Considerations for Perioperative Management Guidance Regarding GLP-1 Receptor Agonists: Evaluation of Current Practices and Future Directions

Military Medicine, Journal Year: 2025, Volume and Issue: unknown

Published: Jan. 27, 2025

ABSTRACT Introduction Glucagon-like peptide-1 receptor agonists (GLP-1 RAs) have become increasingly prevalent and the potential to delay gastric emptying. The American Society of Anesthesiologists (ASA) released guidance regarding perioperative management patients receiving GLP-1 RAs, but it is unclear extent which hospitals in U.S. Military Health System implemented policies consistent with this guidance. Methods A questionnaire was sent active duty anesthesiologists Certified Registered Nurse Anesthetists (CRNAs) working System. questions assessed presence institutional RA policies, adherence policy (if applicable), basis components current recommended future tracking implementation outcomes, knowledge, skills, barriers, continuing medical education goals related RAs. Results response rate 32% (N = 265); a little over half respondents were (53%); respondents’ primary practices included 50 institutions. More than (54%) indicated that their practice location had policy; 65% whom they always followed policy. In review locations >1 respondents, there lack perfect agreement across most locations. commonly reported for ASA (87%), by department leadership (37%). Barriers any system-wide ultrasound comfort, as well skills pressure not cancel cases, scheduling problems, productivity requirements. Conclusions Formal inconsistencies within suggest local could be improved. Commonly barriers provide data-driven information efforts improve success.

Language: Английский

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Exploring the implemented guidelines for dyslipidemia treatment and care among nurses and physicians in Jordanian hospitals

medRxiv (Cold Spring Harbor Laboratory), Journal Year: 2025, Volume and Issue: unknown

Published: Feb. 2, 2025

Abstract Background Dyslipidemia is a major risk factor for ischemic heart disease in the world. The last updated ACC/AHA and ESC/EAS guidelines dyslipidemia management aimed to control blood cholesterol reduce cardiovascular risk. In Jordan, no national have been published date, so these are commonly used. There few studies exploring implementation of Jordan. purpose To explore treatment care among nurses physicians Method Semi-structured interviews (three focus group) with open-ended questions was conducted gain deeper understanding implemented practice physicians. Results Focus group revealed that health professionals try implement specific reach optimal goals, but many barriers prevent them from reaching therapeutic like workload, limited resources, lack support institutions. They reported suggestions may enhance their ability wanted improve Jordan management. Conclusions indicated any Jordanian clinical practices.

Language: Английский

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Implementability of Clinical Practice Guidelines: the Review and Development of a Comprehensive Framework for Guideline Implementability (CFGI)

Research Square (Research Square), Journal Year: 2025, Volume and Issue: unknown

Published: March 12, 2025

Introduction: We define clinical practice guideline (CPGs) implementability as the characteristics of that reflect extent to which it is likely be adopted in practice. Our objectives were create a comprehensive and evidence-informed framework (CFGI). Methods:A mixed-methods approach was used. Based on systematic literature review six databases foundation, initial version CFGI created, followed by external consultations gather feedback natural language processing tool-assisted classificationto refine framework. To get validation from expert at an international conference Results: 15 studies related identified review. The first compiled, including 6 domains. Feedback received 16 stakeholders, clinicians, nurses, medical managers, methodologists, combined with classification. final comprised core domains, containing 21 constructs: (1) Scope purpose; (2) Clarity consistency recommendations; (3) Development evidence base; (4) Structure Contents; (5) team transparency; (6) Implementation environment tools. Twenty-nine experts participated validation, results showed had good rationality, importance, clarity, feasibility, necessity. Conclusions: development provides theoretical basis for implementation future CPGs, will help enhance guidelines facilitate their promotion application different settings. Future research can further validate apply CFGI, explore its effectiveness feasibility actual operation.

Language: Английский

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Preoperative multidisciplinary team meetings for high-risk noncardiac surgical patients: a Dutch nationwide survey

British Journal of Anaesthesia, Journal Year: 2024, Volume and Issue: 133(4), P. 907 - 910

Published: Aug. 9, 2024

Language: Английский

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Estudio de cohortes para evaluar el patrón de prescripción analgésica en pacientes adultos intervenidos en cirugía mayor ambulatoria

Revista Española de Anestesiología y Reanimación, Journal Year: 2024, Volume and Issue: 72(2), P. 501664 - 501664

Published: Dec. 9, 2024

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Editorial: Meet expectations of an evolving healthcare scenery

Current Opinion in Anaesthesiology, Journal Year: 2024, Volume and Issue: 37(2), P. 148 - 149

Published: March 3, 2024

Section of Anaesthesia, Analgesia and Intensive Care - Department Medicine Surgery – University Perugia, Italy Correspondence to Edoardo De Robertis, MD, PhD, Perugia: Universita degli Studi di Perugia 06129, Italy. E-mail: [email protected]

Language: Английский

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The paradox of implementation: Tools without impact ‐ reflections from the global evidence summit

Deleted Journal, Journal Year: 2024, Volume and Issue: 2(1)

Published: Dec. 26, 2024

Language: Английский

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