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.

How do we define trauma and what signs should we be looking for when caring for a patient?

Dr Bex Parkes is a Clinical Psychologist who specialises in working with complex trauma presentations. In this episode, Bex helps us to further understand what trauma informed care means and offers some strategies to assist clinicians in identifying and helping patients who may be affected by previous trauma.

Following his highly regarded talk at the Aotearoa NZ ASM, Anaesthetist Dr Trent Cutts joins host Dr Morgan Edwards for a kōrero about vaping. Its role as a smoking cessation tool, what we do know and should be watching for in research, and vaping in the perioperative period.

Plus, NZSA CEO Kylie McQuellin and President and Podcast Host Dr Morgan Edwards discuss what’s on the horizon for the Society in 2024.

"We can only influence our own scope of practice. It's reasonable that as Anaesthetists we try and clean up anaesthesia." A kōrero with the NZSA's Environmental and Sustainability Network Chair, Dr Sallie Malpas. Navigating the myriad of information on environmentally sustainable healthcare and the latest work of the network.

Aotearoa Anaesthesia ASM 2023 Convenor Dr Priya Shanmuganathan and Scientific Convenor Dr Matt Sumner share details from behind the scenes of our upcoming conference, what to look forward to, and tips to make the most of your trip to Ōtepoti Dunedin. Then for the second half of this ASM feature episode host, Dr Morgan Edwards, talks research and perioperative issues in anaesthesia with ASM international invited speaker, Prof Frances Chung.

Sadly technical issues have left some noise interference over the interview with Prof Frances Chung. It was important to us to still be able to share this with you and recommend waiting until you’re somewhere quieter for best listening.

Matt and his team in Te Tai Tokerau have evolved with the change recognising the different models needed to support the new periop degree students. They are establishing initiatives that will support students during their study, motivate more interest in clinical placements in the area and entice future graduates to their region. In this episode, Matt shares the details and how you too can support the future of the Anaesthetic Technician workforce.