Sharing insights from a recent webAIRS case study, Dr Clayton Lam joins the podcast for a kōrero on the impacts an increased use of glucagon-like peptide-1 (GLP-1) and off-label GLP-1 agonists is having on perioperative anaesthesia care, as reported to webAIRS.

The case series of incidents reported to webAIRS relating to GLP-1 agonist use written by Dr Clayton Lam, Dr D-Yin Lin, and ANZTADC Director Dr Yasmin Endlich has recently been accepted for publication in Anaesthesia and Intensive Care.

Want to know more about webAIRS (Anaesthetic Incident Reporting System) visit their website: www.anztadc.net

Show notes:

• ANZCA – Clinical practice recommendation on periprocedural use of GLP-1/GIP receptor agonist: https://www.anzca.edu.au/resources/professional-documents/endorsed-guidelines/periprocedural-glp-1-use-consensus-clinical-guide.pdf
• American Association of Anesthesiologists - Most patients can continue diabetes, weight loss GLP-1 drugs before surgery, those at highest risk for GI problems should follow liquid diet before procedure: https://www.asahq.org/about-asa/newsroom/news-releases/2024/10/new-multi-society-glp-1-guidance
• Australian Society of Anaesthetists – Perioperative management of patients on GLP-1 receptor agonists (GLP-1 Ras): https://asa.org.au/wp-content/uploads/2024/10/ASA-FS1-Perioperative-Management-of-Patients-on-GLP-1-Receptor-Agonists-GLP-1-RAs.pdf

This episode’s guest Dr Heather Johnston, a lactation consultant and breastfeeding medicine doctor, joins the show for a kōrero about ways anaesthetists and clinicians can help support a breastfeeding parent during the perioperative period.

Resources mentioned in this episode

• e-lactancia: Is it compatible with breastfeeding? Check the compatibility of Breastfeeding with 38,699 terms
• ASA Publications: Anaesthesiology. Anesthesia & Breastfeeding: More Often Than Not, They Are Compatible
• American Society of Anaesthesiologists: Statement on Resuming Breastfeeding after Anesthesia
• ANZCA: PG07 Guideline on pre-anaesthesia consultation and patient preparation. Appendix 2 Effect of anaesthesia on breastfeeding (PDF)
• Anaesthesia & sedation for breastfeeding parents: For clinicians.
• Association of anaesthetists: Guideline on anaesthesia and sedation in breastfeeding women 2020
• App: Infantrisk HCP by Texas Tech University Health Sciences Center. (Apple store) (Google store)
• Bfedmed: ABM Clinical Protocol #35: Supporting breastfeeding during maternal or child hospitalization (PDF)

Aotearoa NZ Anaesthesia ASM (NZ ASM) keynote speaker Professor BobbieJean Sweitzer, host Dr Morgan Edwards and NZ ASM Convenor Dr Karen Park kōrero about the role of anaesthesia in perioperative medicine, the role of AI in medical publishing, finding balance, and what they’re looking forward to at this year’s meeting.

Dual trained and boarded in anaesthesiology and internal medicine Prof Sweitzer is Systems Director, Preoperative Medicine at Inova Health Virginia and Professor of Medical Education at the University of Virginia. She has held numerous governance, author and editing positions and her experience includes more than 100 peer-reviewed manuscripts and abstracts.

Early Bird registration is open: www.nzanaesthesia.com

Aoteatora NZ Anaesthesia ASM: 7-9 November, Tāmaki Makaurau Auckland at the Aotea Centre.

Aotearoa NZ Perioperative Symposium: 5 November, Whenua Pupuke Education Centre, North Shore Hospital, Tāmaki Makaurau Auckland.