Get to Know Lakshana
My name is Lakshana Janakiraman Vijayalakshmi, and I am currently pursuing a master’s degree in Cardiovascular Perfusion Science at the University of Utah. In addition to my academic training, I bring prior clinical experience as a perfusionist in India, which has given me a solid foundation in both theoretical knowledge and practical application. I am also deeply engaged in research and student leadership, which continue to shape my commitment to advancing the field and supporting my peers.
AmSECT: Why did you choose to pursue a career in perfusion?
Lakshana: During my early exposure to cardiac surgery, I was profoundly inspired by the unique and indispensable role perfusionists play in patient care. Listening to surgical teams and nurses emphasize the importance of extracorporeal circulation in sustaining patients through complex procedures motivated me to pursue this path. I came to see perfusion as a profession that seamlessly integrates technical expertise, critical clinical decision-making, and compassion which is an ideal combination that resonated deeply with my desire to contribute meaningfully to patient outcomes.
AmSECT: What is a perfusion-related topic that you think is indispensable to know for your perfusion career and why?
Lakshana: An area of particular significance to me is myocardial protection, with a focus on cardioplegia administration. A comprehensive understanding of its biochemical mechanisms, delivery techniques, and patient-specific adaptations is essential to achieving favorable surgical outcomes. In my clinical practice, I observed that variations in cardioplegia strategies, whether employing DelNido, blood cardioplegia, or multi-dose protocols, all have a direct impact on myocardial recovery following cross-clamp removal. These observations underscored for me that cardioplegia is not a routine technical maneuver, but rather a critical determinant of intraoperative myocardial preservation and overall surgical positive outcomes.
AmSECT: In reference to the question above, what question do you have about that topic that you’d like others' to input on?
Lakshana: Although multiple cardioplegia strategies are currently in use, I often reflect on how we might achieve global standardization of protocols while still accommodating individual patient needs. My question is: What are the most effective ways to balance evidence-based standardized myocardial protection techniques with the necessary flexibility to personalize care for diverse patient populations, such as pediatric versus adult patients?
AmSECT: Share your experience/favorite thing about being a Student Member of AmSECT. How has it impacted your journey in perfusion?
Lakshana: Being part of AmSECT has connected me with a community that shares my passion for perfusion. I value the access to educational resources, webinars, and networking opportunities, which have expanded my knowledge beyond the classroom. More importantly, it has highlighted the value of engaging with a professional community early in one’s career, providing both inspiration and a sense of connection that continually motivates my growth within the field.
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