印度向跨性别患者提供麻醉的挑战:范围审查
Shalendra Singh1, Roj T Ninan2, George C Ambooken2
1Department of Anaesthesiology and Critical Care, Command Hospital (NC), Udhampur, Jammu and Kashmir, India.
Journal of anaesthesiology, clinical pharmacology
|March 3, 2025
概括
跨性别患者的麻醉护理需要在手术期间关注独特的解剖学,生理学和心理社会需求. 解决这些因素可以确保最佳的术后结果和性别肯定护理中的患者安全.
科学领域:
- 麻醉学 麻醉学
- 跨性别者健康 跨性别者健康
- 在外科手术期间的医学.
背景情况:
- 变性人面临着严重的医疗保健差异和耻辱,影响了他们的手术护理.
- 麻醉对于接受常规或性别确认手术的跨性别患者至关重要.
- 术后护理必须解决独特的解剖学,生理学和社会心理方面的考虑.
研究的目的:
- 为突出跨性别人士的外科手术期间麻醉方面的挑战.
- 讨论优化麻醉和手术护理的解决方案.
- 为了让麻醉提供者了解患者的特定需求.
主要方法:
- 关于跨性别健康和麻醉的当前文献的综述.
- 考虑性别认同,激素治疗和并发症.
- 适应气道管理和疼痛控制技术.
主要成果:
- 麻醉需要量身定制的方法,考虑到激素治疗的影响和潜在的气道差异.
- 术前评估必须包括心理社会因素和药物治疗史.
- 疼痛管理策略应与患者的偏好和手术目标保持一致.
结论:
- 对跨性别患者来说,个性化的外科麻醉护理是必不可少的.
- 解决耻辱和不平等问题可以改善获得安全外科护理的机会.
- 麻醉科医生在确保跨性别者的外科手术结果积极方面发挥着至关重要的作用.
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