Orlando Ruben Perez-Nieto
ICU / Critical Care & Emergency Medicine
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Positions
Department of Critical Care Hospital San Juan del Río
San Juan del Río, Queretaro
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Featured in HealthManagement.org
2023 26 May
Intravenous Fluids in Critically Ill Patients: When Less is Better
While intravenous fluids have traditionally been a routine treatment for most critically ill patients, many severe pathologies now suggest a preference for conservative fluid therapy over liberal fluid administration. Introduction Intravenous...
2023 20 Apr
Kidney Replacement Therapy in the Intensive Care Unit
Kidney Replacement Therapy is a commonly used therapeutic strategy in the intensive care unit for patients who develop Acute Kidney Injury or who already have a diagnosis of chronic kidney disease. ICU staff should know when to use it and which type...
2023 13 Mar
Utility of Biomarkers in Obstetric Patients With Preeclampsia
Preeclampsia is a complex syndrome whose complications bear an impact on perinatal morbidity and mortality. Angiogenic biomarkers may significantly impact both the decision to admit patients and risk stratification and may also help guide patient management...
2022 08 Dec
Rapid Assessment of Fluid Responsiveness and Tolerance With Ultrasound of the Neck Vessels
Ultrasonographic assessment of the neck vessels in critically ill patients contributes to rapid and non-invasive management of fluids to evaluate responsiveness and tolerance and blood volume status. Introduction There are multiple...
2022 14 Oct
Multidrug-Resistant Gram-Negative Bacteria in the ICU
Severe infections by antibiotic resistant gram-negative bacteria are frequent in ICU patients. They are associated with high morbidity and mortality. Introduction Bacterial infections in patients hospitalised in the Intensive Care Unit...
2022 25 May
Analgesia, Sedation and Neuromuscular Blockade in Critically Ill Patients
A Practical Approach for Intensivists A practical approach to analgesia, sedation and neuromuscular blockade of critically ill patients and a discussion on potential benefits, adverse effects and current professional international recommendations....
2022 16 Mar
Challenges in the Haemodynamic Management of Septic Shock
An overview of the haemodynamic management of patients in septic shock and strategies for detection of haemodynamic changes and appropriate therapeutic action to improve the prognosis of these patients. Introduction Sepsis is one of the main...
2022 17 Feb
Doing More Can Be Worse: Ten Common Errors in the ICU
Some of the most common interventions in the ICU can be associated with poor results. We present ten situations in which doing less is better for the critically ill patient. Introduction For decades, the focus of patient management in the...
2021 23 Nov
Management of Pulmonary Embolism in the Intensive Care Unit
Pulmonary embolism is a reason for admission to the Intensive Care Unit and this complication in hospitalised patients is associated with high morbidity and mortality. The identification and management of pulmonary embolism is a challenge for doctors....
2021 30 Sep
Clostridioides difficile Infection: Complication of Intestinal Microbiome Alteration
Clostridioides difficile (C. difficile) infection is a potentially serious complication in critical patients admitted to the Intensive Care Unit (ICU). It generally occurs because of an alteration of the intestinal microbiota due to antibiotic...
2021 24 Jun
Practical Strategies in Mechanical Ventilation for Patients With COVID-19 Acute Respiratory Failure
COVID-19 represents a challenge in respiratory therapy. Evidence-guided protective mechanical ventilation is essential to reduce mortality. “Only a set of well-directed strategies can combat a formidable enemy.” Introduction The SARS-CoV-2...
2021 19 Apr
The Essentials for a Humanised Intensive Care Unit (H-ICU)
This article highlights the key points that fall under the meaning of humanisation as part of the ICU Liberation bundle. Introduction How would a patient describe their stay inside an Intensive Care Unit (ICU)? Would it be cold, lonely, a place...
2021 22 Feb
Prone Position in Awake, Non-Intubated Patients with ARDS: From Physiology to the Bedside
Prone position (PP) in awake, non-intubated patients with respiratory failure is a physiology-based ventilatory strategy that improves oxygenation and may decrease the need for intubation and invasive mechanical ventilation (IMV). Introduction...
2020 24 Nov
Post-Intensive Care Syndrome - A Necessary Harm in the Critically Ill?
Critically ill patients can develop a series of complications due to ICU risk factors that may lead to permanent disability. The implementation of strategies to reduce its incidence is essential. N owadays, the possibilities of survival...
2020 14 Sep
Challenges in the Management of Severe SARS-CoV2 Infection in Elderly Patients
Elderly patients have damaging and serious complications when they acquire SARS-CoV2 infection. It is thus important to consider this particular age group for better management of COVID-19. The gradual reversal of the population pyramid...