Ron Heese

We attempt to sample the umbilical vessels from every delivery (which of course is not always possible). Double clamped segments of cords are placed on ice immediately and samples taken and analyzed within 1 hour of the delivery. Samples are taken from both the artery and the vein. Analysis is done for PO2, PCO2, ph, HCO3(st), BD/BE, and more and more we are also including lactate. Ron Heese Clinical Specialist, RRT Children’s Respiratory Therapy. Women’s and Child Health Program Health Sciences Center School of Medical Rehabilitation University of Manitoba (204) 787-2310 Pager 3009 rheese@hsc.mb.ca

Greetings to all, I hope no one minds but this question is a bit more obstetrical in nature and if nothing else someone may be able to point me in a more apprpriate direction. I am curious if anyone is using scalp lactate values rather than, or in conjunction with scalp ph, for fetal surveillance? In particular I am seeking out groups that are using the LactatePro handheld analyzer for this purpose. I have been collecting data for some time now and am considering research possibilities for the future. One of the stumbling blocks I am confronted with is putting together an acceptable quality assurance program for this point of care (POCT) analyzer. Would anyone who uses this type of POCT be willing to share this type of information or direct me to someone who can? It would be most helpful and greatly appreciated. Any other discussion that is generated on the topic of using scalp lactate values is also very welcome. If any group would like to e-mail me directly please feel free to do so at rheese@hsc.mb.ca I look forward to hearing from you. Warmest regards Ron Heese Clinical Specialist, RRT Children’s Respiratory Therapy. Women’s and Child Health Program Health Sciences Center School of Medical Rehabilitation University of Manitoba (204) 787-2310 Pager 3009 rheese@hsc.mb.ca

I agree the book suggested by Dr Benitez is a good one. I might also suggest Assisted Ventilation of the Neonate (4th Edition) by Goldsmith and Karotkin as another excellent resource. Ron Heese Clinical Specialist RRT Child and Women's Health Programs Chidren's and Women's Hospital at HSC University of Manitoba Winnipeg, Manitoba, Canada rheese@hsc.mb.ca