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The effects of delayed gastric emptying may further compound the risk factors harbored by the obese, diabetic patient: Gastroparesis secondary to diabetes-related autonomic dysfunction Bowel dysmotility from opioids (chronic pain) and prolonged bed-rest Altered oesophageal-gastric anatomy from bariatric surgery Gastric insufflation from overzealous bag-valve ventilation with high PEEP and difficult airway Reduced efficacy of routine antiemetic regime Nausea and vomiting are reported by approximately 50% of patients using GLP-1 agonists, as direct results of reduced gastric motility and activation of central satiety centers

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Braz J Otorhinolaryngol 88:130140 Pavlidis P, Papadopoulou K, Tseriotis VS, Karachrysafi S, Sardeli C, Malliou F, Kavvadas D, Papamitsou T, Sioga A, Anastasiadou P (2022) -Methyl-D-aspartate antagonists and their role in limiting ototoxic phenomena

Environment Matters: Account for temperature extremes in your deployment strategy