Akshaya J. Vachharajani, M.D., M.R.C.P.  Vachharajani@kids.wustl.edu

Professor of Pediatrics, Newborn Medicine
Newborn Medicine

phone: (314) 454-6148

Clinical Interests

I am interested in education of trainees at all levels. I have a special interest in simulation. I started and conduct the multidisciplinary simulation boot camp for first year neonatal-perinatal fellows. The camp was started to prepare the first year fellows for their new role. This multidisciplinary camp is held at least once annually since July 2008. Twenty five first year neonatal medicine fellows from nine universities attended the camp in July 2017. The educational activity received grant support from the American Academy of Pediatrics two years in a row ( 2016 and 2017)

I was the leader of a quality improvement project entitled Reducing Peripherally Inserted Central Catheters in the neonatal intensive care unit .It has resulted in a 37.5 % reduction in peripherally inserted central catheters in neonates with birth weight 1000-1500 g who had a umbilical venous catheter. It also resulted in a reduction in central line days without increasing the central line associated blood stream infections. The project was approved for part 4 Maintenance of Certification Activity by the American Board of Pediatrics.The findings were published in Journal of Perinatology and was included among the journal's top quality improvement papers.

Education

  • MBBS, University of Bombay1982
  • MD, University of Bombay1986

Training

  • Clinical Fellow in Neonatal-Perinatal Medicine, McMaster University, Canada1999 - 2001
  • Clinical Fellow in Neonatal-Perinatal Medicine, Washington University, St.Louis, MO2001 - 2002
  • Residency, St.Louis Children's Hospital, St.Louis, Missouri2002 - 2004
  • Diversity & Inclusion 1.0 , Washington University School of Medicine 2014 - 2014
  • Leadership Development Program , Washington University in Saint Louis 2015 - 2016
  • ECMO Specialist Training Course , University of Michigan 2015 - 2015
  • Diversity & Inclusion 3.0 , Washington University School of Medicine2016 - 2016
  • Project Management Fundamentals, BJC Learning Institute 2016 - 2016
  • Accelerating Change and Transition , BJC Learning Institute 2016 - 2016
  • Diversity & Inclusion 2.0 , Washington University School of Medicine 2016 - 2016
  • Facilitation Skills for Leaders , BJC Learning Institute2016 - 2016

Licensure and Board Certification

  • Royal College of Physicians, United Kingdom 1999
  • Neonatal Resuscitation Program-Instructor 2001
  • American Board of Pediatrics (Pediatrics) 2004
  • MO, Missouri 2004
  • Pediatric Advanced Life Support -Instructor 2004
  • American Board of Pediatrics ( Neonatal -Perinatal Medicine) 2005
  • ECMO Specialist Course -University of Michigan 2015

Honors

  • Outstanding Teacher Award2010
  • Outstanding Commitment to Teaching Award2011
  • Best Lecture of the Month2011

Recent Publications view all (58)


Publication Co-Authors

  1. Video Corner: Delivery Room Management of a Neonate with Inspiratory Stridor NeoReviews. 2017;18(6):395-397. doi:10.1542/neo.18-6-e395  
  2. Visual Diagnosis: A Newborn with a Large Tongue NeoReviews. 2017;18 (3):e 190-192. doi:10.1542/neo.18-3-e190  
  3. Video Corner: Maximum Sterile Barrier Before A Procedure NeoReviews . 2017;18(2):134-140. doi:10.1542/neo.18-2-e134   
  4. Reducing peripherally inserted central catheters in the neonatal intensive care unit Journal of Perinatology . 2017. doi:10.1038/jp.2016.243  PMCID: 28079867  
  5. Video Corner: Umbilical Artery Catheterization NeoReviews . 2016;17(12):e736-e738. doi:10.1542/neo.17-12-e736  
  6. Visual Diagnosis: A neonate with transilluminant head NeoReviews. 2016;17 (10):e630-e632. doi:10.1542/neo.17-10-e630  
  7. Corrected QT Prolongation and Bradycardia During Therapeutic Hypothermia in a Neonate NeoReviews. 2016;17(1):40-43. doi:10.1542/neo.17-1-e40  
  8. A Midline Lumbosacral Mass NeoReviews. 2015. doi:DOI: 10.1542/neo.16-9-e555  
  9. A Male Newborn With Enlarged Scrotum and Proximal Penis Shaft NeoReviews. 2015;16:507-510. doi:DOI: 10.1542/neo.16-8-e507  
  10. A Difficult Airway in the Delivery Room NeoReviews. 2015;16(4):243-245. doi:DOI: 10.1542/neo.16-4-e243  
  11. Prevalence of upper urinary tract anomalies in hospitalized premature infants with urinary tract infection. J Perinatol. 2014. doi:10.1038/jp.2014.209  PMID:25474556 
  12. Video Corner: Preparing For The Delivery Of A Neonate with Neural Tube Defect NeoReviews. 2014;15(10):e461. doi:DOI: 10.1542/neo.15-10-e461  
  13. Video Corner:Pigtail Catheter Placement for Pneumothorax Evacuation NeoReviews. 2014;15:257-259. doi:DOI: 10.1542/neo.15-6-e257  
  14. Late Preterm Infant with Recurrent Respiratory Distress NeoReviews. 2014;15:199-201. doi:DOI: 10.1542/neo.15-5-e199  
  15. Video Corner: Needle Aspiration of Pneumothorax NeoReviews. 2014;14(4). doi:DOI: 10.1542/neo.15-4-e163  
  16. Late Preterm With Difficult Intubation NeoReviews. 2014;15(3):99-102. doi:DOI: 10.1542/neo.15-3-e99  
  17. Video Corner: Double Volume Exchange Transfusion NeoReviews. 2013;14:536-538. doi:DOI: 10.1542/neo.14-10-e536  
  18. Video Corner : Optimizing temperature during resuscitation NeoReviews. 2013;14:329 -331. doi:DOI: 10.1542/neo.14-6-e329  
  19. Video Corner: Umbilical vein catheterization NeoReviews. 2013;14:416-418. doi:DOI: 10.1542/neo.14-8-e416  
  20. Neonatal marfan syndrome with hiatus hernia and intrathoracic stomach. J Perinatol. 2013;33(8):652-3. doi:10.1038/jp.2013.15  PMID:23897310 
  21. Late Preterm Neonate With Hypernatremia NeoReviews. 2013;14(5). doi:DOI: 10.1542/neo.14-5-e259  
  22. Follow Up Of Children With Congenital Diaphragmatic Hernia And Development Of A Multidisciplinary Care Program Internet Journal of Pediatrics and Neonatology . 2013;16(1). 
  23. Klippel Feil syndrome with occipital encephalocele, duodenal web, left pelvic kidney, ASD, anorectal malformation fetal and postnatal imaging. J Perinatol. 2013;33(3):245-7. doi:10.1038/jp.2012.155  PMID:23443296 
  24. Stickler Syndrome NeoReviews. 2012. doi:doi: 10.1542/neo.13-8-e491  
  25. Difficult Endotracheal Intubation in the Delivery Room NeoReviews. 2011;e397-e401. doi:doi: 10.1542/neo.12-7-e397  
  26. Recurrent Pneumothoraces in a Newborn NeoReviews. 2011;12:e223-e227. doi:DOI: 10.1542/neo.12-4-e223  
  27. Neonatal outcomes of Pierre Robin sequence: an institutional experience. Clin Pediatr (Phila). 2010;49(12):1117-22. doi:10.1177/0009922810379040  PMID:20837617 
  28. Interval between clinical presentation of necrotizing enterocolitis and bowel perforation in neonates. Pediatr Surg Int. 2010;26(6):607-9. doi:10.1007/s00383-010-2597-2  PMID:20414662 
  29. Predictors of the need for extracorporeal membrane oxygenation and survival in congenital diaphragmatic hernia: a center's 10-year experience. Prenat Diagn. 2010;30(6):518-21. doi:10.1002/pd.2508  PMID:20509150 
  30. Abnormal Facies in a Newborn NeoReviews. 2010;11:e520-e524. doi:doi: 10.1542/neo.11-9-e520  
  31. Index of Suspicion in the Nursery: Prolonged Jaundice in Twins NeoReviews. 2010;11:e33-e35. doi:DOI: 10.1542/neo.11-1-e33  
  32. Comparison of short-term outcomes of late preterm singletons and multiple births: an institutional experience. Clin Pediatr (Phila). 2009;48(9):922-5. doi:10.1177/0009922809336359  PMID:19483134 
  33. Cri Du Chat Syndrome Index of Suspicion in the Nursery NeoReviews . 2009;10:e510-e511. doi:DOI: 10.1542/neo.10-10-e510  
  34. Visual Diagnosis: Elevated Right Hemi-diaphragm in a Newborn NeoReviews. 2009;10:e423. doi:doi: 10.1542/neo.10-8-e423  
  35. Short-term outcomes of late preterms: an institutional experience. Clin Pediatr (Phila). 2009;48(4):383-8. doi:10.1177/0009922808324951  PMID:18832549 
  36. Massive congenital orbital teratoma. J Perinatol. 2009;29(5):396-7. doi:10.1038/jp.2008.205  PMID:19399001 
  37. Outcomes of exomphalos: an institutional experience. Pediatr Surg Int. 2009;25(2):139-44. doi:10.1007/s00383-008-2301-y  PMID:19066916 
  38. Successful Treatment of Congenital Chylous Ascites withTotal Parenteral Nutirtion The Internet Journal of Pediatrics and Neonatology. 2008;9(1). 
  39. Neonatal necrotizing gastritis; hypoplastic left heart. J Perinatol. 2008;28(12):843-5. doi:10.1038/jp.2008.86  PMID:19034293 
  40. Immune Neutropenia. Index of Suspicion in the Nursery NeoReviews. 2007;8:e551-e553. doi:DOI: 10.1542/neo.9-8-e353  
  41. Successful resuscitation of an extremely low birth weight neonate with massive, indomethacin induced gastrointestinal hemorrhage Internet Journal of Pediatrics and Neonatology . 2007;7(1). 
  42. A case of early onset GBS Index of Suspicion NeoReviews. 2007;8:e551-e553. doi:DOI: 10.1542/neo.8-12-e551  
  43. Visual Diagnosis: Newborn Who Has a Diffuse Rash NeoReviews. 2007;8:e448. doi:doi: 10.1542/neo.8-10-e448  
  44. Outcomes in neonatal gastroschisis: an institutional experience. Am J Perinatol. 2007;24(8):461-5. PMID:17992713 
  45. Cerebral arteriovenous fistula to pulmonary artery onyx embolization. J Perinatol. 2007;27(4):238-40. doi:10.1038/sj.jp.7211680  PMID:17377605 
  46. Congenital Central Hypoventilation Syndrome Index of Suspicion in the Nursery NeoReviews . 2007;8:e445-e447. doi:DOI: 10.1542/neo.8-10-e445  
  47. Successful resuscitation of an extremely low birth weight infant with massive gastrointestinal hemorrhage The Internet Journal of Pediatrics and Neonatology. 2007;7(1). 
  48. Cushing syndrome from percutaneous absorption of 1% hydrocortisone ointment in Netherton syndrome. Pediatr Dermatol. 2007;24(1):42-5. doi:10.1111/j.1525-1470.2007.00331.x  PMID:17300648 
  49. The rare occurrence of absent adrenals in a term infant: a case report and review of the literature. Am J Perinatol. 2006;23(2):111-4. doi:10.1055/s-2006-931911  PMID:16506117 
  50. The role of polysomnography in the diagnosis of a neuromuscular disorder. J Clin Sleep Med. 2005;1(4):398-9. PMID:17564409 
  51. Allelic variation in the serotonin transporter (5HTT) gene contributes to idiopathic pulmonary hypertension in children. Biochem Biophys Res Commun. 2005;334(2):376-9. doi:10.1016/j.bbrc.2005.06.107  PMID:16009349 
  52. Ultrasound-guided needle aspiration of cranial epidural hematoma in a neonate: treating a rare complication of vacuum extraction. Am J Perinatol. 2002;19(8):401-4. doi:10.1055/s-2002-36837  PMID:12541211 
  53. Late-onset left diaphragmatic hernia after group B streptococcal sepsis: An unusual presentation. J Pediatr Surg. 2002;37(6):932-3. PMID:12037770 
  54. Orbital lymphangioma with non-contiguous cerebral arteriovenous malformation, manifesting with thrombocytopenia (Kasabach-Merritt syndrome) and intracerebral hemorrhage. Acta Paediatr. 2002;91(1):98-9. PMID:11883828 
  55. Ovarian cyst in a premature infant treated with spironolactone. Am J Perinatol. 2001;18(6):353-6. doi:10.1055/s-2001-17859  PMID:11607853 
  56. Spontaneous rupture of the liver presenting as scrotal bruising. Am J Perinatol. 2001;18(3):147-9. doi:10.1055/s-2001-14523  PMID:11414525 
  57. Severe pulmonary hypertension in rheumatoid arthritis. Int J Cardiol. 1990;26(2):220-2. PMID:2303301 
  58. Reducing Peripherally Inserted Catheters in the Neonatal Intensive Care Unit JPerinatol. 
Last updated: 08/17/2017
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