Luis Pacheco, MD

Director, Maternal Critical Care Services

  • 685 Citations
  • 16 h-Index
20032019
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Research Output 2003 2019

  • 685 Citations
  • 16 h-Index
  • 52 Article
  • 5 Chapter
  • 4 Review article
  • 2 Letter
2019

Acute Management of Ischemic Stroke During Pregnancy

Pacheco, L., Hankins, G., Saad, A. & Saade, G., May 1 2019, In : Obstetrics and gynecology. 133, 5, p. 933-939 7 p.

Research output: Contribution to journalArticle

Tissue Plasminogen Activator
Stroke
Pregnancy
Obstetrics
Head

Amniotic fluid embolism: principles of early clinical management

Pacheco, L., Clark, S. L., Klassen, M. & Hankins, G. D. V., Jan 1 2019, (Accepted/In press) In : American journal of obstetrics and gynecology.

Research output: Contribution to journalArticle

Amniotic Fluid Embolism
Cardiopulmonary Resuscitation
Ventricular Dysfunction
Extracorporeal Membrane Oxygenation
Pregnancy Complications
2 Citations (Scopus)

Management of peripartum intra-abdominal hypertension and abdominal compartment syndrome

Lozada, M. J., Goyal, V., Levin, D., Walden, R. L., Osmundson, S. S., Pacheco, L. & Malbrain, M. L. N. G., Jan 1 2019, In : Acta Obstetricia et Gynecologica Scandinavica.

Research output: Contribution to journalReview article

Open Access
Intra-Abdominal Hypertension
Peripartum Period
Pressure
Obstetrics
Pregnant Women

Medicolegal Review: Perinatal Effexor Lawsuits and Legal Strategies Adverse to Prescribing Obstetric Providers

Kirsch, N., Pacheco, L., Hossain, A. & Phelps, J., Jan 19 2019, In : AJP Reports. 9, 1, p. E88-E91

Research output: Contribution to journalReview article

Open Access
Obstetrics
Jurisprudence
Medical Records
Consent Forms
Search Engine

SMFM Consult Series #47: Sepsis during pregnancy and the puerperium

Society for Maternal-Fetal Medicine (SMFM) pubs@smfm.org Society for Maternal-Fetal Medicine: Publications Committee, Apr 1 2019, In : American journal of obstetrics and gynecology. 220, 4, p. B2-B10

Research output: Contribution to journalArticle

Postpartum Period
Sepsis
Pregnancy
Resuscitation
Hypotension
2018
1 Citation (Scopus)

Critical care obstetrics, sixth edition

Phelan, J. P., Pacheco, L., Foley, M. R., Saade, G., Dildy, G. A. & Belfort, M. A., Jan 1 2018, Critical Care Obstetrics. wiley, p. 1-1113 1113 p.

Research output: Chapter in Book/Report/Conference proceedingChapter

Critical Care
Obstetrics
Emergency Treatment
Pregnancy
Mothers
1 Citation (Scopus)

Damage-control surgery for obstetric hemorrhage

Pacheco, L., Lozada, M. J., Saade, G. & Hankins, G., Jan 1 2018, In : Obstetrics and Gynecology. 132, 2, p. 423-427 5 p.

Research output: Contribution to journalArticle

Obstetric Surgical Procedures
Hemorrhage
Operating Rooms
Acidosis
Hemostasis
8 Citations (Scopus)

Embryonal mitochondrial DNA: relationship to embryo quality and transfer outcomes

Klimczak, A. M., Pacheco, L., Lewis, K., Massahi, N., Richards, J. P., Kearns, W. G., Saad, A. & Crochet, J. R., Mar 5 2018, (Accepted/In press) In : Journal of Assisted Reproduction and Genetics. p. 1-7 7 p.

Research output: Contribution to journalArticle

Embryo Transfer
Mitochondrial DNA
Embryonic Structures
Blastocyst
Female Infertility

Maternal Pulse Pressure and the Risk of Postepidural Complications: A Randomized Controlled Trial

Lozada, M. J., Gray, D., Pacheco, L. & Peralta, F., Mar 1 2018, In : Obstetrics and gynecology. 131, 3, p. 600-601 2 p.

Research output: Contribution to journalLetter

Epidural Anesthesia
Randomized Controlled Trials
Mothers
Blood Pressure

Medical management of postpartum hemorrhage: An update

Pacheco, L., Saade, G. & Hankins, G., Jan 1 2018, (Accepted/In press) In : Seminars in Perinatology.

Research output: Contribution to journalArticle

Postpartum Hemorrhage
Hemorrhage
Tranexamic Acid
Blood Coagulation Factors
Maternal Mortality

Performance of Risk Assessment Models for Peripartum Thromboprophylaxis

Tran, J. P., Stribling, S. S., Ibezim, U. C., Omere, C., McEnery, K. A., Pacheco, L., Hankins, G., Saade, G. & Saad, A., Jan 1 2018, (Accepted/In press) In : Reproductive Sciences.

Research output: Contribution to journalArticle

Peripartum Period
Numbers Needed To Treat
Confidence Intervals
Pregnancy
Postpartum Period

Ventilator management in critical illness

Pacheco, L. & Saad, A., Jan 1 2018, Critical Care Obstetrics. wiley, p. 215-248 34 p.

Research output: Chapter in Book/Report/Conference proceedingChapter

Mechanical Ventilators
Critical Illness
Ventilation
Respiratory Insufficiency
Pressure
2017

Effect of Low-Dose Aspirin on the Time of Onset of Preeclampsia and Time of Delivery

Dixon, L. L., Marrs, C., Costantine, M., Pacheco, L., Saade, G. & Chiossi, G., Mar 27 2017, (Accepted/In press) In : American Journal of Perinatology.

Research output: Contribution to journalArticle

Pre-Eclampsia
Aspirin
Gestational Age
Multivariate Analysis
Randomized Controlled Trials
4 Citations (Scopus)

Extracorporeal membrane oxygenation (ECMO) during pregnancy and postpartum

Pacheco, L., Saade, G. & Hankins, G., Jan 1 2017, (Accepted/In press) In : Seminars in Perinatology.

Research output: Contribution to journalArticle

Extracorporeal Membrane Oxygenation
Postpartum Period
Pregnancy
Technology
1 Citation (Scopus)

Hemostatic Resuscitation in Peripartum Hysterectomy Pre- and Postmassive Transfusion Protocol Initiation

Dutta, E. H., Poole, A. T., Behnia, F., Dunn, H. E., Clark, S., Pacheco, L., Saade, G. & Hankins, G., Jan 12 2017, (Accepted/In press) In : American Journal of Perinatology.

Research output: Contribution to journalArticle

Peripartum Period
Hemostatics
Hysterectomy
Resuscitation
Erythrocytes

In reply

Pacheco, L., Hankins, G., Saad, A., Costantine, M., Chiossi, G. & Saade, G., Jan 1 2017, In : Obstetrics and Gynecology. 130, 6, p. 1386-1387 2 p.

Research output: Contribution to journalLetter

5 Citations (Scopus)

Maternal obesity is associated with chorioamnionitis and earlier indicated preterm delivery among expectantly managed women with preterm premature rupture of membranes

Hadley, E. E., Discacciati, A., Costantine, M., Munn, M., Pacheco, L., Saade, G. & Chiossi, G., Sep 22 2017, (Accepted/In press) In : Journal of Maternal-Fetal and Neonatal Medicine. p. 1-8 8 p.

Research output: Contribution to journalArticle

Chorioamnionitis
Obesity
Mothers
Labor Onset
Pregnancy

Stroke Volume Recruitability during the Third Trimester of Pregnancy

Herrera, S., Kuhlmann-Capek, M. J., Rogan, S. C., Saad, A., Saade, G., Hankins, G. & Pacheco, L., Dec 26 2017, (Accepted/In press) In : American Journal of Perinatology.

Research output: Contribution to journalArticle

Starlings
Third Pregnancy Trimester
Vascular Resistance
Stroke Volume
Pregnant Women
17 Citations (Scopus)

Tranexamic Acid for the Management of Obstetric Hemorrhage

Pacheco, L., Hankins, G., Saad, A., Costantine, M., Chiossi, G. & Saade, G., Sep 5 2017, (Accepted/In press) In : Obstetrics and Gynecology.

Research output: Contribution to journalArticle

Tranexamic Acid
Obstetrics
Hemorrhage
2016
21 Citations (Scopus)

An update on the use of massive transfusion protocols in obstetrics

Pacheco, L., Saade, G., Costantine, M., Clark, S. L. & Hankins, G., Mar 1 2016, In : American Journal of Obstetrics and Gynecology. 214, 3, p. 340-344 5 p.

Research output: Contribution to journalArticle

Resuscitation
Obstetrics
Hemostatics
Hemorrhage
Tranexamic Acid
11 Citations (Scopus)

Extracorporeal Membrane Oxygenation in Pregnant and Postpartum Women With H1N1-Related Acute Respiratory Distress Syndrome

Saad, A., Rahman, M., Maybauer, D. M., Fraser, J. F., Costantine, M., Pacheco, L. & Maybauer, M. O., Feb 1 2016, In : Obstetrics and Gynecology. 127, 2, p. 241-247 7 p.

Research output: Contribution to journalArticle

Extracorporeal Membrane Oxygenation
Adult Respiratory Distress Syndrome
Postpartum Period
Pregnant Women
Observational Studies
Neonatal Alloimmune Thrombocytopenia
6 Citations (Scopus)

Guillain-Barré Syndrome in Pregnancy

Pacheco, L., Saad, A., Hankins, G., Chiosi, G. & Saade, G., Nov 1 2016, In : Obstetrics and Gynecology. 128, 5, p. 1105-1110 6 p.

Research output: Contribution to journalReview article

Respiratory Insufficiency
Pregnancy
Plasmapheresis
Pressure Ulcer
Intravenous Immunoglobulins
9 Citations (Scopus)

Management of the Jehovah's witness in obstetrics and gynecology: A comprehensive medical, ethical, and legal approach

Zeybek, B., Childress, A. M., Kilic, G., Phelps, J., Pacheco, L., Carter, M. & Borahay, M. A., Aug 1 2016, In : Obstetrical and Gynecological Survey. 71, 8, p. 488-500 13 p.

Research output: Contribution to journalArticle

Jehovah's Witnesses
Gynecology
Obstetrics
Blood Transfusion
Oxygen

Obstetrical hemorrhage review

Dixon, C. L., Hankins, G., Saade, G. & Pacheco, L., Apr 1 2016, In : Current Women's Health Reviews. 12, 1, p. 14-19 6 p.

Research output: Contribution to journalReview article

Uterine Inertia
Placenta Accreta
Hemorrhage
Tranexamic Acid
Maternal Mortality
28 Citations (Scopus)

Proposed diagnostic criteria for the case definition of amniotic fluid embolism in research studies

Clark, S. L., Romero, R., Dildy, G. A., Callaghan, W. M., Smiley, R. M., Bracey, A. W., Hankins, G., D'Alton, M. E., Foley, M., Pacheco, L., Vadhera, R., Herlihy, J. P., Berkowitz, R. L. & Belfort, M. A., Oct 1 2016, In : American Journal of Obstetrics and Gynecology. 215, 4, p. 408-412 5 p.

Research output: Contribution to journalArticle

Amniotic Fluid Embolism
Research
Hope
Biomarkers
National Institute of Child Health and Human Development (U.S.)
2015
25 Citations (Scopus)

Amniotic fluid embolism: Diagnosis and management

Pacheco, L., Saade, G., Hankins, G. & Clark, S. L., Oct 27 2015, (Accepted/In press) In : American Journal of Obstetrics and Gynecology.

Research output: Contribution to journalArticle

Amniotic Fluid Embolism
Cardiopulmonary Resuscitation
Guidelines
Heart Arrest
Advanced Cardiac Life Support
6 Citations (Scopus)

Passive leg raising during pregnancy

Marques, N. R., Martinello, C., Kramer, G., Costantine, M., Vadhera, R., Saade, G., Hankins, G. & Pacheco, L., 2015, In : American Journal of Perinatology. 32, 4, p. 393-397 5 p.

Research output: Contribution to journalArticle

Leg
Cardiac Output
Pregnancy
Heart Rate
Arterial Pressure
2014
5 Citations (Scopus)

Acute myocardial infarction during pregnancy

Pacheco, L., Saade, G. & Hankins, G., 2014, In : Clinical Obstetrics and Gynecology. 57, 4, p. 835-843 9 p.

Research output: Contribution to journalArticle

Myocardial Infarction
Pregnancy
Fibrinolytic Agents
Maternal Mortality
Platelet Aggregation Inhibitors

Critical care obstetrics

Pacheco, L., 2014, In : Clinical Obstetrics and Gynecology. 57, 4, p. 790 1 p.

Research output: Contribution to journalArticle

Critical Care
Obstetrics
6 Citations (Scopus)

Customized versus population fetal growth norms and adverse outcomes associated with small for gestational age infants in a high-risk cohort

Moussa, H. N., Wu, Z. H., Han, Y., Pacheco, L., Blackwell, S. C., Sibai, B. M., Saade, G. & Costantine, M., Sep 28 2014, In : American Journal of Perinatology. 32, 7, p. 621-626 6 p.

Research output: Contribution to journalArticle

Small for Gestational Age Infant
Population Growth
Fetal Development
Gestational Age
Population
2 Citations (Scopus)

Familial hypertriglyceridemia in pregnancy

Hill, A. J., Pacheco, L., Saade, G. & Hankins, G., Apr 2014, In : International Journal of Gynecology and Obstetrics. 125, 1, p. 80-81 2 p.

Research output: Contribution to journalArticle

Hyperlipoproteinemia Type IV
Pregnancy Complications
Hypertriglyceridemia
Pancreatitis
Young Adult
24 Citations (Scopus)

High risk human papillomavirus at entry to prenatal care and risk of preeclampsia

McDonnold, M., Dunn, H., Hester, A., Pacheco, L., Hankins, G., Saade, G. & Costantine, M., Feb 2014, In : American Journal of Obstetrics and Gynecology. 210, 2

Research output: Contribution to journalArticle

Prenatal Care
Pre-Eclampsia
Papanicolaou Test
Blood Pressure
Vaccination
2 Citations (Scopus)

Management of ectopic parathyroid adenoma in pregnancy

Saad, A., Pacheco, L. & Costantine, M., 2014, In : Obstetrics and Gynecology. 124, 2 PART2, p. 478-480 3 p.

Research output: Contribution to journalArticle

Parathyroid Neoplasms
Hypercalcemia
Pregnancy
Adenoma
Primary Hyperparathyroidism
5 Citations (Scopus)

Mechanical ventilation during pregnancy: Sedation, analgesia, and paralysis

Pacheco, L., Saade, G. & Hankins, G., 2014, In : Clinical Obstetrics and Gynecology. 57, 4, p. 844-850 7 p.

Research output: Contribution to journalArticle

Neuromuscular Blocking Agents
Critical Care
Hypnotics and Sedatives
Artificial Respiration
Paralysis
1 Citation (Scopus)

Reconsidering the switch from low-molecular-weight heparin to unfractionated heparin during pregnancy

Pacheco, L., Saade, G., Costantine, M., Vadhera, R. & Hankins, G., 2014, In : American Journal of Perinatology. 31, 8, p. 655-658 4 p.

Research output: Contribution to journalArticle

Low Molecular Weight Heparin
Heparin
Pregnancy
Anesthesia
Spinal Epidural Hematoma
13 Citations (Scopus)

Severe sepsis during pregnancy

Pacheco, L., Saade, G. & Hankins, G., 2014, In : Clinical Obstetrics and Gynecology. 57, 4, p. 827-834 8 p.

Research output: Contribution to journalArticle

Resuscitation
Sepsis
Pregnancy
Fluid Therapy
Vasopressins
2013
1 Citation (Scopus)

Fetal assessment near the limits of viability

Hankins, G., Pacheco, L. & Soo-Tung Wen, T., Dec 2013, In : Seminars in Perinatology. 37, 6, p. 401-403 3 p.

Research output: Contribution to journalArticle

Gestational Age
Pregnancy Tests
Pregnancy
Fetal Development
Decision Making
64 Citations (Scopus)

Management of pulmonary arterial hypertension during pregnancy: A retrospective, multicenter experience

Duarte, A., Thomas, S., Safdar, Z., Torres, F., Pacheco, L., Feldman, J. & DeBoisblanc, B., May 2013, In : Chest. 143, 5, p. 1330-1336 7 p.

Research output: Contribution to journalArticle

Pulmonary Hypertension
Pregnancy
Maternal Mortality
Parturition
Postpartum Period
14 Citations (Scopus)

Physiologic Changes During Pregnancy

Pacheco, L., Costantine, M. & Hankins, G., 2013, Clinical Pharmacology During Pregnancy. Elsevier Inc., p. 5-16 12 p.

Research output: Chapter in Book/Report/Conference proceedingChapter

Pregnancy
75 Citations (Scopus)

Putting the "m" back in maternal-fetal medicine

D'Alton, M. E., Bonanno, C. A., Berkowitz, R. L., Brown, H. L., Copel, J. A., Cunningham, F. G., Garite, T. J., Gilstrap, L. C., Grobman, W. A., Hankins, G., Hauth, J. C., Iriye, B. K., Macones, G. A., Martin, J. N., Martin, S. R., Menard, M. K., O'Keefe, D. F., Pacheco, L., Riley, L. E., Saade, G. & 1 others, Spong, C. Y., Jun 2013, In : American Journal of Obstetrics and Gynecology. 208, 6, p. 442-448 7 p.

Research output: Contribution to journalArticle

Mothers
Medicine
Maternal Mortality
Morbidity
Maternal Death
21 Citations (Scopus)

The role of massive transfusion protocols in obstetrics

Pacheco, L., Saade, G., Costantine, M., Clark, S. L. & Hankins, G., 2013, In : American Journal of Perinatology. 30, 1, p. 1-4 4 p.

Research output: Contribution to journalArticle

Resuscitation
Obstetrics
Hemostatics
Hemorrhage
Maternal Mortality

Cardiovascular disease in pregnancy

Hill, A. J. & Pacheco, L., Nov 2012, In : NeoReviews. 13, 11

Research output: Contribution to journalArticle

Peripartum Period
Cardiovascular Diseases
Cardiomyopathies
Pregnancy
Heart Diseases
43 Citations (Scopus)

Maternal mortality, near misses, and severe morbidity: Lowering rates through designated levels of maternity care

Hankins, G., Clark, S. L., Pacheco, L., O'Keeffe, D., D'Alton, M. & Saade, G., Oct 2012, In : Obstetrics and Gynecology. 120, 4, p. 929-934 6 p.

Research output: Contribution to journalArticle

Maternal Mortality
Mothers
Morbidity
Perinatal Care
Neonatology
2011
16 Citations (Scopus)

Controversies in the Management of Placenta Accreta

Pacheco, L. & Gei, A. F., Jun 2011, In : Obstetrics and Gynecology Clinics of North America. 38, 2, p. 313-322 10 p.

Research output: Contribution to journalArticle

Placenta Accreta
Peripartum Period
Interventional Radiology
Placentation
Hemodilution
45 Citations (Scopus)

Cutting-edge advances in the medical management of obstetrical hemorrhage

Pacheco, L., Saade, G., Gei, A. F. & Hankins, G., Dec 2011, In : American Journal of Obstetrics and Gynecology. 205, 6, p. 526-532 7 p.

Research output: Contribution to journalArticle

Interventional Radiology
Factor VIIa
Hemodilution
Hemorrhagic Shock
Hemostatics
27 Citations (Scopus)

Does information available at delivery improve the accuracy of predicting vaginal birth after cesarean? validation of the published models in an independent patient cohort

Costantine, M., Fox, K. A., Pacheco, L., Mateus, J., Hankins, G., Grobman, W. A. & Saade, G., 2011, In : American Journal of Perinatology. 28, 4, p. 293-298 6 p.

Research output: Contribution to journalArticle

Vaginal Birth after Cesarean
Trial of Labor
ROC Curve
Pregnant Women
Cohort Studies
56 Citations (Scopus)

Fetal and neonatal alloimmune thrombocytopenia: A management algorithm based on risk stratification

Pacheco, L., Berkowitz, R. L., Moise, K. J., Bussel, J. B., McFarland, J. G. & Saade, G., Nov 2011, In : Obstetrics and Gynecology. 118, 5, p. 1157-1163 7 p.

Research output: Contribution to journalArticle

Neonatal Alloimmune Thrombocytopenia
Fetal Blood
Fetus
Intracranial Hemorrhages
Intravenous Immunoglobulins
5 Citations (Scopus)

Operative Vaginal Deliveries: Practical Aspects

Gei, A. F. & Pacheco, L., Jun 2011, In : Obstetrics and Gynecology Clinics of North America. 38, 2, p. 323-349 27 p.

Research output: Contribution to journalArticle

Obstetrics
Art
Vacuum
Gynecology
Surgical Instruments