Current challenges faced by transgender and gender-diverse patients and providers in anesthesiology

Reece‐Nguyen, Travis; Tollinche, Luis; Rooyen, Christian Van; Roque, Remigio A.

doi:10.1097/aia.0000000000000384

Cited by 2 publications

(2 citation statements)

References 50 publications

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“…It is not possible to speak to the care of patients without recognizing the mistreatment that TGD medical personnel often experience in the workplace. Reece-Nguyen et al 116 articulate the lack of representation of TGD providers in medical education and in anesthesiology. While Title VII of the Civil Rights Act of 1964 protects employees from discrimination based on sex, and protections for lesbian, gay, bisexual, transgender, and queer (LGBTQ) people were expanded by the US Supreme Court in June of 2020 in Bostock versus Clayton County, Georgia, rampant structural discrimination against TGD people still exists.…”

Section: Systemic Factorsmentioning

confidence: 99%

Perioperative Care of Transgender and Gender-Diverse Patients: A Biopsychosocial Approach

Sanchez

Khallouq

et al. 2023

Anesthesia &Amp; Analgesia

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Transgender and gender-diverse (TGD) people endure numerous physical and mental health disparities secondary to lifelong stigma and marginalization, which are often perpetuated in medical spaces. Despite such barriers, TGD people are seeking gender-affirming care (GAC) with increased frequency. GAC facilitates the transition from the sex assigned at birth to the affirmed gender identity and is comprised of hormone therapy (HT) and gender-affirming surgery (GAS). The anesthesia professional is uniquely poised to serve as an integral support for TGD patients within the perioperative space. To provide affirmative perioperative care to TGD patients, anesthesia professionals should understand and attend to the biological, psychological, and social dimensions of health that are relevant to this population. This review outlines the biological factors that impact the perioperative care of TGD patients, such as the management of estrogen and testosterone HT, safe use of sugammadex, interpretation of laboratory values in the context of HT, pregnancy testing, drug dosing, breast binding, altered airway and urethral anatomy after prior GAS, pain management, and other GAS considerations. Psychosocial factors are reviewed, including mental health disparities, health care provider mistrust, effective patient communication, and the interplay of these factors in the postanesthesia care unit. Finally, recommendations to improve TGD perioperative care are reviewed through an organizational approach with an emphasis on TGD-focused medical education. These factors are discussed through the lens of patient affirmation and advocacy with the intent to educate the anesthesia professional on the perioperative management of TGD patients.

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Section: Systemic Factorsmentioning

confidence: 99%

Perioperative Care of Transgender and Gender-Diverse Patients: A Biopsychosocial Approach

Sanchez

Khallouq

et al. 2023

Anesthesia &Amp; Analgesia

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“…Anesthesiology professionals may be tasked with caring for TGD patients despite unfamiliarity with these procedures or the nuanced needs of these patients. Literature on anesthetic considerations for TGD patients has expanded over the last few years [14,15 ▪ ,16 ▪ ,17].…”

Section: Introductionmentioning

confidence: 99%

Anesthesia for gender-affirming surgery: a practical review

Sanchez,

Tollinche,

Reece-Nguyen

2024

Current Opinion in Anaesthesiology

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Purpose of review Gender-affirming surgery (GAS) is an effective, well studied, and often necessary component of gender-affirming care and mitigation of gender dysphoria for transgender and gender-diverse (TGD) individuals. GAS is categorized as chest surgeries, genitourinary surgeries, facial feminization/masculinization, and vocal phonosurgery. Despite increased incidence of GAS during recent years, there is a gap in knowledge and training on perioperative care for TGD patients. Recent findings Our review discusses the relevant anesthetic considerations for the most common GAS, which often involve highly specialized surgical techniques that have unique implications for the anesthesia professional. Summary Anesthesiology professionals must attend to the surgical and anesthetic nuances of various GAS procedures. However, as many considerations are based on common practice, research is warranted on anesthetic implications and outcomes of GAS.

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Current challenges faced by transgender and gender-diverse patients and providers in anesthesiology

Cited by 2 publications

References 50 publications

Perioperative Care of Transgender and Gender-Diverse Patients: A Biopsychosocial Approach

Perioperative Care of Transgender and Gender-Diverse Patients: A Biopsychosocial Approach

Anesthesia for gender-affirming surgery: a practical review

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