A liquid chromatography configuration providing at least three dimensions
of separation coupled with spectrometry greatly improves the ability to
detect ions present in samples, including complex biological samples such
as blood. Liquid chromatography columns in one embodiment are connected
with an in-line trapping column the alternately communicates with the
second and third liquid chromatography columns. The liquid chromatography
columns are operably connected either to a mass spectrometer (MS) or a
nuclear magnetic resonance (NMR) spectrometer. The improved dynamic range
of detection allows a method of detecting molecular components present in
complex biological samples that serve as biomarkers for a disease state,
such as sepsis.