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Perioperative Considerations for Transgender and Gender-Diverse Patients
Nelson J Aquino1, Travis L Reece-Nguyen2, Kyle J Sanchez3
1Department of Anesthesiology, Critical Care and Pain Medicine, Boston Children's Hospital, 300 Longwood Avenue, Boston, MA 02115, USA.
Anesthesiology professionals need a culturally sensitive approach to care for transgender and gender-diverse patients. This review provides an evidence-based framework for managing these patients across all surgical phases.
Area of Science:
- Anesthesiology
- Gender-affirming care
- Health equity
Background:
- Transgender and gender-diverse (TGD) patients face discrimination in healthcare.
- Anesthesiologists increasingly care for TGD patients undergoing various procedures.
- Cultural sensitivity is crucial for TGD patient care.
Purpose of the Study:
- To provide anesthesiology professionals with a framework for TGD patient management.
- To enhance culturally sensitive and evidence-based care for TGD individuals.
- To cover preoperative, intraoperative, and postoperative phases of care.
Main Methods:
- Literature review on TGD patient care in anesthesiology.
- Synthesis of evidence-based guidelines and cultural competency principles.
- Development of a comprehensive management framework.
Main Results:
- Identification of key challenges in TGD patient care.
- Outline of strategies for culturally sensitive communication and management.
- Recommendations for optimizing perioperative care for TGD patients.
Conclusions:
- Effective management of TGD patients requires a tailored, evidence-based approach.
- Anesthesiologists must be equipped with knowledge to provide equitable care.
- Improved perioperative care enhances outcomes for transgender and gender-diverse individuals.
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