April 2025 Pa ent rece Yes Clear fluid diet for 24 hours prior to procedure, with 6-hour fast pre-procedure Yes Proceed with usual airway precau ons Proceed w Bedside gastric ultrasound to determine gastric contents OR Minimally sedated gastroscopy with ultrathin 5mm gastroscope (depending on availability) 4 Proceed with usual airway precau ons Proceed as per x local protocols for unfasted pa ents 6 Defer procedure 7 Intrave (in absence of procedure to a Assessment strongly suggests empty stomach Retained gastric contents present. Management op ons incude: Figure: Clinical practice recommendations for patients taking GLP-1 receptor agonists and dual GLP-1 and GIP receptor co-agonists prior to anaesthesia or sedation for surgical and endoscopic procedures. Numbers relate to the explanatory notes following. IF YOU ARE NOT SEEING THIS PAGE AND THE NEXT AS A DOUBLE PAGE SPREAD, CLICK HERE
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