Cristobal Barrios

Assistant Clinical Professor of Surgery, Surgery
School of Medicine

Director, Critical Care Core Lecture Series
School of Medicine

B.S., University of Miami, Coral Gables, FL, 1988, Biochemistry/Chemistry


M.D., University of Miami School of Medicine, Miami, FL, 1992, Medical Doctor

Phone: (714) 456-5840
Email: cbarrios@uci.edu

University of California, Irvine
333 City Blvd. West
City Tower, Suite 705
Mail Code: 5375
Orange, CA 93868

picture of Cristobal  Barrios

Research
Interests
utility of thoracic CT imaging in trauma patients; anemia; traumatic brain injury; end of life issues; organ donation among minorities; geriatrics
   
Academic
Distinctions
LICENSURE:
California, June 2006

CERTIFICATIONS:
American Board of Surgery - Critical Care, September 2008
American Board of Surgery - General Surgery, Board eligible
DEA Certification
Advanced Trauma Life Support(ATLS)—Provider Certification
Advanced Trauma Life Support(ATLS)—Instructor Certification
UCI Medical Center Conscious Sedation Qualified
Lifewings, Inc. certified

FOREIGN LANGUAGES:
Spanish - Fluent speaking, reading, writing

HONORS AND AWARDS:
1984-88 Henry King Stanford Scholarship
1986 Elected Member of Alpha Epsilon Delta Pre-medical Honor Society
1989-90 Excellence in Teaching Committee of George Paff Award
1991-92 Excellence in Teaching Committee of George Paff Award
   
Publications Journal Articles

1) Hoyt DB, Kim HD, Barrios C. Acute care surgery: a new training and practice model in the United States. World J Surg. Aug 2008: 32(8): 1630-5. Review.

2) Barrios C, Tran T, Malinoski D, Lekawa M, Dolich M, Lush S, Hoyt D, Cinat ME. Successful management of occult pneumothorax without tube thoracostomy despite positive pressure ventilation. Am Surg. Oct 2008; 74(10): 958-61.

3) Malinoski DJ, Hadjizacharia P, Salim A, Kim H, Dolich MO, Cinat M, Barrios C, Lekawa ME, Hoyt DB. Elevated serum pancreatic enzyme levels after hemorrhagic shock predict organ failure and death. J Trauma, Sept. 2009; 67(3): 445-9.

4) Kaiser M, Ahearn P, Nguyen XM, Barleben A, Cinat M, Barrios C, Hoyt D, Malinoski D. Early predictors of the need for emergent surgery to control hemorrhage in hypotensive trauma patients. Am Surg. Oct 2009; 75(10):986-990.

5) Barrios C, Malinoski D, Dolich M, Lekawa M, Hoyt D, Cinat M. Utility of thoracic computed tomography after blunt trauma: when is chest radiograph enough? Am Surg. Oct. 2009; 75(10): 966-9.

6) Malinoski D, Jafari F, Ewing T, Ardary C, Conniff H, Baje M, Kong A., Lekawa ME, Dolich MO, Cinat ME, Barrios C, Hoyt DB. Standard prophylactic enoxaparin dosing leads to inadequate anti-Xa levels and increased deep venous thrombosis rates in critically ill trauma and surgical patients. J Trauma Apr 2010; 68(4): 874-80.

7) Kong AP, Barrios C, Salim A, Willis L, Cinat ME, Dolich MO, Lekawa ME, Malinoski DJ. A multidisciplinary organ donor council and performance improvement initiative can improve donation outcomes. Am Surg. Oct. 2010; 76(10): 1059-62.

8) Kaiser M, Whealon M, Barrios C, Dobson S, Malinoski D, Dolich M, Lekawa M, Hoyt D, Cinat M. The clinical significance of occult thoracic injury in blunt trauma patients. Am Surg. Oct. 2010; 76(10): 1063-6.

9) Barrios C, Pham J, Malinoski D, Dolich M, Lekawa M, Cinat M. Ability of a chest X-ray and an abdominal computed tomography scan to identify traumatic thoracic injury. Am J Surg, Dec 2010; 200(6):741-4; discussion 744.

10) Kaiser ML, Whealon MD, Barrios C, Dobson SC, Malinoski DJ, Dolich MO, Lekawa ME, Hoyt DB, Cinat ME. Risk factors for traumatic injury findings on thoracic computed tomography among patients with blunt trauma having a normal chest radiograph. Arch Surg. Apr 2011;146 (4): 459-63.

11) Malinoski DJ, Ewing T, Nguyen D, Le T, Cui E, Patel MS, Kong A, Dolich M, Barrios C, Cinat M, Lekawa M, Salim A. The natural history of upper extremity deep venous thrombosis in critically ill surgical and trauma patients: what is the role of anticoagulation? Journal of Trauma, 2011 August; 71(2):316-22.
Cristobal Barrios, Jr., MD

12) Malinoski DJ, Ewing T, Patel M, Jafari F, Sloan B, Nguyen B, Barrios C, Kong A, Cinat M, Dolich M, Lekawa M, Hoyt DB. Risk Factors for Venous Thromboembolism in Critically Ill Trauma Patients Who Cannot Receive Chemical Prophylaxis. Injury, Jan 2013; 44(1): 80-5. November 2011, Epub ahead of print.

13) Finigan R, Pham J, Mendoza R, Lekawa M, Dolich M, Kong A, Bernal N, Lush S, Barrios C. Risk for contrast-induced nephropathy in elderly trauma patients. Am Surg. 2012 Oct;78(10):1114-7. PMID: 23025953.

14) Kaiser ML, Whealon MD, Barrios C, Kong AP, Lekawa ME, Dolich MO. The current role of magnetic resonance imaging for diagnosing cervical spine injury in blunt trauma patients with negative computed tomography scan. Am Surg. 2012 Oct, 78(10):1156-60. PMID: 23025962.

15) Lotfipour S, Cisneros V, Chakravarthy B, Barrios C, Anderson C, Foz J, Roumani S, Hoonpongsimanont W, Vaca F. Assessment of readiness to change and relationship to AUDIT score in a trauma population utilizing computerized alcohol screening and brief intervention. Subst Abus, Dec 2012; 33(4): 378-86. (In Press, Journal of Substance Abuse, Sept 2012, Manuscript ID - WSUB-2011-1739).

16) Ewing T, Barrios C, Lau C, Patel MS, Cui E, Garcia SD, Kong A, Lotfipour S, Lekawa M, Malinoski D. Predictors of hazardous drinking behavior in 1,340 adult trauma patients: a computerized alcohol screening and intervention study. J. Am Coll Surg. 2012 Oct 2;215(4):489-95. PMID: 22683248.

17) Patel MS, Ewing T, Kong A, Nguyen D, Lau C, Barrios C, Cinat M, Dolich M, Lekawa ME, Malinoski DJ. Risk Factors for Venous Thromboembolism in Critically Ill Non-trauma Surgical Patients Who Cannot Receive Chemical Prophylaxis. Am J Surg, 2013 September;206(3): 300-306. Epub 2013 June 4. PMID: 23759695.

18) Malinoski D, Ewing T, Bhakta A, Schutz R, Imayanagita B, Casas T, Woo N, Margulies D, Barrios C, Lekawa M, Chung R, Bukur M, Kong A. Which Central Venous Catheters Have the Highest Rate of Catheter Associated Deep Venous Thrombosis: A Prospective Analysis of 2128 Catheter-Days in the Surgical Intensive Care Unit. Trauma, 2013 Feb;74(2):454-60; discussion 461-2.

19) Pinette A, Pham JK, Kong AP, Bernal NP, Dolich MO, Lekawa ME, Barrios C. A Comparison of Thoracic CT and Abdominal CT for the Identification of Thoracic Blunt Trauma. Am J Surg, December 2012; 204(6): 927-32.

20) Dhillon RS, Barrios C, Pham J, Bernal N, Kong A, Lekawa M, Dolich M. Seatbelt sign as an indication for four-vessel computed tomography angiogram of the neck to diagnose blunt carotid artery and other cervical vascular injuries. Am Surg, 2013 Oct;79(10): 1001-4.

21) Post R, Engel D, Pham J, Barrios C. Computed tomography blush and splenic injury: Does it always require angioembolization? Am Surg, 2013 Oct;79(10): 1089-92.
Cristobal Barrios, Jr., MD

22) Lotfipour S, Cisneros V, Ogbu V, McCoy C, Barrios C, Anderson C, Hoonpongsimanont W, Alix K, Chakravarthy B. A Retrospective Analysis of Ethnic and Gender Differences in Alcohol Consumption Among Emergency Department Patients: A Cross-Sectional Study. In Press BMC Emergency Medicine (50), September 2015.

23)Maximus S, Figueroa C, Pham J, Kuncir E, Barrios C. DUI Histories in Intoxicated Injured Bicyclists. In Press, J. Trauma, July 6, 2016. PMID 27389138.

24)Gahagan J, Hanna MH, Whealon MD, Maximus S, Phelan MJ, Lekawa ME, Barrios C, Bernal NP. Racial Disparities in Access and Outcomes of Cholecystectomy in the United States. Am Surg, October 2016.
   
  Other Scientific Publications

1) Malinoski DJ, Barrios C, Kim HD, Acosta JA, Schmid-Schönbein GW, Hugli TE, Coimbra R, Hoyt DB. Role of pancreatic enzymes in the development of multiple organ failure after shock. Journal of Organ Dysfunction. 2008; 4(3): 161-167.
   
  Submitted Manuscripts

1) Malinoski DJ, Hadjizacharia P, Salim A, Dolich M, Cinat M, Barrios C, Lekawa ME, Hoyt DB. Elevated serum pancreatic enzyme levels after hemorrhagic shock predict organ failure and death. The Journal of Trauma, 2009. (Published Sept 2009; 67(3): 445-9)

2) Barrios C, Malinoski D, Dolich M, Lekawa M, Hoyt D, Cinat M. Utility of Thoracic CT following Blunt Trauma: When is CXR Enough? The American Surgeon, 2009. (Published Oct 2009; 75(10):966-69)

3) Kaiser M, Ahearn P, Barleben A, Kim H, Dolich M, Cinat M, Barrios B, Lekawa M, Hoyt D, Malinoski D. Predictors of the Need for Emergent Surgery to Control Hemorrhage in Hypotensive Trauma Patients. The American Surgeon, 2009. (Published Oct 2009; 75(10): 986-90)

4) Malinoski D, Ewing T, Patel M, Jafari F, Sloan B, Nguyen B, Barrios C, Kong A, Cinat M, Dolich M, Lekawa M, Hoyt D. Risk Factors for Venous Thromboembolism in Critically Ill Trauma Patients Who Cannot Receive Prophylaxis: Who Should Gent an IVC Filter? The Journal of Trauma, 2010

5) Kaiser M, Cinat M, Whealon M, Dobson S, Barrios C, Kong A, Bernal N, Lekawa M, Dolich M. The clinical significance of pneumomediastinum in blunt trauma patients. The American Surgeon, 2010. (Published Oct. 2010; 76(10): 1063-6)

6) Kong AP, Barrios C, Salim A, Willis L, Cinat ME, Dolich MO, Lekawa ME, Malinoski DJ. A Multidisciplinary Organ Donor Council and Performance Improvement Initiative Can Help Save Lives. The American Surgeon 2010 October 2010; 76(10):1059-62.

7) Kaiser ML, Whealon MD, Barrios C, Dobson SC, Malinoski DJ, Dolich MO, Lekawa ME, Hoyt DB, Cinat ME. Risk factors for traumatic injury findings on thoracic computed tomography among patients with blunt trauma having a normal chest radiograph, Archives of Surgery, 2011, April; 146(4):459-63.

8) Malinoski DJ, Ewing T, Nguyen D, Le T, Cui E, Patel MS, Kong A, Dolich M, Barrios C, Cinat M, Lekawa M, Salim A. The natural history of upper extremity deep venous thrombosis in critically ill surgical and trauma patients: what is the role of anticoagulation? The Journal of Trauma, 2011 August; 71(2):316-22.

9) Malinoski DJ, Ewing T, Madhukar P, Jafari F, Sloan B, Nguyen B, Barrios C, Kong, AP, Cinat ME, Dolich MO, Lekawa ME, Hoyt DB. Risk Factors for Venous Thromboembolism in Critically Ill Trauma Patients Who Cannot Receive Chemical Prophylaxis. JINJ, October 2011.

10)Kaiser M, Whealon M, Barrios C, Kong A, Lekawa M, Tran M, Dolich M. Platelet Function Assay Elevation as a Risk Factor for Intracranial Hemorrhage and Mortality. Submitted to Trauma, September 2012.

11) Barrios C, Pham J, Kong AP, Dolich MO, Lekawa ME. Clinical Significance of Occult Pulmonary Contusions in the Evaluation of Blunt Trauma Patients. Submitted for publication in the Journal of Trauma, October 2012.

12)Kaiser M, Whealon M, Barrios C, Kong A, Lekawa M, Tran M, Dolich M. Platelet Function Assay as a Surrogate for Medication History in the Acute Trauma Setting. Submitted to Trauma, November 2013.
   
Grant 2006 – present Division of Trauma/Critical Care Surgery, UCI School of Medicine. Clinical research in trauma and critical care issues. Specific research interests include the utility of thoracic CT imaging in trauma patients; anemia; traumatic brain injury; end of life issues; organ donation among minorities, and geriatrics.
   
Professional
Society
Society of Critical Care Medicine
   
Other Experience General Surgery Residency
University of California, San Francisco, San Francisco, CA 2000—2002

General Surgery Residency
University of Arizona, Tucson, AZ 2002—2006

Surgical Critical Care Fellowship
University of California, Irvine, Orange, CA 2006—2007

Graduate Programs Surgical Critical Care (GS)

   
   
Link to this profile http://www.faculty.uci.edu/profile.cfm?faculty_id=5629
   
Last updated 11/02/2016