AANA August 2024 Journal Course: Anesthetic Considerations for Gender-Affirming Airway and Facial Procedures-Anesthetic Considerations for Gender-Affirming Airway and Facial Procedures

Anesthetic Considerations for Gender-Affirming Airway and Facial Procedures

Pdf Summary

The article from the AANA Journal discusses anesthetic considerations for gender-affirming airway and facial procedures. It emphasizes the increasing need for specialized medical knowledge and sensitivity in handling transgender patients due to rising societal acceptance and the uptick in gender-affirming surgeries (GAS).<br /><br />Key points discussed include:<br />- **Understanding Gender Dysphoria:** Transgender individuals may experience distress due to the incongruence between their gender identity and biological sex, which can lead to psychological issues like depression and anxiety.<br />- **Multidisciplinary Care:** Effective care involves collaboration among various specialties, including psychiatry, endocrinology, plastic surgery, and anesthesiology.<br />- **Airway and Facial Procedures:** These are significant for anesthesia providers because alterations in normal anatomy increase the risk of complications such as bleeding and airway injury. Special techniques may be required for airway management post-surgery.<br />- **Hormone Therapy:** Many transgender patients might be undergoing hormone therapy, which brings specific risks (e.g., thromboembolic events, cardiovascular effects). Understanding these implications is crucial for developing safe anesthetic plans.<br />- **GAHT:** The usage of estrogen, progesterone, spironolactone, and testosterone can have significant physiological effects. Anesthesia providers need to be aware of these effects to manage perioperative risk effectively.<br />- **Psychosocial Aspects:** The article underscores the importance of respectful, culturally competent communication. This includes using patient-preferred pronouns and terms to build trust and ensure comprehensive care.<br />- **Challenges and Strategies:** Post-operative care for patients undergoing gender-affirming airway and facial surgeries includes managing risks like edema, dysphagia, and airway fires, and adapting anesthesia techniques accordingly.<br /><br />The overall aim is to raise awareness of the specific needs and medical considerations of transitioning individuals, promoting inclusive and high-quality care, thus setting the stage for continuous improvement in the care of transgender patients.

Keywords

Gender-affirming surgeries

Anesthetic considerations

Transgender patients

Gender dysphoria

Multidisciplinary care

Airway management

Hormone therapy

GAHT

Psychosocial aspects

Post-operative care