Anaesthesia for Atrial Fibrillation (or Pulmonary Vein Isolation)

Anaesthesia for Cardiac Surgery – this sheet provided by ANZCA gives an excellent overview. I will discuss specifics of your operation prior to your particular surgery

Patients with Diabetes taking one of the following drugs: Forxiga, Jardiance, Steglatro, Xigduo, Jardiamet, Segluromet, Glyxambi, Qtern or Steglujan should cease these tablets 2 days prior to any surgery requiring an overnight stay in hospital. These drugs are a class of diabetes medications known as Sodium-glucose co-transporter-2 inhibitors (SGLT2i) and in some situations can contribute to a condition known as acidosis which can cause serious harm. Please ask your GP, the surgeon or cardiologist or myself for specific advice on what to do prior to surgery before making any changes to your usual diabetes medications. For those wanting more detailed technical information the Australian Diabetes Society provided a Practice Alert in Late 2020.