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Perioperative management of patients on GLP-1 receptor agonists: Risks, recommendations, and future directions—A narrative review
Managing surgery for patients using GLP-1 medicines: risks, advice, and future ideas
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Abstract
Patients on glucagon-like peptide-1 receptor agonists (GLP-1RAs) may have an increased risk of gastric content retention during surgery.
- GLP-1RAs are linked to delayed gastric emptying.
- There is a potential risk for pulmonary aspiration in patients using GLP-1RAs during anesthesia.
- Current evidence indicates that patients on GLP-1RAs may present with a full stomach when undergoing surgery.
- Recommendations for managing these patients include careful medication assessment and additional monitoring.
- Preventive measures such as pre-anesthesia gastric ultrasound and rapid sequence induction may be beneficial.
- Further research is necessary to develop comprehensive guidelines for the perioperative management of patients taking GLP-1RAs.
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