Airway management

Influence of semaglutide use on the presence of residual gastric solids on gastric ultrasound: a prospective observational study in volunteers without obesity recently started on semaglutide

Can J AnaesthPublished Prospective observational study

Main finding · Solids on gastric ultrasound, supine positionResult — go to the resultRelative risk 3.50 95% CI 1.26–9.65

Authors' conclusion

This study provides preliminary evidence that GLP-1RAs may affect gastric emptying and residual gastric contents following an overnight fast and two hours after clear liquids, which may have implications for aspiration risk during anesthetic care.

Study context

Population
Adult volunteers without obesity recently started on semaglutide, and controls
Participants
20 volunteers
Exposure
Semaglutide users vs controls
  • Semaglutiden = 10
  • Controln = 10reference
Outcome
Solid gastric contents on gastric ultrasound (supine and lateral positions)
Follow-up
After an eight-hour fast

Main finding

Solids on gastric ultrasound, supine position · after eight-hour fast

Relative risk

3.50

95% CI 1.26–9.65

P = 0.02

By group

Semaglutide vs Control
RR 3.50 (95% CI 1.26–9.65); P = 0.02

As reported in the abstract

Observational data: associations, not effects.

Further findings

OutcomeSemaglutideControlRR (95% CI)P value
Solids on gastric ultrasound, lateral position · after eight-hour fast90%20%7.36 (1.13–47.7)P = 0.005

Stomach rated empty, supine position · 2 h after drinking 12 fluid ounces of water

P = 0.02

Gastric contents, lateral position · 2 h after clear liquids

The two groups did not differ

Original publication

Influence of semaglutide use on the presence of residual gastric solids on gastric ultrasound: a prospective observational study in volunteers without obesity recently started on semaglutide. Can J Anaesth. Published 19 July 2023. doi:10.1007/s12630-023-02549-5

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