted to an alveolar air water content of 43.95 mg l<sup>−1</sup> at 37 °C. This has several advantages, and means that a sample of breath can be captured without the person having to blow directly into the instrument. Adjusting the breath-alcohol concentration to water vapor concentration also compensates for variations in temperature of the expired air. The contact-free method of sampling breath means that a mouthpiece is unnecessary and the test subject does not need to make a continuous end exhalation.</p>}},
  author       = {{Lindberg, Lars and Jones, Alan Wayne}},
  issn         = {{1752-7155}},
  keywords     = {{alcohol; breath-alcohol; ethanol; infrared technology; respiratory gases; standardization; water-vapor}},
  language     = {{eng}},
  number       = {{1}},
  publisher    = {{IOP Publishing}},
  series       = {{Journal of Breath Research}},
  title        = {{The advantages of standardizing exhaled breath-alcohol concentration to a reference respiratory gas—water vapor}},
  url          = {{http://dx.doi.org/10.1088/1752-7163/aca21b}},
  doi          = {{10.1088/1752-7163/aca21b}},
  volume       = {{17}},
  year         = {{2023}},
}