The majority of procedures performed at our facility are nonanesthesia cases, particularly in interventional pain management. However, we do have two operating rooms where patients are administered MAC/general anesthesia, and we have established a policy for GLP-1 medications in such cases. Our ASC policy aligns with the recommendations of the American Society of Anesthesiologists, which are as follows.
Day or week prior to the procedure:
Hold GLP-1 agonists on the day of the procedure/surgery for patients who take the medication daily.
Hold GLP-1 agonists a week prior to the procedure/surgery for patients who take the medication weekly.
Consider consulting with an endocrinologist for guidance in patients who are taking GLP-1 agonists for diabetes management to help control their condition and prevent hyperglycemia (high blood sugar).
As GLP-1 medications become more prevalent in the community, we anticipate the emergence of additional research regarding GLP-1 agonist medications and their interaction with anesthesia.
|