Aspiration-risk recognition
Educational use only. Not clinically reviewed52-year-old woman for Elective laparoscopic cholecystectomy. About 6 simulated minutes.
What you will practise
- Review medication phase, gastrointestinal symptoms, fasting, and procedure urgency together.
- Recognize elevated delayed-gastric-emptying risk despite an ordinary fasting interval.
- Defer this elective case for symptom resolution and shared replanning.
- Use the patient-specific risk pattern rather than a blanket GLP-1 medication rule.
Review and sources
Not clinically reviewed. No clinician has signed this scenario.
- Kindel et al. Multi-society clinical practice guidance for the safe use of GLP-1 receptor agonists in the perioperative period. Surg Endosc. 2025;39:180-183.
- American Society of Anesthesiologists. New Multi-Society GLP-1 Clinical Practice Guidance Released. October 29, 2024.
- ASA Practice Guidelines for Preoperative Fasting. Anesthesiology. 2017;126:376-393.
Open Sim Lab is an educational simulator, not for clinical use. It is not a clinical decision-support tool, not a dosing calculator, and is not validated for any decision affecting a real patient.