Perioperative GLP-1 guidance shifting again

Are you changing hold times for weekly GLP-1 RAs after the latest perioperative recommendations? Semaglutide’s about 7-day half-life and sustained gastric emptying effects raise aspiration risk, but we’re still extrapolating from pharmacology and case reports rather than randomized data… What protocols did your hospitals adopt last month, and have you seen any PACU events or cancellations tied to this?

‌⁠‍⁠​‍​‍‌⁠‌​​‍​‍​⁠‍‍​‍​‍‌⁠​​‌‍‍​‌⁠‍‌‌⁠​⁠‌‍‍‌‌‍​⁠‌‍‍‌‌‍​‌‌‍⁠‍​‍​‍​‍⁠​​‍​‍‌‍‍⁠​‍​‍​⁠‍‍​‍​‍‌‍⁠‍‌‍‌‌‌⁠‌⁠‌‌⁠⁠‌⁠‌​‌‍⁠⁠‌⁠​​‌‍‍‌‌‍​⁠​‍​‍​‍⁠​​‍​‍‌‍‍‌‌‍‌​​‍​‍​⁠‍‍​‍​‍‌‍⁠‍‌‍‌‌‌⁠‌⁠​‍​‍​‍⁠​​‍​‍‌‍‌​​‍​‍​⁠‍‍​‍​‍​⁠​‍​⁠​​​⁠​‍​⁠‌‌​⁠​‌​⁠​‍​⁠​‌​⁠‍​​‍​‍​‍⁠​​‍​‍‌‍‍​​‍​‍​⁠‍‍​‍​‍‌‌‌‍‌‌‌⁠‌⁠‍‌‌‍‌​‌‌‌‍‌‌‍‌‌‍​‍‌‍‌‌‌‍​⁠‌​⁠‌​⁠‍‌‌​​‍​⁠​​​⁠​‍‌​⁠‌‌⁠​⁠​‍​‍‌⁠⁠‌​​