Perioperative Glucagon-Like Peptide-1 Receptor Agonists (GLP-1RA) and Gastric Point Of Care Ultrasound (POCUS)

Dec 6, 2024POCUS journal

Use of Glucagon-Like Peptide-1 Drugs Around Surgery and Bedside Ultrasound of the Stomach

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Abstract

Gastric point of care ultrasound (POCUS) facilitated safer anesthetic plans in three patients undergoing surgery.

  • GLP-1 receptor agonists may delay gastric emptying, raising concerns for aspiration risks during surgery.
  • Current guidelines to pause these medications before surgery are based on consensus rather than solid evidence.
  • Gastric POCUS can assess the nature and volume of gastric contents in patients taking GLP-1 RA.
  • Anesthetic management decisions were influenced by the findings from gastric POCUS, tailored to patient needs and urgency of procedures.
  • The use of gastric POCUS is recommended for objective assessment of gastric contents in this patient population.

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