Franco-Cabrera M, Núñez-Sánchez B, Gómez-Nieto GM

Language: Spanish
References: 23
Page: 94-98
PDF size: 401.43 Kb.

ABSTRACT

Introduction: transgender and gender-diverse individuals face significant challenges, including discrimination and a lack of medical knowledge. Objective: to conduct a literature review of medical considerations for transgender patients. Material and methods: searches included PubMed, Ovid, Cochrane, ClinicalKey, and Google Scholar. Results: it is important to understand the peri-anesthetic implications of trans patients. Conclusion: transgender patients may undergo gender-affirming surgeries or any other type of surgical procedure, so it is essential to be informed on this topic.

REFERENCES

1. Consejo Nacional para Prevenir la Discriminación. Guía para la acción pública contra la homofobia. Ciudad de México: CONAPRED; 2012.

2. López Castañeda M. Diversidad sexual y derechos humanos. Ciudad de México: Comisión Nacional de los Derechos Humanos; 2018.

3. Sanchez KJ, Sanchez RA, Ben Khallouq B, Ellis DB. Perioperative care of transgender and gender-diverse patients: a biopsychosocial approach. Anesth Analg. 2023;137:234-246.

4. Lennie Y, Leareng K, Evered L. Perioperative considerations for transgender women undergoing routine surgery: a narrative review. Br J Anaesth. 2020;124:702-711.

5. Harding D, Marsh S, Lennie Y. Perioperative considerations for transgender and gender diverse adults. BJA Educ. 2023;23:136-143.

6. Spizzirri G, Eufrásio R, Lima MCP, Carvalho Nunes HR, Kreukels BPC, Steensma TD, et al. Proportion of people identified as transgender and non-binary gender in Brazil. Sci Rep. 2021;11:2240.

7. Coleman E, Radix AE, Bouman WP, Brown GR, de Vries ALC, Deutsch MB, et al. Standards of care for the health of transgender and gender diverse people, version 8. Int J Transgend Health. 2022;23:S1-S259.

8. Mishra P, Nath A, Kaushal A, Kain R. Gender reassignment surgery - a narrative overview of anaesthetic considerations and implications. Anaesthesiol Intensive Ther. 2021;53:343-349.

9. Weyers S, Selvaggi G, Monstrey S, Dhont M, Van den Broecke R, De Sutter P, et al. Two-stage versus one-stage sex reassignment surgery in female-to-male transsexual individuals. Gynecol Surg. 2006;3:190-194.

10. Periañez CAH, Castillo-Díaz MA. Preoperative psychological distress and acute postoperative pain among abdominal surgery patients. J Psychosom Res. 2025;190:112055.

11. Patel A, Palayeker V, Shekane P. Optimal perioperative pain management of the transgender patient for gender affirming surgery: a scoping review. Curr Pain Headache Rep. 2024;28:663-671.

12. Singh S, Ninan RT, Ambooken GC, Dhiman M. Challenges in provision of anesthesia to transgender patients in India: A scoping review. J Anaesthesiol Clin Pharmacol. 2025;41:15-19.

13. van Rooyen C, Aquino NJ, Tollinche LE, Reece-Nguyen TL. Perioperative considerations for gender-affirming surgery. Curr Anesthesiol Rep. 2023;13:90-98.

14. Reece-Nguyen TL, Tollinche L, Van Rooyen C, Roque RA. Current challenges faced by transgender and gender-diverse patients and providers in anesthesiology. Int Anesthesiol Clin. 2023;61:26-33.

15. Aquino NJ, Boskey ER, Staffa SJ, Ganor O, Crest AW, Gemmill KV, et al. A Single center case series of gender-affirming surgeries and the evolution of a specialty anesthesia team. J Clin Med. 2022;11:1943.

16. Ley para el Reconocimiento y la Atención de las Personas LGBTTTI de la Ciudad de México. Ciudad de México: Gaceta Oficial Ciudad de México; 2021.

17. Castilla-Peón MF. Manejo médico de personas transgénero en la niñez y la adolescencia. Bol Med Hosp Infant Mex. 2018;75:7-14.

18. Akdogan A, Oncu K. Anesthesia management of the transgender patient with HIV: case report. Int J Anesth Res. 2021;9:647-649.

19. Keatley J, Rapues J, Ferguson S, Ventura A, Quiñonez C, Castro D, et al. Transgender HIV testing toolkit. San Francisco, CA: University of California, San Francisco, Center of Excellence for Transgender Health; 2016.

20. Lao WP, Crawley BK. Airway considerations in transgender patients: complicated intubation. Ear Nose Throat J. 2021;100:755S-756S.

21. Hassan A, Perini J, Khan A, Iyer A. Pregnancy in a transgender male: a case report and review of the literature. Case Rep Endocrinol. 2022;2022:6246867.

22. van Amesfoort JE, van Rooij FB, Painter RC, Valkenburg-van den Berg AW, Kreukels BPC, Steensma TD, et al. The barriers and needs of transgender men in pregnancy and childbirth: A qualitative interview study. Midwifery. 2023;120:103620.

23. Pereira DMR, Araújo EC, Oliveira SC, Sousa AR, Espíndola MMM, Lemos DEB. Transsexual men's experiences of childbirth and postpartum in the light of transcultural care. Rev Lat Am Enfermagem. 2024;32:e4212.