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

Associate 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 first year neonatal medicine fellows from seven universities attended the camp in July 2016.

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.


  • MBBS, University of Bombay1982
  • M.D., University of Bombay1986


  • 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 Kingdom1999
  • Neonatal Resuscitation Program-Instructor 2001
  • American Board of Pediatrics (Pediatrics)2004
  • MO, 2004
  • Pediatric Advanced Life Support -Instructor 2004
  • American Board of Pediatrics ( Neonatal -Perinatal Medicine)2005
  • ECMO Specialist Course -University of Michigan 2015


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

Recent Publications view all (56)

Publication Co-Authors

  1. Shamik Trivedi and Akshaya J Vachharajani . Video Corner: Maximum Sterile Barrier Before A Procedure NeoReviews . 2017;18(2):134-140. doi:10.1542/neo.18-2-e134   
  2. A J Vachharajani, N A Vachharajani, H Morris, A Niesen, A Elward, D A Linck and A M Mathur. Reducing peripherally inserted central catheters in the neonatal intensive care unit Journal of Perinatology . 2017. doi:10.1038/jp.2016.243  PMCID: 28079867  
  3. Samuel Julian ,Shamik Trivedi and Akshaya J Vachharajani . Video Corner: Umbilical Artery Catheterization NeoReviews . 2016;17(12):e736-e738. doi:10.1542/neo.17-12-e736  
  4. Samuel Julian and Akshaya J Vachharajani . Visual Diagnosis: A neonate with transilluminant head NeoReviews. 2016;17 (10):e630-e632. doi:10.1542/neo.17-10-e630  
  5. Rockfeller T A,Silva NA ,Liao S ,Vachharajani AJ. Corrected QT Prolongation and Bradycardia During Therapeutic Hypothermia in a Neonate NeoReviews . 2016;17(1):40-43. doi:DOI: 10.1542/neo.17-1-e40  
  6. Eldridge Whitney and Vachharajani Akshaya J . A Midline Lumbosacral Mass NeoReviews. 2015. doi:DOI: 10.1542/neo.16-9-e555  
  7. Coplen DE and Vachharajani A J. A Male Newborn With Enlarged Scrotum and Proximal Penis Shaft NeoReviews. 2015;16:507-510. doi:DOI: 10.1542/neo.16-8-e507  
  8. Eldridge W, Lieu J, Patel K,Grange D and Vachharajani A. A Difficult Airway in the Delivery Room NeoReviews. 2015;16(4):243-245. doi:DOI: 10.1542/neo.16-4-e243  
  9. Vachharajani A, Vricella GJ, Najaf T, Coplen DE. 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  
  10. Aimee Moore and Akshaya Vachharajani . 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  
  11. Akshaya Vachharajani and Aimee Moore . Video Corner:Pigtail Catheter Placement for Pneumothorax Evacuation NeoReviews. 2014;15:257-259. doi:DOI: 10.1542/neo.15-6-e257  
  12. Parul Zaveri ,Adam Vogel ,Akshaya Vachharajani . Late Preterm Infant with Recurrent Respiratory Distress NeoReviews. 2014;15:199-201. doi:DOI: 10.1542/neo.15-5-e199  
  13. Sandra Leibel and Akshaya Vachharajani . Video Corner: Needle Aspiration of Pneumothorax NeoReviews. 2014;14(4). doi:DOI: 10.1542/neo.15-4-e163  
  14. Vesoulis ZA, Vachharajani AJ . Late Preterm With Difficult Intubation NeoReviews. 2014;15(3):99-102. doi:DOI: 10.1542/neo.15-3-e99  
  15. Moeckel D ,Julian S and Vachharajani Akshaya. Video Corner: Double Volume Exchange Transfusion NeoReviews. 2013;14:536-538. doi:DOI: 10.1542/neo.14-10-e536  
  16. Moeckel D ,Cresalia N and Vachharajani AJ. Video Corner: Umbilical vein catheterization NeoReviews. 2013;14:416-418. doi:DOI: 10.1542/neo.14-8-e416  
  17. Moore A,Farrell K,Leibel S and Vachharajani A J. Video Corner : Optimizing temperature during resuscitation NeoReviews. 2013;14:329 -331. doi:DOI: 10.1542/neo.14-6-e329  
  18. Herman TE, Siegel MJ, Mathur A, Vachharajani A. Neonatal marfan syndrome with hiatus hernia and intrathoracic stomach. J Perinatol. 2013;33(8):652-3. doi:10.1038/jp.2013.15  PMID:23897310  
  19. Vachharajani AJ. Late Preterm Neonate With Hypernatremia NeoReviews. 2013;14(5). doi:DOI: 10.1542/neo.14-5-e259  
  20. T A Najaf, A J Vachharajani, B W Warner. Follow Up Of Children With Congenital Diaphragmatic Hernia And Development Of A Multidisciplinary Care Program Internet Journal of Pediatrics and Neonatology . 2013;16(1). 
  21. Herman TE, Siegel MJ, Vachharajani A. 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  
  22. Vachharajani A, Moore A . Stickler Syndrome NeoReviews. 2012. doi:doi: 10.1542/neo.13-8-e491  
  23. Vachharajani A, Chaudhry S, Sanchez-Flores P, Molter D. Difficult Endotracheal Intubation in the Delivery Room NeoReviews. 2011;e397-e401. doi:doi: 10.1542/neo.12-7-e397  
  24. Chaudhari B, Vachharajani A. Recurrent Pneumothoraces in a Newborn NeoReviews. 2011;12:e223-e227. doi:DOI: 10.1542/neo.12-4-e223  
  25. Al-Samkari HT, Kane AA, Molter DW, Vachharajani A. Neonatal outcomes of Pierre Robin sequence: an institutional experience. Clin Pediatr (Phila). 2010;49(12):1117-22. doi:10.1177/0009922810379040  PMID:20837617  
  26. Najaf TA, Vachharajani NA, Warner BW, Vachharajani AJ. 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  
  27. Odibo AO, Najaf T, Vachharajani A, Warner B, Mathur A, Warner BW. 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  
  28. Farrell K, Boykin M, Vachharajani A. Abnormal Facies in a Newborn NeoReviews. 2010;11:e520-e524. doi:doi: 10.1542/neo.11-9-e520  
  29. Vachharajani A. Index of Suspicion in the Nursery: Prolonged Jaundice in Twins NeoReviews. 2010;11:e33-e35. doi:DOI: 10.1542/neo.11-1-e33  
  30. Vachharajani AJ, Vachharajani NA, Dawson JG. 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  
  31. Smith H, Vachharajani A. Cri Du Chat Syndrome Index of Suspicion in the Nursery NeoReviews . 2009;10:e510-e511. doi:DOI: 10.1542/neo.10-10-e510  
  32. Vachharajani A, Keswani S, and Warner B. Visual Diagnosis: Elevated Right Hemi-diaphragm in a Newborn NeoReviews. 2009;10:e423. doi:doi: 10.1542/neo.10-8-e423  
  33. Vachharajani AJ, Dawson JG. Short-term outcomes of late preterms: an institutional experience. Clin Pediatr (Phila). 2009;48(4):383-8. doi:10.1177/0009922808324951  PMID:18832549  
  34. Herman TE, Vachharajani A, Siegel MJ. Massive congenital orbital teratoma. J Perinatol. 2009;29(5):396-7. doi:10.1038/jp.2008.205  PMID:19399001  
  35. Vachharajani AJ, Rao R, Keswani S, Mathur AM. Outcomes of exomphalos: an institutional experience. Pediatr Surg Int. 2009;25(2):139-44. doi:10.1007/s00383-008-2301-y  PMID:19066916  
  36. Akshaya Vachharajani . Successful Treatment of Congenital Chylous Ascites withTotal Parenteral Nutirtion The Internet Journal of Pediatrics and Neonatology. 2008;9(1). 
  37. Herman TE, Vachharajani A, Siegel MJ. Neonatal necrotizing gastritis; hypoplastic left heart. J Perinatol. 2008;28(12):843-5. doi:10.1038/jp.2008.86  PMID:19034293  
  38. Vachharajani A, Baer J. Immune Neutropenia. Index of Suspicion in the Nursery NeoReviews. 2007;8:e551-e553. doi:DOI: 10.1542/neo.9-8-e353  
  39. Vachharajani A. A case of early onset GBS Index of Suspicion NeoReviews. 2007;8:e551-e553. doi:DOI: 10.1542/neo.8-12-e551  
  40. Thomas Lancaster ,A.J.Vachharajani. Successful resuscitation of an extremely low birth weight neonate with massive, indomethacin induced gastrointestinal hemorrhage Internet Journal of Pediatrics and Neonatology . 2007;7(1). 
  41. Nunley K, Crone K, Bayliss S, Vachharajani A . Visual Diagnosis: Newborn Who Has a Diffuse Rash NeoReviews. 2007;8:e448. doi:doi: 10.1542/neo.8-10-e448  
  42. Vachharajani AJ, Dillon PA, Mathur AM. Outcomes in neonatal gastroschisis: an institutional experience. Am J Perinatol. 2007;24(8):461-5. PMID:17992713  
  43. Herman TE, Siegel MJ, Vachharajani A, Masand P, Cross D. Cerebral arteriovenous fistula to pulmonary artery onyx embolization. J Perinatol. 2007;27(4):238-40. doi:10.1038/sj.jp.7211680  PMID:17377605  
  44. Vachharajani A, Kuhlman S ,Hackett B . Congenital Central Hypoventilation Syndrome Index of Suspicion in the Nursery NeoReviews . 2007;8:e445-e447. doi:DOI: 10.1542/neo.8-10-e445  
  45. Lancaster T, Vachharajani A. Successful resuscitation of an extremely low birth weight infant with massive gastrointestinal hemorrhage The Internet Journal of Pediatrics and Neonatology. 2007;7(1). 
  46. Halverstam CP, Vachharajani A, Mallory SB. 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  
  47. Vachharajani A, Bethin K, Mouillet JF, Sadovsky Y, Saunders S. 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  
  48. Vachharajani A, Uong EC. The role of polysomnography in the diagnosis of a neuromuscular disorder. J Clin Sleep Med. 2005;1(4):398-9. PMID:17564409  
  49. Vachharajani A, Saunders S. 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  
  50. Vachharajani A, Mathur A. 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  
  51. Vachharajani AJ, Shah JK, Paes BA. Late-onset left diaphragmatic hernia after group B streptococcal sepsis: An unusual presentation. J Pediatr Surg. 2002;37(6):932-3. PMID:12037770  
  52. Vachharajani A, Paes B. 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  
  53. Vachharajani AJ, Shah JK, Paes BA. 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  
  54. Vachharajani A, Paes B. 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  
  55. Sharma S, Vaccharajani A, Mandke J. Severe pulmonary hypertension in rheumatoid arthritis. Int J Cardiol. 1990;26(2):220-2. PMID:2303301  
  56. Vachharajani A J, Vachharajani NA, Morris H, Niesen A, Linck DA, Elward A and Mathur AM . Reducing Peripherally Inserted Catheters in the Neonatal Intensive Care Unit JPerinatol. 
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