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The Perioperative Care of the Transgender Patient

Tollinche, Luis Etienne, MD, FASA*; Walters, Chasity Burrows, PhD, RN; Radix, Asa, MD, MPH, FACP; Long, Michael, DNP, CRNA§; Galante, Larissa, MSN, CRNA*; Goldstein, Zil Garner, FNP-BC; Kapinos, Yvonne, CRNA*; Yeoh, Cindy, MD, FASA*

doi: 10.1213/ANE.0000000000003371
Ambulatory Anesthesiology: Special Article

An estimated 25 million people identify as transgender worldwide, approximately 1 million of whom reside in the United States. The increasing visibility and acceptance of transgender people makes it likely that they will present in general surgical settings; therefore, perioperative health care providers must develop the knowledge and skills requisite for the safe management of transgender patients in the perioperative setting. Extant guidelines, such as those published by the World Professional Association for Transgender Health and the University of California San Francisco Center of Excellence for Transgender Health, serve as critical resources to those caring for transgender patients; however, they do not address their unique perioperative needs. It is essential that anesthesia providers develop the knowledge and skills necessary for safely managing transgender patients in the perioperative setting. This review provides an overview of relevant terminology, the imperative for the provision of culturally sensitive care, and guidelines for preoperative, intraoperative, and postoperative management of the transgender patient.

From the *Department of Anesthesiology and Critical Care Medicine, Memorial Sloan Kettering Cancer Center, New York, New York

Department of Patient and Caregiver Engagement, Memorial Sloan Kettering Cancer Center, New York, New York

Department of Medicine, Callen-Lorde Community Health Center, New York, New York

§Department of Nursing, Leighton School of Nursing, Marian University, Indianapolis, Indiana

Department of Medical Education, Icahn School of Medicine, Mt Sinai Medical Center, New York, New York.

Published ahead of print May 10, 2018.

Accepted for publication February 27, 2018.

Funding: This research was funded in part through the National Institutes of Health/National Cancer Institute Cancer Center Support Grant P30 CA008748.

The authors declare no conflicts of interest.

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Reprints will not be available from the authors.

Address correspondence to Luis Etienne Tollinche, MD, FASA, Department of Anesthesiology and Critical Care Medicine, Memorial Sloan Kettering Cancer Center, 1275 York Ave, New York, NY 10065. Address e-mail to tollincl@mskcc.org.

© 2018 International Anesthesia Research Society
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