British journal of anaesthesia

Guidelines for Managing Patients on Glucagon-Like Peptide 1 Medicines During Surgery

Updated

Abstract

Recommendations for managing glucagon-like peptide 1 receptor agonists in perioperative settings vary significantly among multisociety statements.

  • A multidisciplinary consensus statement was developed to update guidelines for patients using glucagon-like peptide 1 receptor agonists during surgery.
  • The recommendations include guidance on medication management and preoperative fasting protocols for solids and liquids.
  • The consensus was informed by a systematic review of current literature and a modified Delphi process.
  • Variability in existing recommendations highlights the ongoing debate surrounding perioperative care for these patients.

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Full Text

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Funding

Competing interests

Declarations of interest GEU receives grant support from Novo Nordisk, Merck, Insulcloud, Dexcom, Abbott, AstraZeneca, and Bayer. BJS receives funding from UpToDate, IARS, and Medtronic, DLH receives funding from Pharmacosmos and UpToDate. HA receives research funding from Phenomix Sciences and the USA National Institute of Health (K12AR084222). She also participates in advisory boards for Novo Nordisk. All other authors declare that they have no conflicts of interest.
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