Department of Anesthesiology and Pain Medicine, Seattle Children's Hospital, University of Washington, Seattle, WA, USA.
Paediatr Anaesth. 2020 May;30(5):520-528. doi: 10.1111/pan.13845. Epub 2020 Mar 16.
Transgender describes a variety of identities in which an individual's gender identity is different from expected based on the sex assigned at birth. In the United States, it is estimated that over 1 million adults and 150 000 youth identify as transgender, with increasing numbers being seen in healthcare and surgical settings. These numbers will continue to rise as visibility and acceptance grow. Current guidelines recommend transition-related surgeries be reserved for older adolescents and adults. However, this is not the only circumstance in which the pediatric anesthesiologist may find themselves caring for a transgender patient. In order to provide the safest and most affirming care, it is crucial that the pediatric anesthesiologist develop a working knowledge of this unique and vulnerable population, including the potential impacts of gender-affirming treatment on their perioperative care.
跨性别描述了各种身份，在这些身份中，个体的性别认同与基于出生时分配的性别的预期不同。据估计，在美国，有超过 100 万成年人和 15 万名青年认同自己是跨性别者，在医疗保健和手术环境中看到的人数越来越多。随着可见度和接受度的提高，这些数字还将继续上升。目前的指南建议将与性别过渡相关的手术保留给年龄较大的青少年和成年人。然而，这并不是儿科麻醉师在照顾跨性别患者时唯一可能遇到的情况。为了提供最安全和最肯定的护理，儿科麻醉师必须了解这个独特而脆弱的人群，包括性别肯定治疗对他们围手术期护理的潜在影响。
