{"podcast":{"title":"The Good GP","slug":"the-good-gp-1116813","podcast_index_feed_id":1116813,"rss_url":"https://feeds.captivate.fm/the-good-gp/","website_url":"https://www.thegoodgp.com.au","image_url":"https://artwork.captivate.fm/a30f3e99-5b81-492c-be6a-e9941302b035/avatars-000300294674-kbctz5-original.jpg","author":"The Good GP","episode_count":274,"summary":"The Good GP, the education podcast for busy GPs; brought to you by Dr Tim Koh, Dr Krystyna DeLange and Dr Sean Stevens. The Good GP is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Disclaimer: The Good GP podcasts are for informational purposes only and do not constitute medical advice. Always seek the advice of a specialist GP or other qualified health provider with any questions you may have regarding a medical condition.","last_synced_at":"2026-06-25T08:20:25.790975+00:00","page_url":"https://stenobird.com/podcast/the-good-gp-1116813"},"episode":{"title":"Pre-anaesthetic medication medication management for GPs","slug":"pre-anaesthetic-medication-medication-management-for-gps","published_at":"2026-04-13T17:30:00+00:00","page_url":"https://stenobird.com/podcast/the-good-gp-1116813/pre-anaesthetic-medication-medication-management-for-gps","show_page_url":"https://stenobird.com/podcast/the-good-gp-1116813","url":"https://thegoodgp.com.au/episode/pre-anaesthetic-medication-medication-management-for-gps","audio_url":"https://pscrb.fm/rss/p/episodes.captivate.fm/episode/e6acaaa2-bf24-44c7-87d3-62fa74691454.mp3","summary":"In this episode of The Good GP, host Julia Rawlinson welcomes Dr Erin Horsley, an experienced GP anaesthetist, to provide practical guidance on pre-anaesthetic medication management for general practitioners. Focusing on how to prepare patients for elective surgery by knowing which medications to pause, continue, or adjust. Highlights include: SGLT2 inhibitors: Advice on withholding these medications prior to surgery, especially for diabetic patients, due to risk of euglycaemic diabetic ketoacidosis. Diabetes medications and insulin: Specific instructions for perioperative management in procedures such as colonoscopy and gastroscopy. GLP-1 receptor agonists: Discussion on Ozempic, Wegovy, and Mounjaro. They emphasise that stopping them is not routinely required. Instead, they recommend clear fluid fasting protocols. Anticoagulants and antiplatelet agents: Practical approaches for managing DOACs, warfarin, and antiplatelet therapy based on procedure risk, including guidance on bridging and specialist consultation. Other medications: Tips on ACE inhibitors, opioids, and pain medications regarding continuation or withholding. Useful GP actions: An accurate medication list, allergy documentation, and direct communication with anaesthetic teams or pre-admission clinics. Providing concise, evidence-based recommendations for medication management in the perioperative setting to assist GPs and ensure safer outcomes for their patients. Links & Resources: NSW CEC Guidelines on Perioperative management of anticoagulant and antiplatelet agents WA Country Health Service Anaesthetic Services, Pre-operative Assessment and Investigations Guideline (good summary) Australian Diabetes Society Periprocedural DKA with SGLT-2 inhibitor Australian Diabetes Society Perioperative Diabetes…","meta_description":"In this episode of The Good GP, host Julia Rawlinson welcomes Dr Erin Horsley, an experienced GP anaesthetist, to provide practical guidance on pre-anaest…","key_points":[],"chapters":[],"topics":[],"duration_seconds":844,"processing_state":"not_requested","actions":[{"name":"request_transcript","method":"POST","url":"https://stenobird.com/v1/public/podcasts/the-good-gp-1116813/episodes/pre-anaesthetic-medication-medication-management-for-gps/transcription-requests","description":"Idempotently request low-priority transcript generation for this episode."},{"name":"read_markdown","method":"GET","url":"https://stenobird.com/podcast/the-good-gp-1116813/pre-anaesthetic-medication-medication-management-for-gps.md","description":"Read the agent-friendly Markdown representation of this episode resource."}]}}