Faculty
Dr. Jean-Charles Preiser, MD, PhD
Department of Intensive Care, Erasme University Hospital
Brussels, BE
Contributions
9Nutritional Care for Patients with COVID-19 Requiring Intensive Care
Recommendations for the management of nutrition of COVID-19 patients provide guidelines for nutrition risk screening, requirements, timing, route and mode of feeding, monitoring, equipment and workforce requirements.The worldwide pandemic of COVID-19 continues to impact all aspects of intensive care
Vitamin D in Critical Illness – Fifty Shades of VIOLET
Did the VITDALIZE study and the VIOLET study manage to answer some of the questions regarding vitamin D deficiency and its impact on critically ill patients? Experts compare the findings and present an overview.IntroductionVitamin D deficiency is very common in the ICU (usually >60%) because many
New Trends in ICU Nutrition
The new trends in nutrition management included in the last guidelines are discussed, in particular the route and the dose of calories and proteins recommended.During the last decade, numerous paradigms and dogmas based on observational cohort studies were challenged by the publication of large mult
Dysglycaemia in the critically ill
As has been pointed out, the benefits of tight glycaemic control in the ICU have by no means been clearly established or accepted. In 2010 a meta-analysis of seven prospective randomised studies concluded that intensive insulin therapy in mixed ICU patients was not supported by evidence.19 Today we
Zoom On: Jean-Charles Preiser, Erasme University Hospital, Brussels
Prof. Jean-Charles Preiser is an intensivist at Erasme University Hospital in Brussels, Belgium and Professor of physiopathology in the School of Dietetics, HELB, Brussels.We asked Prof. Preiser our 7 questions:1. What are your key areas of interest and research?I am especially interested in the met
Water Administration in the ICU
The management of fluids in critically ill patients is a continuing challenge. Although the infusion of generous amounts of intravenous fluids is usually required during the early stage of resuscitation, fluid restriction is often desirable after the initial phase and stabilisation. Indeed several g
Indirect Calorimetry: Research Tool or Essential Equipment?
Indirect calorimetry is usually presented as essential equipment to optimise nutrition. However, numerous flaws limit its use, and currently available devices are not sufficiently accurate for clinical use.Why Use an Indirect Calorimeter in the ICU? The magnitude of the caloric debt (the difference
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 surgery, glycaemia above 180 mg/dl, implying poo
The Future of Glucose Control in the ICU
Continuous glucose monitoring systems and therapeutic algorithms adapted to the actual insulin sensitivity are needed to prevent hypoglycaemia, hyperglycaemia and high glucose variability, all associated with poor outcome in intensive care unit (ICU) patients. IntroductionA decade after the publi
