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Dr Vijayendra Ranjan Baral

Dr Vijayendra Ranjan Baral

​MBBS, FRCPCH (UK)

Senior Consultant

Specialty: Neonatal & Developmental Medicine

Sub-specialties: Neonatology

Conditions Treated by this Doctor:
Ambulatory Paediatrics, Developmental Paediatrics, Neonatology.

Clinical Appointments

  • Senior Consultant Neonatologist Neonatal and Developmental Medicine Singapore General HospitalSingapore General Hospital

Academic Appointments

  • Adjunct Assistant Professor, Yong Loo Ling School of Medicine, National University of Singapore
  • Adjunct Assistant Professor, Duke-NUS Graduate Medical School, Singapore
  • Adjunct Assistant Professor, LKC Medical School, Singapore

Profile

Dr Vijay Baral trained in Neonatology in the UK (Neonatal rotations in Southampton, Bristol and Portsmouth). He was appointed as a Consultant Neonatologist in the regional NICU at University Hospital Southampton NHS Foundation Trust in 2009. He has been a Consultant Neonatologist at Singapore General Hospital since June 2013.

His area of interest includes neonatal neurology and brain imaging, neonatal ventilation and end of life issues in perinatal medicine. He is currently involved in studies looking at  newborn neurological examination, oxygen targets at birth in preterm infants and pharmacokinetics of Ibuprofen for PDA management. 

Outside medicine, he has an interest in global health and contributes to the ongoing SingHealth ICO-Temasek Foundation International (TFI) initiative in Nepal ‘Rebuilding Communities through Healthcare’ Project’. 

Education

  • ​2013- FRCPCH, UK
  • 2009- CCT in Neonatal & Paediatric Medicine ( PMET-B UK) 
  • 2002- MRCPCH, UK
  • 1998- MBBS, India

Professional Appointments and Committee Memberships

  • 2017-2020-SingHealth International Collaboration Office representative for Global Health initiatives in Nepal 
  • 2009-2024- Instructor- Singapore Neonatal Resuscitation Programme
  • 2024- 1st Regional Newborn Ventilation Workshop- Course Director
  • 2015,2017, 2023-Singapore Cranial Ultrasound and Pocus Workshops- Course Director
  • 2017- Workgroup member- Singapore guidelines on care of vulnerable babies (launched July 2018)
  • 2016-Lien Centre for Palliative Care workshop on Neonatal End of Life care – Course organiser
  • 2014-2016-Tutor, British Paediatric Neurology Association (BPNA) Distant Learning Module in Neonatal Neurology
  • 2010-2015- Tutor, Neonatal Online Training for Europe ( NOTE) Project 
  • 2009-2013- Lecturer, Southampton Advanced Neonatal Nurse Practitioner ( ANNP)Programme
  • 2009-2013- RCPCH Tutor in Neonatology, University Hospitals Southampton, UK

Awards

  • 2016- Khoo Pilot Award for study of Ibuprofen pharmacokinetics in Neonatal PDA treatment 
  • 2015-AM.EI Golden Apple Programme Innovation Award 2015-An introduction to Neonatal Cranial Ultrasound Workshop, Singapore 

Research Interests

  1. Evaluation of neurological behaviour in late preterm newborns using the Hammersmith Neonatal Neurological Examination (HNNE) - ongoing
  2. Pharmacokinetics of  Intravenous and Oral Ibuprofen for Treatment of Patent Ductus Arteriosus in Preterm Infants - ongoing

Publications

CURRENT RESEARCH (PI)

  • Evaluation of neurological behaviour in late preterm newborns using the Hammersmith Neonatal Neurological Examination (2016-2024)
  • Oxygen in respiratory care of premature infants (Torpido3060) with University of Sydney/NHMRC- Site PI  ( 2022-2024)
  • Pharmacokinetics of  Intravenous and Oral Ibuprofen for Treatment of Patent Ductus Arteriosus in Preterm Infants -completed (2019)

PUBLICATIONS 

  • Agreement Between Hammersmith Neonatal Neurological Examination (HNNE) And Test of Infant Motor Performance (TIMP) in Neurodevelopmental Assessment of Preterm Infants
    Ning See M, Ereno IL, Teh WY, Baral VR, Vaughan RD, Yeo CLY. Early Human Development 2024 (https://doi.org/10.1016/j.earlhumdev.2024105973)
  • Patent Ductus Arteriosus in a late preterm neonate: think congenital hypopituitarism. Rui K, Vasanwala RF, Baral VR. BMJ Case Rep 2022;15(8): e248188
  • Comparison of the neurobehavioral profile of early preterm infants against term and later preterm infants using the Hammersmith neonatal neurological examination. Wei J Ong, Baral VR (corresponding author), Yeo CL et al. J Paeds Child Health (online first). Sep 2022
  • Parental Bereavement – impact of death of neonates and children under 12 years on personhood of parents: A systemic scoping review. BMC Palliative Care 2021 Sep 4; 20(1):136
  • Pharmacokinetics of oral versus intravenous Ibuprofen for closure of Patent Ductus Arteriosus: a pilot randomized study. Edison P, Baral VR, Chowbay B Et al. J Paeds Child Health 2022;58(3):397-403
  • Singapore Neonatal Resuscitation Guidelines. Agnihotri B et al. Singapore Medical Journal 2021; 62(8): 404-414
  • Varying clinical presentations of umbilical venous catheter extravasation: a case series. Edison P, Bharadwaj S, Baral VR et al. J Paeds Child Health. Vol 57(7) Sept 2020 1123-1126
  • Early entrapment of fourth ventricle following Pseudomonas meningitis in extreme prematurity: Case report. Edison PE, Sanamandra S.K, Shah, V.A, Baral VR, Yeo C.L.  Journal of Neonatal-Perinatal Medicine 2020;13(4):581-86
  • Evaluation of neurological behaviour in late preterm newborn infants using the Hammersmith Neurological Examination (HNE). Chin EYJ, Ereno IL, Yeo CL, Allen JA, Baral VR et al. J Paediatr Child Health.2019;55(3):349-357
  • Guidance on supportive and comfort care in vulnerable babies 2018. Lien Centre for Palliative care, Singapore (Available online at duke-nus.edu.sg)
  • Parental perceptions of hypothermia treatment for neonatal hypoxic-ischemic encephalopathy. Thyagarajan B, Baral VR, Gunda R, Hart D, Leppard L, Vollmer B. J Matern Fetal Neonatal Med. 2017 Jul 11:1-7
  • Principles of Clinical Management of Patent Ductus Arteriosus in Extremely Preterm    Neonates. Tan ZH, Baral VR. Current Pediatric Reviews. Bentham Science Publishers USA Vol 12 (2), 2016 (Thematic issue on PDA management)
  • Singapore Neonatal Resuscitation Guidelines 2016. Sing Med Journal Vol 58(7) Jul 2017; 391-403
  • Minimal enteral nutrition during neonatal hypothermia treatment for perinatal hypoxic-ischemic encephalopathy is safe and feasible. Thiyagarajan B, Tillqvist E, Baral VR, Hallberg B, Vollmer B, Blennow M. Acta Paediatrica. 2015 Feb; 104(2):146-51
  • Hypoxic Ischemic Encephalopathy in the term newborn infant and the role of Therapeutic Hypothermia in management.  Baral VR. Journal of Pediatrics, Obstetrics & Gynecology 2015 Sep; 41 (5)
  • Skin rash in a preterm infant. Baral VR, DJ Fowler, E Pelosi, S Patel.  BMJ 2012; 345: e5390
  • Near fatal cardiac tamponade caused by retro cardiac pneumo-mediastinum in a ventilated neonate managed with lateral thoracotomy and surgical chest drain. A Kyle A,  Baral VR et al; Oct 2011. Acta Paediatrica 2012. 101, pp.e142-144
  • Bilateral retinoblastomas presenting at ROP screening. J Self, K Bush,Baral VR et al. Archives of diseases in childhood (fetal & neonatal edition) 2010 July95 (4): F292
  • Colloidal Silver for lung disease in cystic fibrosis. Baral VR, G Connett, A Dewar. Journal of the Royal Society of Medicine 2008 July; 101:51-51
  • Acute intestinal obstruction as a presentation of cystic fibrosis in infancy. Baral VR, G Connett.  Journal of cystic fibrosis 2008 Jul; 7(4): 277-279
  • Food allergies in children. Baral VR, J O'B Hourihane. Postgraduate Medical Journal 2005 Nov; 81: 693-701 (BMJ publications)
  • Successful Percutaneous Ablation of Ventricular Tachycardia in Congenitally Corrected Transposition of the Great Arteries.  Baral VR, G Veldtman et al. Journal of Interventional Cardiac Electrophysiology Vol. 11, No.3; 2004 Dec; 211-215

 PRESENTATIONS

  • Ethical issues in Neonatal Encephalopathy
    Emerging issues in Paediatric Ethics, Singapore Oct 2023
  • Neonatal Encephalopathy: To cool or not cool? 10th Singapore Paediatric & Perinatal Annual Congress (SiPPAC) 2022
  • Neurological assessment in newborns- tips & tricks
    Singapore International Physiotherapy Congress ( SIPC) 2018
  • HHFNC- an emerging modality of respiratory support in neonatology and beyond
    KKH 4th Respiratory Care Symposium 2017
  • Improving outcomes in Hypoxic Ischaemic Encephalopathy
    10th Singapore International Congress of  O & G (SICOG) 2015
  • A  Homage to Dubowitz- The Hammersmith Neonatal Examination
    4th Singapore Paediatric & Perinatal Congress (SiPPAC) 2015
  • High Flow Nasal Cannula therapy- an update
    3rd Singapore Paediatric & Perinatal Congress (SiPPAC) 2014
  • Chiesi-Connect Neonatal Ventilation Workshop, Southampton,2011-2012
  • Therapeutic Hypothermia- principles of management
    British Paediatric Neurology Association (BPNA), London, 2012
  • Million Dollar Babies- setting up a therapeutic hypothermia service in Southampton
    Wessex  Feto-Maternal Medicine, 2011
  • Colloidal Silver treatment of Cystic fibrosis related lung disease
    The Royal Society of Medicine National Cystic Fibrosis Meeting, London, 2007


Research Trials