Perioperative bronchoaspiration in a semaglutide user on a residue-free diet: a case report and insights from a complication
This case demonstrates that even stricter dietary measures than those recommended in current guidelines may not eliminate aspiration risk in GLP-1-RA users. Active screening for GLP-1-RA use, consideration of extended discontinuation intervals, and routine bedside gastric ultrasound should be incorporated into perioperative protocols to enhance patient safety.
Authors
- Leopoldo Muniz da Silva (ORCID: https://orcid.org/0000-0003-4703-0832)
- Joaquim Edson Vieira (ORCID: https://orcid.org/0000-0002-6225-8985)
- Rafael Souza Fava Nersessian (ORCID: https://orcid.org/0000-0002-8786-9475)
- Leonardo Barbosa Santos (ORCID: https://orcid.org/0000-0002-3052-5452)
- Glenio B. Mizubuti (ORCID: https://orcid.org/0000-0002-5515-829X)
- Saullo Queiroz Silveira (ORCID: https://orcid.org/0000-0002-6110-5493)
- Giulia D. Matheus
Institutions
- Universidade de São Paulo (BR)
- Queen's University (CA)
- Universidade Nove de Julho (BR)
- D’Or Institute for Research and Education (BR)
- Hospital São Paulo (BR)
Publication Details
- Journal
- Perioperative Medicine
- Published
- 2025-10-24
- DOI
- https://doi.org/10.1186/s13741-025-00603-y
- Primary Topic
- Tracheal and airway disorders
- Type
- article
- Field-Weighted Citation Impact
- 0.00