Revisiting NPO Status for Office-Based Anesthesia: Updates for OMSs - On Demand Access

Gone are the days of a one-size-fits-all approach to NPO recommendations prior to an office-based anesthetic. Recent advances in the literature indicate that prolonged fasting windows can have harmful effects on both adults and children. Additionally, the rise in use of GLP-1 receptor agonists for diabetes, weight loss or any number of forthcoming FDA-approved uses can result in delayed gastric emptying and increased residual gastric contents regardless of the length of the NPO window. This 60-minute webinar will cover NPO recommendations, medication management and anesthesia treatment planning with the intent to safely decrease the risk of regurgitation and aspiration during office-based anesthetic procedures. 

Learning Objectives

At the conclusion of this program, participants should be able to:

1. Discuss systems and medical history with the intent of identifying patients with a high-risk stomach. 
2. Describe the pharmacology of GLP-1 receptor agonists and their influence on gastrointestinal physiology.
3. Create a perioperative plan of care for patients taking GLP-1 receptor agonists. 
4. Determine appropriate NPO recommendations for patients based on updated ASA guidelines. 
5. Recognize and manage perioperative regurgitation and aspiration. 

An Internet-based CDE/CME Activity
Original Release Date: March 13, 2025
Expiration Date: March 13, 2028
Estimated time to complete this educational activity: 1.0 hour
Method of participation: Self-Study

Continuing Education Provider Approval
The American Association of Oral and Maxillofacial Surgeons is an ADA CERP Recognized Provider.

ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education.

ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry.

The American Association of Oral and Maxillofacial Surgeons designates this activity for 1.0 continuing education credit(s).

AGD - Accepted Program Provider
FAGD/MAGD Credit
11/1/22-12/31/26
Provider ID# 214680

The American Association of Oral and Maxillofacial Surgeons (AAOMS) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The American Association of Oral and Maxillofacial Surgeons designates this internet-based enduring material for a maximum of 1.0 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.