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School of Medicine

Dr Suresh Victor MBBS, DCH, MRCPCH, PhD

Photograph of Suresh Victor

Clinical Lecturer and Honorary Consultant Neonatologist

  • Email: Suresh.Victor@manchester.ac.uk
  • Telephone: +44 (0)161 901 6950/276 6063
  • Alternative Telephone: +44 (0)161 276 6331 (Secretary)
  • Fax: +44 (0)161 276 6536

2nd floor, Ward 68, Newborn Intensive Care Unit
St Mary's Hospital for Women and Children
Oxford Road
Manchester
M13 9WL

 

Role

Clinical Lecturer in Neonatal Medicine, Developmental Biomedicine Research Group, School of Biomedicine, University of Manchester.

Honorary Consultant in Neonatal Medicine at Central Manchester and Manchester Children's University Hospitals NHS Trust. 1 in 7 Consultants at Regional Neonatal Medical Intensive Care Unit at St Mary's Hospital for Women and Children, Manchester.

Lead for Year 4 Families and Childrens Module, Manchester Medical School.

Research Lead for Newborn Intensive Care Unit, St Mary's Hospital for Wome and Children, Manchester

Local Lead for GMLC Medicines for Children Research Network.

 

Memberships of Committees and Professional Bodies

  • The Neonatal Society
  • British Association of Perinatal Medicine
  • Academic Paediatric Association
  • Royal College of Paediatrics and Child Health

Research

My research interests are in two main areas:

1. The prevention and treatment of brain injury in newborn babies
Advances in neonatal intensive care have led to the improved survival of very low birth weight infants. Despite this improvement, major neurological impairment occurs in 6-13% of very low birth weight infants. Around 600-800 infants are affected by cerebral palsy each year in the UK. Adequate oxygenation of the brain is of utmost clinical importance in preventing neurological morbidity. However, current monitoring techniques concentrate exclusively on cardio-respiratory variables and are not aimed at measuring the oxygen balance in the end organs, particularly the brain. My previous work assessed the use of near-infrared spectroscopy and electroencephalography (EEG) as bed-side techniques for monitoring brain oxygenation. I also evaluated methods of reliably quantifying EEG patterns in preterm babies which are distinct from the adult EEG patterns. My work showed that changes in the EEG patterns in sick newborn preterm babies reflect their changes in cerebral oxygen delivery.

Currently my resaerch focusses on developing a neuromonitoring tool for preterm babies and in examining the  role of brain growth factors in white matter injury in preterm growth restricted babies.

2. Randomised controlled trials

A. Baby skin care research programme: assessor-blinded randomised controlled trial comparing cleansing wipes and product with water in infants.

B. Randomised controlled trial of nasal biphasic positive airway pressure vs. nasal continuous positive airway pressure following extubation in infants less than 30 weeks gestation.

C. TIPIT: A Randomised Controlled Trial of Thyroxine in Preterm Infants Under 28 weeks Gestation

Keywords: Preterm, electroencephalography, newborn, randomised.

 

Methodological Knowledge

  • Cohort observational studies
  • Randomised control trials
 

Teaching

Lead for Year 4 Family and Children Module
OSCE examiner
Project option and SSC supervisor
Educational and Clinical supervisor for junior medical staff in neonatal medicine
Academic Advisor
 
I lecture on Families and Children Module, Manchester Medical School; Examination of newborn course, School of nursing and Enhancing Neonatal Nursing Course, School of Nursing.
 

Biography

I joined the University of Manchester as Clinical Lecturer in April 2007. I graduated from St John's Medical College, University of Bangalore in 1992. I completed my early paediatric training in India (University of Madras) and UK before commencing my PhD in University of Liverpool. My PhD thesis was on, "Cerebral electrical activity and cerebral fractional oxygen extraction in human preterm newborn infants". I completed my national grid training in Neonatal Medicine in 2006 and was awarded CCT in Paediatrics and Neonatal Medicine in 2007.

My research interests are in the prevention and treatment of brain injury in newborn babies and randomised controlled trials. I have published in neonatal neurophysiology and applications of near infrared spectroscopy in preterm newborn babies.

Major Research award: As lead applicant
NIHR Research for patient benefit grant: Randomised controlled trial of nasal biphasic positive airway pressure vs. nasal continuous positive airway pressure following extubation in infants less than 30 weeks gestation. 

Major research award: As co-investigator
Johnson and Johnson: Baby skin care research programme: assessor blinded randomised controlled trial comparing cleansing wipes and product with water in infants. 

Editorial roles
Archives of Disease in Childhood (Referee)
Journal of Perinatal Medicine (Referee)

 

Collaborators and affiliated staff

Research collaborators
I collaborate internally within and across Faculties and externally:

  • Professor Patrick Gaydecki (Professor of Digital Signal Processing, University of Manchester)
  • Professor Tina Lavender (Professor of Midwifery, University of Manchester)
  • Professor Peter Clayton (Professor of Endocrinology, University of Manchester)
  • Dr Jaleel Miyan (Senior Lecturer, University of Manchester)
  • Professor Michael Weindling (Professor of Perinatal Medicine, University of Liverpool)

Affiliated staff

  • Dr Claire Bonshek (MPhilleading to PhD)
  • Clare Jennings (NHS Research Nurse)
  • Anna Hendrickson (NHS Research Nurse)
  • Chris McKeering (Postgraduate Research Assistant)
 

Publications

2011

  • T Lavender, C Furber, M Campbell, S Victor, I Roberts, C Bedwell, M Cork. (2011). Baby Skin Care Research Programme: assessor-blinded randomised controlled trial comparing impregnated cleansing wipes with water in infants. Presented at Perinatal Medicine. Harrogate. eScholarID:143764
  • Victor S, Dickinson H, Turner MA. (2011). Plasma aminotransferase concentrations in preterm infants. Archives of Disease in Childhood Fetal and Neonatal Edition, 96(2), F144-F145. eScholarID:95119 | DOI:10.1136/adc.2008.152454

2010

  • A.Raina, N Edi-Osagie, M Sarwar, S Victor. (2010). Is the Toronto scoring system useful for monitoring the progress of radial nerve palsy in newborn babies. Presented at European Academy of Paediatric Societies. Copenhagen: Pediatric Research. eScholarID:95121
  • Raina A, Sarwar M, Hendrickson A, Victor S. (2010). Effect of carbon dioxide on background cerebral electrical activity in preterm infants during the first 4 weeks after birth. Presented at European Academy of Paediatric Societies. Copenhagen: Pediatric Research. eScholarID:95122

2009

  • Ng S, Turner MA, Watson G, Newland P, Isherwood DM, Victor S, Didi M, Weindling AM. (2009). Is dopamine an iatrogenic disruptor of thyroid and adrenal axes in the extremely premature infant? ACTA PAEDIATRICA, 98(Suppl 460), 199-199. eScholarID:83303
  • Ng SM, Drury JA, Turner MA, Didi M, Victor S, Newland P, Isherwood DM, Weindling AM. (2009). A novel method of collection of saliva for estimation of steroid levels in extreme prematurity. ACTA PAEDIATRICA, 98(Suppl 460), 199-199. eScholarID:83302
  • Ng SM, Turner MA, Drury JA, Newland P, Isherwood DM, David M, Victor S, Weindling AM, Didi M. (2009). Adrenal function of extremely premature infants in the first five days after birth. HORMONE RESEARCH, 72(Suppl 3), 72-72. eScholarID:83298
  • Ng SM, Turner MA, Newland P, Isherwood DM, Victor S, Weindling AM, Didi M. (2009). Thyroid and adrenocorticol status in extremely premature infants during the first five days of postnatal life. HORMONE RESEARCH, 72(suppl 3), 172-172. eScholarID:83299
  • Ng SM, Turner MA, Watson G, Newland P, Isherwood DM, Victor S, Didi M, Weindling AM. (2009). Do maternal factors influence thyroid status in the extreme premature infant in the first five days of postnatal life? ACTA PAEDIATRICA, 98(Suppl 460), 198-199. eScholarID:83300

2008

  • Victor S, Weindling AM. (2008). Near-Infrared spectroscopy and its use for assesment of tissue perfusion in the neonate. In Klienman CS, Seri I (Ed.), Haemodynamics and Cardiology. (pp. 110-132). Philadelphia: Elsevier. eScholarID:83277
  • Ng,S.M., Turner,M.A., Gamble,C., Didi,M., Victor, S, Malamateniou,C., Parkes,L.M., Tietze,A., Gregory,L., Sluming,V., Abernethy,L., Weindling,A.M. (2008). TIPIT: a randomised controlled trial of thyroxine in preterm infants under 28 weeks gestation: magnetic resonance imaging and magnetic resonance angiography protocol. 8, eScholarID:1d17722 | DOI:10.1186/1471-2431-8-26
  • NgS.M, TurnerM.A, GambleC, DidiM, Victor S, WeindlingA.M. (2008). TIPIT: A randomised controlled trial of thyroxine in preterm infants under 28 weeks' gestation. 9, eScholarID:1d17721 | DOI:10.1186/1471-2431-8-26
  • Mishra A, Ismail N, Victor S. (2008). Use of hydrocortisone infusion for treatment of inotrope resistant hypotension in preterm babies. Archives of Disease in Childhood, 93(1), F28-F28. eScholarID:83307

2007

  • Victor S. (2007). Cerebral electrical activity and cerebral fractional oxygen extraction in human preterm newborn infants. University of Liverpool. eScholarID:83282

2006

  • Victor S, Appleton R, Beirne M, Marson A, Weindling A. (2006). The relationship between cardiac output, cerebral electrical activity, cerebral fractional oxygen extraction and peripheral blood flow in premature newborn infants. Pediatr Res, 60( 4), 456-60. eScholarID:1d16328
  • Victor S, Marson A, Appleton R, Beirne M, Weindling A. (2006). Relationship between blood pressure, cerebral electrical activity, cerebral fractional oxygen extraction, and peripheral blood flow in very low birth weight newborn infants. Pediatr Res, 59( 2), 314-9. eScholarID:1d16329

2005

  • Victor S, Appleton R, Beirne M, Marson A, Weindling A. (2005). Effect of carbon dioxide on background cerebral electrical activity and fractional oxygen extraction in very low birth weight infants just after birth. Pediatr Res, 58( 3), 579-85. eScholarID:1d16330
  • Victor S, Appleton R, Beirne M, Marson A, Weindling A. (2005). Spectral analysis of electroencephalography in premature newborn infants: normal ranges. Pediatr Res, 57( 3), 336-41. eScholarID:1d16331

2004

  • Victor S, Appleton RE, Beirne M, Weindling AM. (2004). EEG becomes abnormal at blood pressure below 23 mm of Hg in very low birth weight infants. Archives of Disease in Childhood, 89(1), A11-A11. eScholarID:83309

2003

  • Victor S, Coulter J, Besley G, Ellis I, Desnick R, Schuchman E, Vellodi A. (2003). Niemann-Pick disease: sixteen-year follow-up of allogeneic bone marrow transplantation in a type B variant. J Inherit Metab Dis, 26( 8), 775-85. eScholarID:1d16332
  • Victor S, Ryan S. (2003). Drugs for preventing migraine headaches in children. Cochrane Database Syst Rev, ( 4), eScholarID:1d16333
  • Victor S, Appleton RE, Beirne M, Weindling AM. (2003). Effect of carbon dioxide on background cerebral electrical activity and fractional oxygen extraction in very low birth weight infants. Early Human Development, 74(1), 68-69. eScholarID:83318
  • Victor S, Appleton RE, Beirne M, Weindling AM. (2003). Relationship between background cerebral electrical activity and haemodynamic variables. Current Paediatrics, 13(2), 77-77. eScholarID:83319
  • Victor S, Beirne M, Appleton R, Weindling A. (2003). EEG abnormalities preceed IVH in very low birth weight infants. PEDIATRIC RESEARCH, 54(4), 558-558. eScholarID:83304
  • Victor S, Beirne M, Appleton R, Weindling A. (2003). Haemodynamics, EEG and oxygen extraction in preterm infants. PEDIATRIC RESEARCH, 54(4), 558-558. eScholarID:83305

2002

  • Victor S, Shaw B. (2002). Carbon dioxide levels do not predict duration of home oxygen requirement: a retrospective study. J Perinat Med, 30( 4), 333-5. eScholarID:1d16334

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