The Centre for the Studies of Asphyxia and Resuscitation

I am delighted to share some fantastic news from our team at CSAR: Marwa Ramsie has successfully passed her PhD Candidacy Exam —a major milestone that marks her transition to independent doctoral research. \A focused and impactful PhD program Marwa’s PhD work centers on vasopressin as a potential alternative to epinephrine during neonatal cardiopulmonary resuscitation (CPR) . Her research addresses a critical gap in neonatal resuscitation science, combining rigorous physiolo

Reflections, gratitude, and lasting impressions The educational tour through Pakistan was an intense, rewarding, and deeply meaningful experience. Over several days, I had the privilege of engaging with clinicians, nurses, educators, and leaders across multiple institutions in Karachi and Lahore, all united by a shared commitment to improving outcomes for newborn infants. Education, exchange, and collaboration The program focused on neonatal resuscitation and respiratory sup

Final stops: leadership, learning, and lasting connections The educational tour through Pakistan concluded with two meaningful and impactful visits in Lahore , bringing together academic leadership, bedside care, and practical discussions on neonatal respiratory support. Fatima Jinnah Medical University Our first visit was to Fatima Jinnah Medical University , where we were warmly received by the Vice Chancellor, Prof. Dr. Khalid Masood Gondal . The visit included the inaugur

Lahore: focused discussion, hands-on learning, and bedside exchange The educational tour continued on Thursday in Lahore , beginning with a compact, highly interactive meeting held at the Pearl Continental Hotel . Around 70 participants joined for a day dedicated to practical, evidence-informed neonatal respiratory care. Thursday: Conference and Workshops The program covered key themes across the continuum of care, including: Oxygen use at birth Neonatal resuscitation Nasal C

Grand Rounds, global trials, and closing the Karachi chapter Part 3 of the educational tour brought us to Aga Khan University Hospital , where the program was expertly organized and hosted by Dr. Ali Hussain and Dr. Waqar Khowaja . It was particularly meaningful to reconnect with Dr. Ali Hussain , a former neonatal fellow who trained in Edmonton, underscoring the strength of long-standing international training links and collaborations. Weekly Grand Rounds: from evidence to

Connecting practice, evidence, and experience across institutions Part 2 of the educational tour through Pakistan took us to two outstanding clinical centers, each offering a unique perspective on neonatal care while sharing a common commitment to improving outcomes for newborns. Stop 1: Liaquat National Hospital The first visit of the day was to Liaquat National Hospital and Medical College and was expertly organized by the local team. We met with an engaged and highly expe

Learning together to strengthen neonatal care Today marked the beginning of an inspiring educational tour through Pakistan. I had the privilege of visiting the Sindh Institute of Child Health and Neonatology , where I received a very warm welcome from Dr. Rehan , Dr. Raza , and their dedicated multidisciplinary team. I was invited by Fisher & Paykel Healthcare to join them for a week of education focused on neonatal resuscitation and non-invasive respiratory support, includi

What is already known Current neonatal resuscitation guidelines recommend delivering chest compressions (CC) over the lower third of the sternum , a recommendation largely derived from imaging studies in older infants and children , with very limited newborn-specific data. What this study adds Using transthoracic echocardiographic mapping in healthy term newborns , we found that the left ventricle (LV) is consistently located at the inter-nipple line along the 4th–5th left s

Vasopressin vs Epinephrine during cardiopulmonary resuscitation of asphyxiated newborns – a cluster randomized controlled phase I trial Introduction Current neonatal resuscitation guidelines recommend the use of epinephrine during neonatal cardiopulmonary resuscitation (CPR). However, newborns receiving epinephrine continue to have high rates of mortality and neurodevelopmental disability. The infrequent need for neonatal CPR, coupled with an inability to consistently anticip

Why this study matters During advanced neonatal cardiopulmonary resuscitation (CPR), clinicians often face a critical question: should volume be given early to support circulation, or is pharmacologic support with epinephrine superior? While volume expansion is recommended when hypovolemia is suspected, evidence supporting its use during CPR in euvolemic newborns remains limited. This experimental study used a near-term lamb model of severe asphyxia to directly compare rapid