Neonatal Resuscitation: Scientific Basis
Miami Neonatology 2019—43rd Annual International Conference

Extremely preterm infants are unique among neonates. Satyan Lakshminrusimha, MD, discusses asphyxia and resuscitation, while reviewing the clinical and translational science and current guidelines in the care of these preterm infants. Dr. Lakshminrusimha elaborates on the vital elements of effective neonatal resuscitation, cord clamping and milking, decreasing the risk of IVH, and the optimum oxygen levels for initial resuscitation of extremely preterm infants. Recommended umbilical vein epinephrine dosing is reviewed for more effective resuscitation.

• Profile

  Satyan Lakshminrusimha, MD

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  Satyan Lakshminrusimha, MD, is the Nancy and Dennis Marks Chair of Pediatrics and pediatrician-in-chief at the UC Davis Children’s Hospital in Sacramento, California. He received his medical degree from Mysore Medical College of the University of Mysore in India, where he also completed an internship in surgery-pediatrics and obstetrics and gynecology, as well as a residency in pediatrics. He also completed a residency in pediatrics at Brooklyn Hospital Center of New York University in New York City, and was awarded a fellowship in neonatal-perinatal medicine at Children’s Hospital of Buffalo.

  Dr. Lakshminrusimha is a renowned neonatologist, whose philosophy of care is to provide his young patients with evidence-based, family centered care, enabling them to thrive and develop to their fullest potential. His clinical interests include early detection of critical congenital heart disease and neonatal respiratory diseases using pulse oximetry and other indices of oxygenation. His research focus is on understanding the pathophysiology of neonatal transition and evaluating the science behind neonatal resuscitation and to develop new techniques to improve the efficacy of resuscitation, particularly in resource-limited settings.

  As a member of the American Academy of Pediatrics Neonatal Resuscitation Steering Committee, Dr. Lakshminrusimha is involved in developing worldwide guidelines for neonatal resuscitation. The goal is to simplify the neonatal resuscitation algorithm to hasten the return of spontaneous circulation in order to improve survival, without neurological morbidity, in asphyxiated neonates. The committee is evaluating techniques to simplify chest compressions and epinephrine administration more adaptable to low- and middle-income countries.

  A prolific scholar, writer, and artist, Dr. Lakshminrusimha has published 11 book chapters and approximately 150 peer-reviewed articles. He enjoys the art of medical illustration and is the developer of Illustrative Neonatology, a free app designed to help parents understand basic aspects of neonatal intensive care. He has produced more than 300 illustrations for use in pediatric and neonatology textbooks and journal articles, and his distinctive artwork is featured in many of his sophisticated audio-visual presentations.

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  Satyan Lakshminrusimha, MD

  Professor and Chair of Pediatrics
  Pediatrician-in-Chief
  UC Davis Children’s Hospital
  Sacramento, California