Perioperative medicine & outcomes
Elective peri‐operative management of adults taking glucagon‐like peptide‐1 receptor agonists, glucose‐dependent insulinotropic peptide agonists and sodium‐glucose cotransporter‐2 inhibitors: a multidisciplinary consensus statement: A consensus statement from the Association of Anaesthetists, Association of British Clinical Diabetologists, British Obesity and Metabolic Surgery Society, Centre for Perioperative Care, Joint British Diabetes Societies for Inpatient Care, Royal College of Anaesthetists, Society for Obesity and Bariatric Anaesthesia and UK Clinical Pharmacy Association
Methodological detailsdirected literature review, three-round modified Delphi process, Panel of surgeons, anaesthetists, physicians, pharmacists and people with lived experience
- Directed literature review
- Three-round modified Delphi process
- Panel of surgeons, anaesthetists, physicians, pharmacists and people with lived experience
Recommendations
As issued by the authors
GLP-1 and dual GIP receptor agonists: continue before surgery
GLP-1 and dual GIP receptor agonists: full risk assessment and stratification
GLP-1 and dual GIP receptor agonists: peri-operative techniques that may mitigate pulmonary aspiration risk before, during and after sedation or GA
SGLT-2 inhibitors: omit the day before and the day of a procedure
All patients: discuss risks and mitigation strategies with shared decision-making
Original publication
Elective peri‐operative management of adults taking glucagon‐like peptide‐1 receptor agonists, glucose‐dependent insulinotropic peptide agonists and sodium‐glucose cotransporter‐2 inhibitors: a multidisciplinary consensus statement: A consensus statement from the Association of Anaesthetists, Association of British Clinical Diabetologists, British Obesity and Metabolic Surgery Society, Centre for Perioperative Care, Joint British Diabetes Societies for Inpatient Care, Royal College of Anaesthetists, Society for Obesity and Bariatric Anaesthesia and UK Clinical Pharmacy Association. Anaesthesia. Published 9 January 2025. doi:10.
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