Watch for retained gastric contents with periprocedural GLP-1 RA use: new guidance

It follows recent reports of pulmonary aspiration and retained gastric contents in periprocedural patients.
Rachel Fieldhouse

Patients taking GLP-1 receptor agonists within four weeks of anaesthesia for non-endoscopic procedures should be considered non-fasted, according to new guidance.

Doctors are also advised to consider using IV erythromycin, in the absence of contraindications, at least one hour prior to emergency or urgent endoscopic procedures to accelerate gastric emptying in GLP-1 receptor agonist (RA) users.