Prof. Jean-Louis Vincent, MD, PhD
Editor-in-Chief, ICU Management & Practice
belgium | ICU / Critical Care & Emergency Medicine
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Positions
Professor Department of Intensive Care Erasme Hospital Université libre de Bruxelles
Brussels, Belgium
Key areas of interest and research
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Featured in HealthManagement.org
20 Lessons from 2020
The COVID-19 pandemic has had a significant impact on ICUs and critical care healthcare providers all across the globe. As of this week, 110 million people have been infected with the virus worldwide, and 2.4 million have died. Many of the infected...
The Post-ICU Patient
N umerous patients are admitted to the Intensive Care Unit (ICU) every year. Many of these critically ill patients receive multiple interventions to treat and manage acute conditions and prevent further deterioration. However, these treatments can...
Zoom On: Jean-Louis Vincent
Jean-Louis Vincent is a Consultant in the Department of Intensive Care at Erasme University Hospital in Brussels and a Professor of Intensive Care at the Université libre de Bruxelles.He is the editor-in-chief of ICU Management & Practice, Critical Care,...
Ageing Population
T he process of ageing cannot be defined by a number. The World Health Organization classifies anyone over the age of 65 as elderly. However, it is important to understand that ageing is a complex process, and we must consider physiological and cognitive...
Is the Severe COVID-19 Over in Europe?
Is the worst over? Have patients most at risk already been affected and died? Or has the SAR-CoV-2 virus mutated to a less severe form? Where exactly do we stand with COVID-19? U ndoubtedly, the COVID-19 pandemic has been a terrible experience...
From Hydroxychloroquine and Remdesivir to Plasma Administration
Clinicians are faced with a serious disease with no effective therapy. Several options are being considered to treat COVID-19, but how promising are these drugs? A number of colleagues and friends from outside the hospital have asked...
COVID-19: From Hydroxychloroquine to Plasma Administration
A number of colleagues and friends from outside the hospital have asked me whether they should take hydroxychloroquine for their COVID-19. A friend asked me whether he should take lopinavir-ritonavir even though he is not HIV-positive. A hospitalised...
The Future ICU
Critical Care Medicine has existed for many years, but was only recognised as a specialty in the last 40 years or so. However, during this time, there has been a tremendous amount of change. Over the years, our understanding of different critical illnesses...
Nutrition
The critically ill patient is often unable to feed by mouth. This condition, in some patients, can range from days to months. It is imperative that these patients receive macronutrients either through enteral or parenteral nutrition. If they don't, there...
Paediatrics
It is never easy when children are in the hospital. And it is even more stressful when they're in the Paediatric Intensive Care Unit (PICU). When a child is admitted to the PICU, it means that they require the highest level of medical care. Children...
Concluding remarks
Reducing sedation and managing and treating pain are important objectives for clinicians. The primary goal should always be to promote the comfort of the patient and to minimise pain through the proper use of multimodal analgesia. The use of opioid drugs...
Imaging
Our cover story this issue is Imaging. The radiology armamentarium is vast, with many imaging modalities available to aid diagnosis and monitoring of therapy in critically ill patients—both at the bedside (x-ray, ultrasound) and in the radiology...
Shock
Shock is an emergency, and if it is not treated, it will mostly be fatal. Early intervention and admission to the ICU is essential. Our cover story considers several aspects of shock, including pathophysiology and multi-organ dysfunction syndrome,...
Pre-ICU
What happens before patients arrive in the ICU? We know that status pre-ICU is associated with outcomes after patients leave the ICU. We also know that we want patients to come to the ICU only if it is needed. This ties in to having an adequate emergency...
Multiple organ support
Interventions intended to support one organ can have unexpected implications on the patient, presenting physicians with critical decisions. These can be aided with innovative technologies and new techniques, but only if well understood. We often come...
Education
“The function of education is to teach one to think intensively and to think critically” Martin Luther King Worldwide there is still much variation in type and duration of intensive care medicine training programmes (Amin et al. 2016). What is...
Recovery
Recovery after critical illness has received increasing attention in recent years, and rightly so. We highlighted neglect of recovery as one of the ten big mistakes in intensive care medicine (Vincent et al. 2014). While survival has improved tremendously,...
Cardiac Arrest
The “chain of survival” metaphor for improving outcomes from sudden cardiac arrest (CA) was first coined in the 1980s. Since adopted by the American Heart Association and the International Liaison Committee on Resuscitation amongst others, it is a useful...
Personalised Medicine in Intensive Care
The specialty of intensive care medicine grew out of the realisation that critically ill patients needed more attention and specialised treatment than could be provided on a general ward, and that many of these patients had similar clinical problems...
Jean-Louis Vincent
Editor-in-Chief, ICU Management & Practice Professor of Intensive Care Medicine, University of Brussels Our health is our most precious good and helping people whose health is damaged or at stake is the highest privilege on earth...
Quality
An emphasis on quality of care has always underpinned healthcare, but in recent years quality measurement has come to the fore, as countries around the world seek to provide the best outcomes for patients while facing ever-increasing healthcare costs....
The Abdomen
Managing the abdomen and its complications in the intensive care unit is the subject of our Cover Story. First, Jan de Waele considers the data on new antibiotics for complicated intra-abdominal infections. While these, singly and in combination, show...
Editorial: Safety
The publication of the landmark Institute of Medicine report To Err is Human shocked with its estimate that as many as 98,000 people die in U.S hospitals each year due to medical errors (Kohn et al. 2000). Has patient safety improved since the report’s...
Editorial: Extracorporeal Membrane Oxygenation
The use of extracorporeal membrane oxygenation (ECMO) in critical care is growing. From its initial use back in the 1950s in cardiac surgery, it is now an important tool for life-saving organ support, with clear indications for use in neonates and growing...
Emergency Medicine & Trauma
Providing seamless emergency care is the ideal for those of us who work in emergency medicine and intensive care. In the past, intensive care units were a closed part of the hospital, and admission was strictly controlled. This idea is obsolete now. It...
Book Review: The Organization of Critical Care
There are not many good books on this topic, and the present one includes contributions from North American and Australian experts in the field. The book has three main sections: organisation, improvement and integration, and a shorter fourth section...
The Brain
Treatment of neurological illnesses and complications in the intensive care unit remains a challenge. And as intensivists we are aware of the risks of cognitive impairment for many ICU patients. For our cover story this issue we address practical brain...
Cost-Effectiveness
In medicine the benefits of treatment are always weighed against possible harms. In these times of budgetary constraints financial considerations also come even more into focus. Costeffectiveness in medicine works at many levels. In clinical trials the...
Editorial
A warm welcome to Brussels for the 35th International Symposium on Intensive Care and Emergency Medicine. In 1980 we welcomed just a few hundred delegates to Brussels - pre-mobile phones and pre-Internet! While networking has become even easier with...
ICU Management Welcomes New Editorial Board Members
Editor-in-Chief, Professor Jean-Louis Vincent, has welcomed three distinguished intensivists to the ICU Management Editorial Board. Prof. Jan de Waele, MD, Phd (Belgium) Prof. De Waele is an intensivist at the Surgical ICU of the Ghent University...
Goal-Directed Therapy
Goal-directed therapy (GDT) continues to be a subject of controversy in intensive care medicine, especially after the results of recent trials exploring its effectiveness. Our cover story this issue looks at two aspects of GDT. Azriel Perel addresses some...
Communication
Communication skills are perhaps even more important in intensive care medicine than in other specialties. Critical illness can be frightening for both patients and families, and it is a given that errors in communication can impede care and even harm...
Early Recognition of Sepsis
Early Recognition of Sepsis Patients with sepsis, now defined as a severe infection with some degree of associated organ dysfunction, make up a large proportion of the critically ill population and, although outcomes have improved over the last decade,...
Zoom On: Professor Jean-Louis Vincent, Editor-in-Chief, ICU Management
We are delighted to feature ICU Management's Editor-in-Chief, Professor Jean-Louis Vincent, in Zoom On. Dr. Vincent is Professor of Intensive Care at the University of Brussels, and intensive care physician in the Department of Intensive Care at the...
Organisation & Design
Is there such a thing as a perfect ICU? Organisation and design of the ICU has evolved exponentially since the first units delivering intensive care were set up in the 1950s. Organisation and design of the perfect ICU involves many factors – architecture,...
How Should We Control Blood Glucose in 2011?
Many studies, some already published a long time ago, have reported that hyperglycaemia (Dungan et al. 2009), or “dysglycaemia” (Smith et al. 2010) as some prefer, is an independent prognostic marker in acutely ill patients. For example, after cardiac...
The Paediatric Patient
Within any given hospital, the critically ill are among those patients requiring the highest level of specialised care and resources; but as it is increasingly noted, there are growing sub-populations of patients who require even more specialised care,...
Zoom On: Professor Jean-Louis Vincent, Editor-in-Chief, ICU Management
We are delighted to feature ICU Management's Editor-in-Chief, Professor Jean-Louis Vincent, in Zoom On. Dr. Vincent is Professor of Intensive Care at the University of Brussels, and intensive care physician in the Department of Intensive Care at the...
Videos
I-I-I with Prof. Jean-Louis Vincent - What does 35 years of ISICEM mean to you? from HealthManagement.org on Vimeo.