Holding Ozempic before elective surgery — and if so, for how long — remains largely a judgment call at this point. Official guidance on best practices has not yet caught up to surging popularity of this and other GLP-1 agonists for weight loss.
but also is prescribed off-label for weight loss. Other GLP-1 agents from Novo Nordisk, Wegovy and Saxenda injections, are FDA-approved for weight loss. These medications work by decreasing hunger and lowering how much people eat. Semaglutide also is available as a once-daily tablet for type 2 diabetes .
In search of some consensus, John Shields, MD, an orthopedic surgeon at Atrium Health Wake Forest Baptist Davie Medical Center in Bermuda Run, N.C., asked colleagues on #MedTwitter:Because a full stomach can interfere with anesthesia, clinicians often advise people to stop eating and drinking 12-24 hours before elective procedures . In the case of once-weekly GLP-1 injections, which can slow gastric emptying, the optimal timeframe remains an open question.
A rapid-sequence induction involves giving the medicine that makes a patient go to sleep, giving another medicine that paralyzes them quickly, then inserting a breathing tube — all within about 30 seconds. Cricoid pressure involves pushing on the neck during intubation to try to seal off the top of the esophagus and again minimize the chances of food coming back up.30 minutes before surgery is another option, Gevirtz said. Metoclopramide can hasten the emptying of stomach contents.
In patients taking semaglutide for weight loss only,"there is no clear answer at this point," he said.
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