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Dr Nav Sidhu

@drnavsidhu.bsky.social

Anaesthesiologist. Regional anaesthesia, #MedEd and #GastricUltrasound enthusiast. Executive #MBA student. #AnSky #MedSky #RASky #NavSky #EMBA 🇳🇿🇲🇾

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Dr Nav Sidhu@drnavsidhu.bsky.social · 5mo ago

The latest update is live! Systematic review & meta-analysis looking at association between GLP-1 RAs, retained gastric content, and aspiration risk. #AnSky #RAsky #Surgery doi.org/10.17608/k6....

Association between glucagon-like peptide-1 receptor agonists, residual gastric content, and bronchopulmonary aspiration after fasting: an ongoing systematic review and meta-analysis

Glucagon-like peptide-1 receptor agonists (GLP-1 RAs) are being increasingly prescribed, raising concerns regarding delayed gastric emptying, residual gastric content (RGC), and bronchopulmonary aspiration risk despite standard fasting. This ongoing systematic review and meta-analysis evaluates the association between GLP-1 RA use, RGC, and aspiration across endoscopy and surgical populations. Systematic searches of Google Scholar identified 156 relevant publications. Studies assessing RGC or aspiration in fasted GLP-1 RA users were included, with data extracted for propensity-matched control groups where available. Meta-analyses were performed using random- and fixed-effects models, with heterogeneity and fragility analyses reported. GLP-1 RA use was consistently associated with higher RGC incidence. In upper gastrointestinal (UGI) endoscopy, pooled RGC incidence was 12.2% for UGI endoscopy alone and 4.1% with concomitant colonoscopy. In non-endoscopy populations, RGC incidence was markedly higher in GLP-1 RA users compared with controls (40.0% vs 15.0%). Although crude pooled data suggest a small increase in aspiration incidence in UGI endoscopy patients using GLP-1 RAs, random-effects meta-analyses showed no statistically or clinically meaningful association, and fragility analyses demonstrated limited robustness. Across surgical populations, no increase in aspiration risk was identified, though studies were underpowered due to the low baseline incidence of aspiration. These findings support a nuanced, context-specific approach to peri-procedural management of GLP-1 RAs and highlight the need for high-quality prospective studies to better define clinically meaningful risk.

doi.org

Ed Mariano, MD, MAS, FASA, FASRA@emarianomd.bsky.social · 9mo ago

📢 Calling all anaesthesia professionals and trainees! Do you have examples of dogma or experience-based traditions that you have heard of, learned and/or even passed on? Please share with us! This study is IRB-approved: surveys.mayoclinic.org/jfe/form/SV_... @nataliekoons.bsky.social

Qualtrics Survey | Qualtrics Experience Management

The most powerful, simple and trusted way to gather experience data. Start your journey to experience management and try a free account today.

surveys.mayoclinic.org

New Zealand Society of Anaesthetists@thenzsa.bsky.social · 11mo ago

Aotearoa NZ Anaesthesia ASM workshop spaces are filling. Register now to secure your place. Check out the workshop programme: www.nzanaesthesia.com/workshops/ Aotearoa NZ Anaesthesia ASM 2025 12-15 November, Kirikiriroa Hamilton Earlybird registration closes October 5.

Workshops - Aotearoa NZ Anaesthesia ASM 2025

Workshops Workshops are a valuable part of the NZ ASM in-person experience. They are not recorded and will not be available for viewing on-demand. It is important to note some workshops run concurrently, please check your selections during the registration process. If during registration, your preferred workshop is showing as FULL, you will have the […]

nzanaesthesia.com

Ed Mariano, MD, MAS, FASA, FASRA@emarianomd.bsky.social · 12mo ago

Happy to share our new article in @iarsjournals.bsky.social: Faculty Diversity Trends in Academic #Anesthesiology by Demographics in the United States, 1977-2021 Link: journals.lww.com/anesthesia-a...

Faculty Diversity Trends in Academic Anesthesiology by... : Anesthesia & Analgesia

ster report of the Association of American Medical Colleges (AAMC) from 1977 to 2021. After determining the distribution of academic degrees, academic rank, chair position, and tenure status over time...

journals.lww.com