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Iranian Society of Cardiac Surgeons COVID-19 task force version II, restarting elective surgeries.

ABSTRACT: Given the nature of heart disease and the importance of continuing heart surgery during the pandemic and its aftermath and in order to provide adequate safety for the surgical team and achieve the desired result for patients, as well as the optimal use of ICU beds, the medical team, blood, blood products, and personal protective equipment, it is essential to change the usual approach during the pandemic. There are still a lot of evidences and experiences needed to produce the perfect protocol. Some centers may have a special program for their centers during this period of epidemics that can be respected and performed. Generally, in pandemic conditions, the use of non-surgical approaches is preferred if similar outcomes can be obtained.

SUBMITTER: Alizadeh Ghavidel A

PROVIDER: S-EPMC7581843 | biostudies-literature | 2020

REPOSITORIES: biostudies-literature

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Iranian Society of Cardiac Surgeons COVID-19 task force version II, restarting elective surgeries.

Alizadeh Ghavidel Alireza A Mirzaaghayan Mohammadreza M Yousefnia Mohammad Ali MA Asdaghpour Esmaeil E Baghaei Tehrani Ramin R Jalilifar Naser N Radmehr Hasan H Shirzad Mahmoud M Austine Nicholas N Ahmadi Hosein H Ahmadi Zargham Hossein ZH Afrasiabi Rad Abbas A Amirghofran Ahmadali A Amin Ahmad A Ansari Aval Zahra Z Babazadeh Kamran K Bakhshandeh Alireza A Baharestani Bahador B Parvizi Rezayat R Jadbabaei Amirnaser A Jahangirifard Alireza A Hoseini Saeed S Hekmat Manouchehr M Heidari Amanollah A Shabani Minoosh M Sadeghipour Parham P Salehi Mehrdad M Ziabakhsh Tabari Shervin S Abbasi Mohammad M Gholampour Dahaki Maziar M Firouzi Ata A Laali Mojgan M Mandegar Mohammad Hosein MH Mirmohammadsadeghi Mohsen M Navvabi Shirazi Mohammadali M Nikpajooh Akbar A

Journal of cardiovascular and thoracic research 20200722 3

Given the nature of heart disease and the importance of continuing heart surgery during the pandemic and its aftermath and in order to provide adequate safety for the surgical team and achieve the desired result for patients, as well as the optimal use of ICU beds, the medical team, blood, blood products, and personal protective equipment, it is essential to change the usual approach during the pandemic. There are still a lot of evidences and experiences needed to produce the perfect protocol. S ...[more]

PMID: 33123320

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Project description:ObjectiveThe risk-benefit profile of antidepressant medications in bipolar disorder is controversial. When conclusive evidence is lacking, expert consensus can guide treatment decisions. The International Society for Bipolar Disorders (ISBD) convened a task force to seek consensus recommendations on the use of antidepressants in bipolar disorders.MethodAn expert task force iteratively developed consensus through serial consensus-based revisions using the Delphi method. Initial survey items were based on systematic review of the literature. Subsequent surveys included new or reworded items and items that needed to be rerated. This process resulted in the final ISBD Task Force clinical recommendations on antidepressant use in bipolar disorder.ResultsThere is striking incongruity between the wide use of and the weak evidence base for the efficacy and safety of antidepressant drugs in bipolar disorder. Few well-designed, long-term trials of prophylactic benefits have been conducted, and there is insufficient evidence for treatment benefits with antidepressants combined with mood stabilizers. A major concern is the risk for mood switch to hypomania, mania, and mixed states. Integrating the evidence and the experience of the task force members, a consensus was reached on 12 statements on the use of antidepressants in bipolar disorder.ConclusionsBecause of limited data, the task force could not make broad statements endorsing antidepressant use but acknowledged that individual bipolar patients may benefit from antidepressants. Regarding safety, serotonin reuptake inhibitors and bupropion may have lower rates of manic switch than tricyclic and tetracyclic antidepressants and norepinephrine-serotonin reuptake inhibitors. The frequency and severity of antidepressant-associated mood elevations appear to be greater in bipolar I than bipolar II disorder. Hence, in bipolar I patients antidepressants should be prescribed only as an adjunct to mood-stabilizing medications.

Dataset Information

Iranian Society of Cardiac Surgeons COVID-19 task force version II, restarting elective surgeries.

Publications

Iranian Society of Cardiac Surgeons COVID-19 task force version II, restarting elective surgeries.

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