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  1. Article

    Open Access

    Intermittent intravenous paracetamol versus continuous morphine in infants undergoing cardiothoracic surgery: a multi-center randomized controlled trial

    To determine whether intermittent intravenous (IV) paracetamol as primary analgesic would significantly reduce morphine consumption in children aged 0–3 years after cardiac surgery with cardiopulmonary bypass.

    Gerdien Zeilmaker-Roest, Christine de Vries-Rink, Joost van Rosmalen in Critical Care (2024)

  2. Article

    Open Access

    Development and validation of the creatinine clearance predictor machine learning models in critically ill adults

    In critically ill patients, measured creatinine clearance (CrCl) is the most reliable method to evaluate glomerular filtration rate in routine clinical practice and may vary subsequently on a day-to-day basis....

    Chao-Yuan Huang, Fabian Güiza, Pieter Wouters, Liese Mebis, Giorgia Carra in Critical Care (2023)

  3. Article

    Open Access

    Personalized nutrition therapy in critical care: 10 expert recommendations

    Personalization of ICU nutrition is essential to future of critical care. Recommendations from American/European guidelines and practice suggestions incorporating recent literature are presented. Low-dose ente...

    Paul E. Wischmeyer, Danielle E. Bear, Mette M. Berger, Elisabeth De Waele in Critical Care (2023)

  4. Article

    Open Access

    The association of hypoglycemia with outcome of critically ill children in relation to nutritional and blood glucose control strategies

    Withholding parenteral nutrition (PN) until one week after PICU admission facilitated recovery from critical illness and protected against emotional and behavioral problems 4 years later. However, the interven...

    Jan Gunst, Astrid De Bruyn, An Jacobs, Lies Langouche, Inge Derese in Critical Care (2023)

  5. Article

    Open Access

    Toward nutrition improving outcome of critically ill patients: How to interpret recent feeding RCTs?

    Although numerous observational studies associated underfeeding with poor outcome, recent randomized controlled trials (RCTs) have shown that early full nutritional support does not benefit critically ill pati...

    Jan Gunst, Michael P. Casaer, Jean-Charles Preiser, Jean Reignier in Critical Care (2023)

  6. Article

    Open Access

    Impact of critical illness and withholding of early parenteral nutrition in the pediatric intensive care unit on long-term physical performance of children: a 4-year follow-up of the PEPaNIC randomized controlled trial

    Many critically ill children face long-term developmental impairments. The PEPaNIC trial attributed part of the problems at the level of neurocognitive and emotional/behavioral development to early use of pare...

    Ilse Vanhorebeek, An Jacobs, Liese Mebis, Karolijn Dulfer, Renate Eveleens in Critical Care (2022)

  7. No Access

    Article

    C-reactive protein rise in response to macronutrient deficit early in critical illness: sign of inflammation or mediator of infection prevention and recovery

    Withholding parenteral nutrition (PN) early in critical illness, late-PN, has shown to prevent infections despite a higher peak C-reactive protein (CRP). We investigated whether the accentuated CRP rise was ca...

    Catherine Ingels, Lies Langouche, Jasperina Dubois, Inge Derese in Intensive Care Medicine (2022)

  8. Article

    Open Access

    Hyperglycemia and insulin resistance in COVID-19 versus non-COVID critical illness: Are they really different?

    Lies Langouche, Greet Van den Berghe, Jan Gunst in Critical Care (2021)

  9. Article

    Open Access

    Persisting neuroendocrine abnormalities and their association with physical impairment 5 years after critical illness

    Critical illness is hallmarked by neuroendocrine alterations throughout ICU stay. We investigated whether the neuroendocrine axes recover after ICU discharge and whether any residual abnormalities associate wi...

    Ilse Vanhorebeek, Inge Derese, Jan Gunst, Pieter J. Wouters, Greet Hermans in Critical Care (2021)

  10. Article

    Open Access

    A guide to enteral nutrition in intensive care units: 10 expert tips for the daily practice

    The preferential use of the oral/enteral route in critically ill patients over gut rest is uniformly recommended and applied. This article provides practical guidance on enteral nutrition in compliance with re...

    Jean-Charles Preiser, Yaseen M. Arabi, Mette M. Berger, Michael Casaer in Critical Care (2021)

  11. No Access

    Article

    Adrenal function/dysfunction in critically ill patients: a concise narrative review of recent novel insights

    The “fight or flight” response to critical illness relies on increased cortisol availability, traditionally attributed to several-fold-increased cortisol production via hypothalamus–pituitary–adrenal-axis acti...

    Greet Van den Berghe in Journal of Anesthesia (2021)

  12. Article

    Aerobic exercise capacity in long-term survivors of critical illness: secondary analysis of the post-EPaNIC follow-up study

    To evaluate aerobic exercise capacity in 5-year intensive care unit (ICU) survivors and to assess the association between severity of organ failure in ICU and exercise capacity up to 5-year follow-up.

    Nathalie Van Aerde, Philippe Meersseman, Yves Debaveye in Intensive Care Medicine (2021)

  13. Article

    Open Access

    Impact of tight glucose control on circulating 3-hydroxybutyrate in critically ill patients

    Recent evidence suggests a potentially protective effect of increasing ketone body availability via accepting low macronutrient intake early after onset of critical illness. The impact of blood glucose control...

    Jan Gunst, Astrid De Bruyn, Michael P. Casaer, Sarah Vander Perre in Critical Care (2021)

  14. Article

    Open Access

    Altered cholesterol homeostasis in critical illness-induced muscle weakness: effect of exogenous 3-hydroxybutyrate

    Muscle weakness is a complication of critical illness which hampers recovery. In critically ill mice, supplementation with the ketone body 3-hydroxybutyrate has been shown to improve muscle force and to normal...

    Chloë Goossens, Ruben Weckx, Sarah Derde, Sarah Vander Perre, Inge Derese in Critical Care (2021)

  15. Article

    Open Access

    Targeted treatment of iron deficiency in prolonged critical illness: an opportunity to improve survival or not?

    Jan Gunst, Greet Van den Berghe, Michael P. Casaer in Critical Care (2021)

  16. Article

    Open Access

    Impact of withholding early parenteral nutrition in adult critically ill patients on ketogenesis in relation to outcome

    Astrid De Bruyn, Lies Langouche, Sarah Vander Perre, Jan Gunst in Critical Care (2021)

  17. Article

    Open Access

    The role of pro-opiomelanocortin in the ACTH–cortisol dissociation of sepsis

    Sepsis is typically hallmarked by high plasma (free) cortisol and suppressed cortisol breakdown, while plasma adrenocorticotropic hormone (ACTH) is not increased, referred to as ‘ACTH–cortisol dissociation.’ W...

    Arno Téblick, Sarah Vander Perre, Lies Pauwels, Sarah Derde in Critical Care (2021)

  18. No Access

    Article

    Weakness in the ICU: the right weight on the right scale

    Nathalie Van Aerde, Greet Van den Berghe, Greet Hermans in Intensive Care Medicine (2021)

  19. Article

    Intensive care unit acquired muscle weakness in COVID-19 patients

    Nathalie Van Aerde, Greet Van den Berghe, Alexander Wilmer in Intensive Care Medicine (2020)

  20. Article

    Open Access

    The clinical potential of GDF15 as a “ready-to-feed indicator” for critically ill adults

    Circulating growth-differentiation factor-15 (GDF15), a cellular stress marker, abruptly increases during critical illness, but its later time course remains unclear. GDF15 physiologically controls oral intake...

    Lisa Van Dyck, Jan Gunst, Michaël P. Casaer, Bram Peeters, Inge Derese in Critical Care (2020)

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