Arumugam Sivasenthil, Kalagara Hari
School of Medicine, University of Connecticut Farmington, CT USA.
Woodland Anesthesiology Associates Hartford, CT USA.
POCUS J. 2024 Nov 15;9(2):39-41. doi: 10.24908/pocus.v9i2.17700. eCollection 2024.
Glucagon-like peptide-1 receptor agonists (GLP-1 RA) are frequently used for diabetes and weight loss management. The GLP-1 RA drugs delay gastric emptying and are a concern for increased risk of aspiration in the perioperative period. Current recommendations to hold these medications before surgery are consensus based. Gastric point of care ultrasound (POCUS) can provide information regarding nature and volume of gastric contents in these patients during the perioperative period. In this case series, we present three patients where gastric POCUS helped formulate a safer, alternative anesthetic plan. Anesthetic management varied depending on the situation, urgency and needs of the procedure. We recommend gastric POCUS in this group of patients to provide objective assessment of gastric contents.
胰高血糖素样肽-1受体激动剂（GLP-1 RA）常用于糖尿病和体重管理。GLP-1 RA药物会延迟胃排空，这在围手术期会增加误吸风险，令人担忧。目前关于术前停用这些药物的建议是基于共识的。胃床旁超声（POCUS）可以在围手术期为这些患者提供有关胃内容物性质和容量的信息。在这个病例系列中，我们展示了三名患者，胃POCUS有助于制定更安全的替代麻醉方案。麻醉管理根据手术的情况、紧迫性和需求而有所不同。我们建议对这类患者进行胃POCUS检查，以客观评估胃内容物。
