Sergio Francisco Puebla Molina

Médico pediatra con amplia experiencia en gestión asistencial y liderazgo clínico, especializado en cuidados intensivos pediátricos y desarrollo institucional hospitalario. Destacado por coordinar equipos multidisciplinarios y optimizar procesos en servicios pediátricos, contribuyendo a la mejora continua de la atención médica. Posee formación avanzada en pediatría y alta gerencia, orientada a la jefatura médica con enfoque en calidad y eficiencia asistencial.

• Bronchopneumonia as a clinical presentation of typhoid fever in older infants, V National and XIV Regional Meetings of Pediatric Residents, Concepción, 10/1988
• Occupational Health Problems of Coal Workers, Curanilahue 1987-1988, XI Medical Meetings of Cautín, Temuco, 11/1989
• Necrotizing Enterocolitis, Revista Médica del Sur, 14, 2, 24-28, 1989
• Efficacy of ketorolac in postoperative pain in children between 6 months and 2 years, LATINCLEN Congress, Huatulco, Mexico, 1996
• Home oxygen therapy: Case report, XXX Congress of Chilean Respiratory Diseases, 11/26-29/1997, Pucón
• Toxic Shock by beta-hemolytic Streptococcus, XXXIX Congress of Chilean Pediatrics, Iquique, 11/16-19/1999
• Chapter XIII Emergencies: 'Cardiopulmonary Resuscitation in Children' and 'Treatment of Asthmatic Crisis', Pediatría y Cirugía Infantil. Manual de apuntes, EDICIONES UNIVERSIDAD DE LA FRONTERA, 2000, 364-375
• Hantavirus Pulmonary Syndrome in Children, 42nd ANNUAL MEETING OF IDSA, 09/30-10/04/2004, Boston, U.S.A.
• Correlation and degree of agreement between 'clinical impression' (clinical diagnosis) and clinical score (Tal score) in the diagnosis of obstructive bronchial syndrome in infants, IX LATINCLEN Congress, Buenos Aires, Argentina, 09/22-24/2005
• In critically ill newborns, effective analgesia should be given systemically, Evid Pediatr, 2006, 2, 25
• In large preterm infants affected by hyaline membrane disease, early prophylactic administration of theophylline may temporarily improve renal function, Evid Pediatr, 2006, 2, 26
• In very low birth weight neonates, the spontaneous breathing test may be useful to predict the success of extubation, Evid Pediatr, 2006, 2, 46
• The use of long-acting beta-agonists may increase exacerbations of severe asthma, as well as deaths associated with them, if not always associated with inhaled corticosteroids, Evid Pediatr, 2006, 2, 53
• The measurement of peak systolic blood flow velocity of the middle cerebral artery, through Doppler ultrasound, is a useful and safe diagnostic test capable of replacing invasive tests in the management of pregnancies with Rh factor alloimmunization, Evid Pediatr, 2006, 2, 82
• Early administration of low doses of inhaled nitric oxide appears safe in the short term and may improve neurological and pulmonary outcomes in some mechanically ventilated preterm infants, Evid Pediatr, 2006, 2, 85
• Hantavirus cardiopulmonary syndrome in children, Urgencias y Cuidados Intensivos en Pediatría, 35, 300-305, Editorial Mediterráneo, Second, 2006
• In the treatment of neonatal jaundice, the use of low-cost reflective white curtains around the phototherapy area significantly increases its effectiveness, Evid Pediatr, 2007, 3, 18
• Restricting caffeine intake in pregnant women from 20 weeks of pregnancy has no impact on the birth weight of the neonate or the duration of gestation, Evid Pediatr, 2007, 3, 45
• It is doubtful that in very low birth weight newborns the decrease in the use of postnatal corticosteroids has led to an increase in the incidence and severity of bronchopulmonary dysplasia, Evid Pediatr, 2007, 3, 52
• In asymptomatic newborns, pulse oximetry has limited sensitivity for the diagnosis of congenital heart disease, so it seems of little use as a screening method, Evid Pediatr, 2007, 3, 76
• High-dose ibuprofen seems to blunt the progression of lung involvement and decreases the duration of hospitalizations in patients with cystic fibrosis, Evid Pediatr, 2007, 3, 90
• In term newborns affected by hypoxic-ischemic encephalopathy, therapeutic hypothermia may reduce mortality and severe sequelae, Evid Pediatr, 2007, 3, 106
• In preterm newborns under 35 weeks of gestational age, the use of inhaled nitric oxide as routine treatment in intubated patients may be effective, but not as rescue therapy in severe patients, Evid Pediatr, 2008, 4, 9
• The use of long-acting beta-agonists may increase exacerbations of severe asthma, Revista Española, Pediatría de Atención Primaria, IX, Supplement 1, 2007, 63-68
• The delay in the introduction of solid foods in the infant's diet does not seem to protect against subsequent development of asthma, allergic rhinitis, and sensitization to aeroallergens and foods, Evid Pediatr, 2008, 4, 36
• In large preterm infants, the estimation of morbidity and mortality improves if sex, birth weight, number of fetuses per pregnancy, and prenatal treatment with corticosteroids are taken into account, Evid Pediatr, 2008, 4, 58
• Self-administered questionnaires tend to produce an underreporting of tobacco consumption in adolescents, Evid Pediatr, 2008, 4, 78
• Caffeine intake during pregnancy increases the risk of low birth weight newborns, Evid Pediatr, 2009, 5, 24
• Clinical presentation of patients with diabetic ketoacidosis hospitalized in the Pediatric Intensive Care Unit of Hospital Dr. Hernán Henríquez Aravena between 2000 and 2007, Chilean Congress of Pediatric Intensive Care, Termas de Chillán, 2009
• Co-investigator in: 'Cost-effectiveness Study of Health Interventions in Chile', Ministry of Health (MINSAL), 2010
• More solid evidence is required to affirm that premedication before non-urgent intubation in neonates favors a better outcome, Evid Pediatr, 2010, 6, 13
• Therapeutic hypothermia reduces mortality and neurological sequelae in hypoxic-ischemic encephalopathy of the newborn, Evid Pediatr, 2010, 6, 33
• Current approaches are insufficient to establish the influence of risk behaviors on preterm birth, Evid Pediatr, 2010, 6, 60
• The use of inhaled nitric oxide in low doses does not reduce the incidence of bronchopulmonary dysplasia in preterm infants with mild or moderate respiratory disease, Evid Pediatr, 2010, 6, 88
• Zinc for the prevention and treatment of the common cold, Evid Pediatr, 2011, 7, 43
• When to treat the persistence of the ductus arteriosus in preterm infants? A question that still persists, Evid Pediatr, 2012, 8, 64
• Degree of Inter-observer Concordance in the use of the Pediatric Assessment Triangle as a Prioritization Tool in the Emergency Service, 52nd Chilean Congress of Pediatrics