Fernando Ríos
- Respiratory Support and Mechanisms
- Intensive Care Unit Cognitive Disorders
- Cardiac Arrest and Resuscitation
- Sepsis Diagnosis and Treatment
- Anesthesia and Sedative Agents
- Airway Management and Intubation Techniques
- Anesthesia and Neurotoxicity Research
- Cardiac, Anesthesia and Surgical Outcomes
- Hemodynamic Monitoring and Therapy
- Mechanical Circulatory Support Devices
- Pneumonia and Respiratory Infections
- Long-Term Effects of COVID-19
- Nosocomial Infections in ICU
- Tracheal and airway disorders
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Healthcare Decision-Making and Restraints
- Antibiotic Use and Resistance
- Healthcare cost, quality, practices
- Trauma and Emergency Care Studies
- Human Rights and Immigration
- Antibiotics Pharmacokinetics and Efficacy
- Acute Kidney Injury Research
- Cultural and Social Studies in Latin America
- Influenza Virus Research Studies
- Neonatal Respiratory Health Research
Universidad de La Sabana
2014-2025
Federación Colombiana de Obstetricia y Ginecología
2025
Sociedad Colombiana de Anestesiología y Reanimación
2025
Instituto de Efectividad Clínica y Sanitaria
2024
Hospital Posadas
2015-2024
Instituto Universitario Hospital Italiano
2023
Hospital Ramos Mejía
2023
Consorci Sanitari de Terrassa
2023
Las Cumbres Observatory Global Telescope Network
2022
Universidad de Santiago de Chile
2021
The effects of recruitment maneuvers and positive end-expiratory pressure (PEEP) titration on clinical outcomes in patients with acute respiratory distress syndrome (ARDS) remain uncertain.To determine if lung associated PEEP according to the best respiratory-system compliance decreases 28-day mortality moderate severe ARDS compared a conventional low-PEEP strategy.Multicenter, randomized trial conducted at 120 intensive care units (ICUs) from 9 countries November 17, 2011, through April 25,...
Baseline characteristics and management have changed over time in patients requiring mechanical ventilation; however, the impact of these changes on patient outcomes is unclear.To estimate whether mortality mechanically ventilated has time.Prospective cohort studies conducted 1998, 2004, 2010, including receiving ventilation for more than 12 hours a 1-month period, from 927 units 40 countries. To examine effects intensive care units, we performed generalized estimating equation models.We...
To prospectively evaluate the performance of Clinical Pulmonary Infection Score (CPIS) and its components to identify early in hospital course ventilator-associated pneumonia (VAP) which patients are responding therapy.Prospective, multicenter, a cohort mechanically ventilated patients.The intensive care unit six hospitals located metropolitan area Buenos Aires, Argentina.Sixty-three patients, from 472 hospitalized for >72 hrs, had clinical evidence VAP bacteriologic confirmation by...
Background: The American–European Consensus Conference definition for the acute respiratory distress syndrome (ARDS) has never been validated. Objective: To compare clinical criteria ARDS with autopsy findings. Design: Independent comparison of findings characteristics retrospectively abstracted from medical records. Setting: Tertiary medical–surgical intensive care unit. Participants: 382 patients who underwent autopsy. Measurements: Sensitivity, specificity, and likelihood ratios were...
Inappropriate therapy (IT) and delayed initiation of appropriate (DIAT) result in inadequate patients with ventilator-associated pneumonia (VAP). The aim the current study was to assess impact DIAT VAP. A total 76 mechanically ventilated bacteriologically confirmed VAP were prospectively evaluated intensive care unit six hospitals Buenos Aires, Argentina. Appropriate defined as coverage all identified pathogens by antimicrobial administered at time clinical diagnosis. pulmonary infection...
Lower respiratory tract infections (LRTI) are the most frequent infectious complication in patients admitted to intensive care unit (ICU). We aim report clinical characteristics of ICU-admitted due nosocomial LRTI and describe their microbiology outcomes.A prospective observational study was conducted 13 countries over two continents from 9th May 2016 until 16th August 2019. Characteristics outcomes ventilator-associated pneumonia (VAP), tracheobronchitis (VAT), ICU hospital-acquired...
The aim of this study was to describe and compare the changes in ventilator management complications over time, as well variables associated with 28-day hospital mortality patients receiving mechanical ventilation (MV) after cardiac arrest.We performed a secondary analysis three prospective, observational multicenter studies conducted 1998, 2004 2010 927 ICUs from 40 countries. We screened 18,302 MV for more than 12 hours during one-month-period. included 812 arrest. collected data on...
Current incidence and outcome of patients with acute hypoxaemic respiratory failure requiring mechanical ventilation in the intensive care unit (ICU) are unknown, especially for not meeting criteria distress syndrome (ARDS).An international, multicentre, prospective cohort study presenting hypoxaemia early course ventilation, conducted during four consecutive weeks winter 2014 459 ICUs from 50 countries (LUNG SAFE). Patients were enrolled arterial oxygen tension/inspiratory fraction ratio...
Latin America bears an important burden of critical care disease, yet the information about it is scarce. Our objective was to describe structure, organization, processes care, and research activities in Latin-American ICUs.Web-based survey submitted ICU directors.ICUs located nine countries.Individual ICUs.None.Two hundred fifty-seven 498 (52%) surveys responded: 51% from Brazil, 17% Chile, 13% Argentina, 6% Ecuador, 5% Uruguay, 3% Colombia, between Mexico, Peru, Paraguay. Seventy-nine...
The formulation of opioid medications is becoming increasingly common among hospitalized patients, due to the need for pain control or sedation during procedures. This phenomenon represents possibility an increase in adverse events, as demonstrated by monitoring through Adverse Event Reporting System (FAERS). importance tools that unify information search and provide easy access physicians more evident. Thus, it essential assess medical needs when using technological can support clinical...
Abstract Introduction Type II diabetes mellitus (DM II) is a chronic and prevalent disease affecting millions of people worldwide, with significant impact on public health. This protocol outlines the methodology for developing Clinical Practice Guideline (CPG) focused managing glycemic control in diabetic nondiabetic adults undergoing noncardiac surgery. The objective this guideline to provide recommendations based best available evidence, improving quality care clinical outcomes these...
The effect of positive end-expiratory pressure (PEEP) on intracranial (ICP) and cerebral perfusion (CPP) has been reported by several investigators, without any consensus being reached. Acute neurological neurosurgical patients suffer hypertension acute lung injury with hypoxemia. Since PEEP may improve hypoxemia but elevate ICP decrease CPP, it is important to determine the influence varying levels CPP. aim study was investigate changes in CPP associated different PEEP. Twenty requiring...
Background: Acute kidney injury (AKI) is a frequent complication in patients under mechanical ventilation (MV). We aimed to assess the risk factors for AKI with particular emphasis on those potentially preventable. Study Design, Setting, and Participants: Retrospective analysis of large, multinational database MV >24 h normal renal function at admission. was defined according creatinine-based KDIGO criteria. Risk were analyzed time point which occurred: early (≤48 after ICU admission, AKIE)...
Background: Intensive care unit-acquired paresis (ICUAP) is associated with poor outcomes. Our objective was to evaluate predictors for ICUAP and the short-term outcomes this condition. Methods: A secondary analysis of a prospective study including 4157 mechanically ventilated adults in 494 intensive units from 39 countries. After sedative interruption, patients were screened daily, which defined as presence symmetric flaccid quadriparesis decreased or absent deep tendon reflexes....