Nicolás Monteverde

Nicolás Monteverde
Sanatorio Medica Uruguaya · pediatric critical care- CINP

MD

About

33
Publications
3,010
Reads
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106
Citations
Citations since 2016
31 Research Items
104 Citations
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Introduction
Nicolás Monteverde currently works at the pediatric critical care- CINP, Sanatorio Medica Uruguaya. Nicolás does research in Pediatrics, Pulmonology and Respiratory Medicine. Their current project is 'Red Colaborativa Pediatrica de Latinoamerica (LARed) - Pediatric Latinamerican Collaborative Network'.

Publications

Publications (33)
Article
Full-text available
Background Respiratory syncytial virus (RSV) is a leading cause of pediatric death, with >99% of mortality occurring in low- and lower middle-income countries. At least half of RSV-related deaths are estimated to occur in the community, but clinical characteristics of this group of children remain poorly characterized. Methods The RSV Global Onlin...
Article
Several challenges exist for referral and transport of critically ill children in resource-limited regions such as Latin America; however, little is known about factors associated with clinical outcomes. Thus, we aimed to describe the characteristics of critically ill children in Latin America transferred to pediatric intensive care units for acute...
Article
Full-text available
Objetivos: describir las características clínicas y epidemiológicas de niños admitidos por bronquiolitis en 13 unidades de cuidados intensivos pediátricos (UCIP) del Uruguay y comparar los resultados asistenciales finales entre UCIP de Montevideo (UM) y del interior del país (UI). Material y método: estudio observacional retrospectivo multicéntrico...
Poster
Full-text available
Aims & Objectives: To describe the epidemiology, therapeutic management and outcomes of children admitted to pediatric ICU (PICU) for acute respiratory failure (ARF) in a contemporary multinational PICU cohort. Methods: Retrospective analysis using prospectively collected clinical data within the LARed Network ARF clinical registry (35 hospitals,...
Poster
Aims & Objectives: to describe contemporary invasive mechanical ventilation (IMV) practices in children admitted to Latin American PICUs with acute respiratory failure (ARF). Methods: Retrospective analysis within LARed Network ARF Registry. We analyzed all children who were prescribed IMV between May 2017 and October 2019. Data described as median...
Poster
Full-text available
Aims & Objectives: To determine risk factors of non-invasive ventilation techniques (NIV) failure in children admitted with acute respiratory failure (ARF) and to compare their outcomes with children treated successfully or with invasive ventilation alone (IMV). Methods: Retrospective analysis within LARed Network ARF multicenter registry. We inclu...
Poster
Full-text available
Aims & Objectives: To determine risk factors and outcomes for prolonged invasive mechanical ventilation (pIMV) in infants admitted to pediatric ICU (PICU) due to acute respiratory failure (ARF). Methods: Retrospective analysis using prospectively collected data within LARed Network ARF registry (33 hospitals, 8 countries). All PICU encounters in ch...
Poster
Full-text available
Aims & Objectives: To compare the epidemiology, therapeutic management and clinical outcomes of infants with bronchiolitis admitted to 13 PICUs from Uruguay (UY) using a multinational Latin-American (LATAM) PICU cohort. Methods: Retrospective analysis using prospectively collected clinical data within LARed Network Acute Respiratory Failure registr...
Presentation
Full-text available
Aims & Objectives: To compare Bedside Physician Diagnosis (BPD) for pediatric sepsis with the new infection associated organ failure Consensus Criteria (CC) on a large Latin American registry To describe the clinical outcomes of ventilated patients with a respiratory infection. Methods:Design: Retrospective analysis within LARed Network’s Pediatric...
Article
Background: Care variability for children with severe acute asthma has been well documented in high‐income countries, yet data from low‐ and middle‐income regions are lacking. We sought to characterize the magnitude of practice variability in the care of Latin American children to identify opportunities for standardization of care. Methods: A cross...
Article
Full-text available
Background: The COVID-19 pandemic reached the Southern Hemisphere in the autumn of 2020, thus coinciding with its expected annual viral respiratory season. The potential impact of national strategies aimed at mitigating COVID-19 during the pandemic on the incidence of other critical viral lower respiratory tract infections (LRTIs) in children is un...
Article
Full-text available
Objetivo: Describir terapias utilizadas lactantes con bronquiolitis aguda admitidos en 20 Unidades de Cuidados Intensivos (UCI) pediátricos miembros de LARed en 5 países latinoamericanos. Pacientes y métodos: Estudio observacional retrospectivo, multicéntrico, de datos recabados en forma prospectiva en Registro Latinoamericano de Falla Respiratori...
Article
INTRODUCCION. La Bronquiolitis grave (BG) es causa principal mundial de ingreso a unidades de cuidado intensivo pediátrico (UCIP). La variabilidad de prácticas en su manejo es extendida y en Colombia aún no ha sido descrita. OBJETIVO. Caracterización epidemiológica de niños admitidos por BG en 3 UCIP adscritas a una red colaborativa (LARed Network...
Article
Full-text available
Acute respiratory distress syndrome (ARDS) is a complex entity with high potential for harm and healthcare resource utilization. Despite multiple clinical advances in its ventilatory management, ARDS continues to be one of the most challenging disease processes for intensivists. It continues to lack a direct, proven and desperately needed effective...
Article
Full-text available
Pediatric collaborative networks are a proven and transformational mean of accelerating the translation of evidence into clinical practice and have expanded steadily in this century. They have become a tool for innovation and improving value in healthcare, engaging clinicians, researchers, patients and families in different healthcare settings. Ins...
Article
Full-text available
Aims & Objectives: To describe organizational characteristics and resources of PICUs in Latin-America. Methods Web-based survey submitted to Latin-American PICUs. Results 50 out 98 centers responded the survey from 10 countries (38% Chile, 20% Uruguay, 20% Argentina). Centers characteristics: 66% public, 74% mixed [intermediate (IMCU) and intensive...
Article
Full-text available
Aims & Objectives: To detect variability of intensive care treatments for status asthmaticus (SA) among latinamerican PICUs Methods Cohort study of children older than 2 years old admitted with (SA) to 20 PICUs from LARed (from five countries) between May and November 2017. Data showed as median IQR and frequency as percentage and range. Results O...
Article
Full-text available
Aims & Objectives: To describe variability of intensive care practices in children with bronchiolitis admitted to 20 PICUs across 5 latinamerican countries during 2017 winter season. Methods Prospective, observational study of infants with bronchiolitis requiring admission to PICU. Demographic, comorbidities, clinical data, respiratory support and...
Poster
Full-text available
Bronchiolitis is a major health-care problem.Treatment practices vary both between and within institutions. A knowledge gap exists about Pediatric Intensive Care Units (PICUs) practice patterns. Detecting and then decreasing unnecessary variation and misuse (under and overuse) of interventions could have large impact on improving health-care value....
Article
Full-text available
Bronchiolitis is a major health-care problem.Treatment practices vary both between and within institutions. A knowledge gap exists about Pediatric Intensive Care Units (PICUs) practice patterns. Detecting and then decreasing unnecessary variation and misuse (under and overuse) of interventions could have large impact on improving health-care value....
Article
Full-text available
Packed Red Blood Cell Transfusion (PRBCT) is one of the top 5 most overused interventions in PICU. PRBCT is associated with worse outcomes. In stable, critically ill chilren 7 g/dl is safe and considered "the new normal" according to strong evidence-based guidelines. In our PICU Collaborative Network (LARed) we identified variability and overuse in...
Article
Introduction: learning about mechanical ventilation (MV) in pediatrics requires time and several educational strategies. In recent years, videopodcast has been used for medical training. Objectives: to prepare a filmed documentary of the basic elements in respiratory mechanics during MV in an animal model. To create a videopodcast to train human re...
Article
Full-text available

Network

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Projects

Projects (3)
Archived project
All LARed Network and members collaborations presented at the 10th Congress of the World Federation of Pediatric Intensive & Critical Care Societies (#WFPICCS2020)
Project
El enfoque contemporáneo de cuidados intensivos pediátricos requiere de una aproximación multidisciplinaria y multinstitucional. Los esfuerzos de colaboración entre entidades académicas, públicas y privadas, han sido facilitadas por el desarrollo de la tecnología. Es así como proyectos globales y regionales en medicina intensiva han sido realizados uniendo lugares geográficos previamente insospechados con resultados significativos e importantes. Sin embargo, debido a las limitaciones propias de Latinoamérica (capital humano, fondos de investigación disponibles, fragmentación político/geográfica, entre otros) su representación en estas iniciativas es muy pequeña. La información de las prácticas clínicas, epidemiología e infraestructura en cuidados intensivos pediátricos es muy limitada en la región. Para disminuir esta brecha de conocimiento, los invitamos a participar en el estudio REAL CIP (REalidad de America Latina en Cuidados Intensivos Pediatricos). El Objetivo de esta primera parte del estudio es conocer las distintas realidades de las unidades de cuidados intensivos pediátricos de la región. Creemos que las recomendaciones generales para el tratamiento de niños críticamente enfermos deben ser adaptadas a las condiciones locales de cada una de nuestras UCIPs, destacando las fortalezas y desafíos de cada uno. Interesados contactar redcolaborativaucip@gmail.com Atte. Equipo Corrdinación de LARED
Project
Latin America is a vast geopolitical area, with limited research on significant pediatric health problems and studies carried on this far (led by institutions from developed countries) have failed to address the challenges and pitfalls of acute care management of critically ill children in the region. The main objective of this proposal is to build a strong Latin American collaborative network for critically ill children. This network built on the principles of measure, learn, improve and share, with a 2-way flow of data design, will help to understand local reality and to combine peer effort to improve care and outcomes.