• Jean-Charles Preiser

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    Email —  ******@***erasme.ulb.ac.be
    Department of Intensive Care, Erasme University Hospital —  Brussels, Belgium

Featured in HealthManagement.org

  • Nutritional Care for Patients with COVID-19 Requiring Intensive Care

    • 23/11/2021

    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 unit (ICU) management, including nutritional care (Minnelli et al. 2020). Nutritional guidelines...

  • Vitamin D in Critical Illness – Fifty Shades of VIOLET

    • 14/09/2020

    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. Introduction Vitamin D deficiency is very common in the ICU (usually >60%) because many critically ill patients were already chronically ill before their acute illness....

  • New Trends in ICU Nutrition

    • 26/09/2019

    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 multicentre prospective randomised controlled trials (RCT). Actually, until recently, the guidelines...

  • Dysglycaemia in the critically ill

    • 16/03/2018

    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 understand that hyperglycaemia, hypoglycaemia, and high glycaemic variability are all...

  • How Should We Control Blood Glucose in 2011?

    • 15/08/2013

    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 poor glucose control, was consistently and independently associated with an increased rate of postoperative...

  • Indirect Calorimetry: Research Tool or Essential Equipment?

    • 18/09/2013

    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 between energy expenditure (EE) and the caloric intake) has been strongly associated...

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    Zoom On: Jean-Charles Preiser, Erasme University Hospital, Brussels

    • ICU
    • 23/06/2015

    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...

  • The Future of Glucose Control in the ICU

    • 14/03/2013

    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. Introduction A decade after the publication...

  • Water Administration in the ICU

    • 13/03/2015

    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 groups reported a poorer outcome when intravenous fluids were administered following a liberal policy, as...

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