Pulmonary & Critical Care Fellowship Program
MGH BIDMC Harvard Medical School

Elisabeth D. Riviello, MD, MPH


Elisabeth Riviello, MD, MPH

Assistant Professor of Medicine

Academic Interests

Dr. Riviello is passionate about improving critical care for patients in resource constrained settings. Her research is focused on ARDS, sepsis, and mortality prediction in low income countries. She has a particular interest in examining how context impacts critical care epidemiology, interventions and outcomes. Her medical education activities include critical care curriculum development for resource constrained settings as well as mentorship of US trainees interested in pursuing global health careers.

Awards and Recognition

Dr. Riviello is a member of the American Thoracic Society (ATS) International Health Committee. She recently received a Shore Award to continue her research on acute respiratory failure in low income countries.


A full list of Dr. Riviello’s published work can be found on her Harvard Catalyst Profile.

+Current Projects

  • Antimicrobial resistance among septic patients in a referral hospital in Rwanda
  • Use of high-flow versus low-flow oxygen in low income countries
  • Validation of the Kigali modification of the Berlin definition of ARDS
  • Epidemiology of critical illness in Rwanda
  • Critical care fellowship curriculum development for the University of Rwanda
  • Ultrasound findings in common respiratory illnesses in Rwanda

+Selected Publications

  • Riviello ED, Sterling TR, Shepherd B, Fantan T, Makhema J. HIV in the workplace in Botswana: incidence, prevalence, and disease severity. AIDS Res Hum Retroviruses. 2007 Dec; 23(12):1453-60. PMID: 18160001.
  • Poch E, Riviello ED, Christopher K. [Acute renal failure in the intensive care unit]. Med Clin (Barc). 2008 Feb 09; 130(4):141-8. PMID: 18279633.
  • Riviello ED. Internship in Africa: death and life. Ann Intern Med. 2008 Sep 02; 149(5):353-4. PMID: 18765706.
  • Riviello ED, Wang KC, Hochman ME, Sariban A, Da Rocha RC, Dogaru G, Christopher K. Vacuolization of tubules in gadolinium-associated acute renal failure. Rev Med Chir Soc Med Nat Iasi. 2009 Jan-Mar; 113(1):108-15. PMID: 21491811.
  • Riviello ED, Letchford S, Achieng L, Newton MW. Critical care in resource-poor settings: lessons learned and future directions. Crit Care Med. 2011 Apr; 39(4):860-7. PMID: 21297458.
  • Buregeya E, Fowler RA, Talmor DS, Twagirumugabe T, Kiviri W, Riviello ED. Acute respiratory distress syndrome in the global context. Glob Heart. 2014 Sep; 9(3):289-95. PMID: 25667180.
  • Vukoja M, Riviello E, Gavrilovic S, Adhikari NK, Kashyap R, Bhagwanjee S, Gajic O, Kilickaya O. A survey on critical care resources and practices in low- and middle-income countries. Glob Heart. 2014 Sep; 9(3):337-42.e1-5. PMID: 25667185.
  • Riviello ED. Improving outcomes for severe sepsis in Africa: one step closer. Crit Care Med. 2014 Nov; 42(11):2439-40. PMID: 25319904.
  • Riviello ED, Sugira V, Twagirumugabe T. Sepsis research and the poorest of the poor. Lancet Infect Dis. 2015 May; 15(5):501-3. PMID: 25932573.
  • Riviello ED, Letchford S, Cook EF, Waxman AB, Gaziano T. Improving decision making for massive transfusions in a resource poor setting: a preliminary study in Kenya. PLoS One. 2015; 10(5):e0127987. PMID: 26020935; PMCID: PMC4447346.
  • Riviello ED, Kiviri W, Twagirumugabe T, Mueller A, Banner-Goodspeed VM, Officer L, Novack V, Mutumwinka M, Talmor DS, Fowler RA. Hospital Incidence and Outcomes of the Acute Respiratory Distress Syndrome Using the Kigali Modification of the Berlin Definition. Am J Respir Crit Care Med. 2016 Jan 01; 193(1):52-9. PMID: 26352116.
  • Musabende M, Mukabatsinda C, Riviello ED, Ogbuagu O. Concurrent cryptococcal meningitis and disseminated tuberculosis occurring in an immunocompetent male. BMJ Case Rep. 2016 Feb 25; 2016. PMID: 26917794.
  • Riviello ED, Pisani L, Schultz MJ. What's new in ARDS: ARDS also exists in resource-constrained settings. Intensive Care Med. 2016 May; 42(5):794-796. PMID: 26984318; PMCID: PMC4828492.
  • Riviello ED, Kiviri W, Fowler RA, Mueller A, Novack V, Banner-Goodspeed VM, Weinkauf JL, Talmor DS, Twagirumugabe T. Predicting Mortality in Low-Income Country ICUs: The Rwanda Mortality Probability Model (R-MPM). PLoS One. 2016; 11(5):e0155858. PMID: 27196252; PMCID: PMC4873171.
  • Sutherland T, Musafiri S, Twagirumugabe T, Talmor D, Riviello ED. Oxygen as an Essential Medicine: Under- and Over-Treatment of Hypoxemia in Low- and High-Income Nations. Crit Care Med. 2016 Oct; 44(10):e1015-6. PMID: 27635514.
  • Riviello ED, Buregeya E, Twagirumugabe T. Diagnosing acute respiratory distress syndrome in resource limited settings: the Kigali modification of the Berlin definition. Curr Opin Crit Care. 2017 Feb; 23(1):18-23. PMID: 27875408.
  • Schultz MJ, Dunser MW, Dondorp AM, Adhikari NK, Iyer S, Kwizera A, Lubell Y, Papali A, Pisani L, Riviello BD (ED), Angus DC, Azevedo LC, Baker T, Diaz JV, Festic E, Haniffa R, Jawa R, Jacob ST, Kissoon N, Lodha R, Martin-Loeches I, Lundeg G, Misango D, Mer M, Mohanty S, Murthy S, Musa N, Nakibuuka J, Serpa Neto A, Nguyen Thi Hoang M, Nguyen Thien B, Pattnaik R, Phua J, Preller J, Povoa P, Ranjit S, Talmor D, Thevanayagam J, Thwaites CL. Current challenges in the management of sepsis in ICUs in resource-poor settings and suggestions for the future. Intensive Care Med. 2017 May; 43(5):612-624. PMID: 28349179.
  • Pisani L, Riviello ED, Schultz MJ. Lung ultrasound and neonatal ARDS: is Montreux closer to Berlin than to Kigali? Lancet Respir Med. 2017 Nov; 5(11):e31. PMID: 29115272.
  • Vercesi V, Pisani L, van Tongeren PSI, Lagrand WK, Leopold SJ, Huson MMA, Henwood PC, Walden A, Smit M, Riviello ED, Pelosi P, Dondorp AM, Schultz MJ. External confirmation and exploration of the Kigali modification for diagnosing moderate or severe ARDS. Intensive Care Med. 2018 Jan 24. PMID: 29368056.
  • Haniffa R, Beane A, Baker T, Riviello ED, Schell CO, Dondorp AM. Development and internal validation of the Simplified Mortality Score for the Intensive Care Unit (SMS-ICU). Acta Anaesthesiol Scand. 2018 Mar; 62(3):407-408. PMID: 29368381.
  • Leopold SJ, Ghose A, Plewes KA, Mazumder S, Pisani L, Kingston HWF, Paul S, Barua A, Sattar MA, Huson MAM, Walden AP, Henwood PC, Riviello ED, Schultz MJ, Day NPJ, Kumar Dutta A, White NJ, Dondorp AM. Point-of-care lung ultrasound for the detection of pulmonary manifestations of malaria and sepsis: An observational study. PLoS One. 2018; 13(12):e0204832.PMID: 30540757.
  • Rochwerg B, Granton D, Wang DX, Helviz Y, Einav S, Frat JP, Mekontso-Dessap A, Schreiber A, Azoulay E, Mercat A, Demoule A, Lemiale V, Pesenti A, Riviello ED, Mauri T, Mancebo J, Brochard L, Burns K. High flow nasal cannula compared with conventional oxygen therapy for acute hypoxemic respiratory failure: a systematic review and meta-analysis. Intensive care medicine 2019; 45: 563-572. doi: 10.1007/s00134-019-05590-5.