Editor's Note A system-wide preoperative nutrition program resulted in shorter hospital stays and fewer postoperative complications across the Allegheny Health Network, according to a study presented at the American College of Surgeons Clinical Congress 2024. Medical Xpress reported the news October 18. According to the article, researchers analyzed data from…

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Editor's Note Research shows repeated fasting for multiple surgeries during a single hospital stay significantly raises the risk of protein-calorie malnutrition, leading to longer recovery times, increased healthcare costs, and a higher likelihood of death. HealthDay covered the news October 21. Presented at the American Society of Anesthesiologists annual meeting,…

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Editor's Note Patients using GLP-1 receptor agonists (GLP-1 RAs) have a higher risk of food retention during esophagogastroduodenoscopy (EGD) when performed alone, but not when combined with a colonoscopy, according to a retrospective study from Cedars-Sinai Medical Center. MedPage Today reported the news October 1. The study included 70 patients…

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Editor's Note Preoperative use of GLP-1 receptor agonists (RA) medications such as Ozempic and Wegovy is safe, according to a study published in the June issue of the American Journal of Gastroenterology. Controversy has swirled around these drugs due to the risk of slowed stomach emptying increasing a patient’s odds…

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Editor's Note Recent research suggests that minimizing the risk of perioperative pulmonary aspiration in diabetic patients does not require different fasting instructions. However, at least one expert has questioned the results, and widespread glucagon-like peptide-1 (GLP-1) receptor agonists for the treatment of both type 2 diabetes and weight loss can…

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Editor's Note Popular weight-loss drugs like Ozempic and Mounjaro could lead to complications in surgical procedures, according to study published March 6 in the journal JAMA Surgery.  The study focused on drugs known as glucagon-like peptide-1 receptor agonists (GLP-1 RAs) which are used to treat diabetes and obesity. The drugs, which…

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Editor's Note The American Society of Anesthesiologists (ASA) has updated its 2017 guidelines for preoperative fasting and the use of pharmacologic agents to reduce the risk of pulmonary aspiration. The new 2023 guidance focuses on topics not addressed in the previous guideline, including ingestion of carbohydrate-containing clear liquids with or…

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Editor's Note This study, led by researchers at the University Medical Center Utrecht in the Netherlands, finds that a liberal preoperative fasting policy allowing adults scheduled for general anesthesia to drink clear fluids until arrival in the OR was associated with reduced fasting duration and improved patient well-being with regard…

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