Flower Luke, Cheung Ada, Connal Stuart, Humphreys Alice, Kamaruddin Kamilla, Lennie Yasmin, Edwardson Stuart
Honorary Clinical Research Fellow, William Harvey Research Institute, Queen Mary University of London, London, UK.
Trainee in Anaesthesia, Central London School of Anaesthesia, London, UK.
J Intensive Care Soc. 2023 Aug;24(3):320-327. doi: 10.1177/17511437221145102. Epub 2022 Dec 26.
As clinicians working in critical care, it is our duty to provide all of our patients with the high-quality care they deserve, regardless of their gender identity. The transgender community continues to suffer discrimination from the media, politicians and general public. As healthcare workers we often pride ourselves on our ability to safely care for all patients. However, there remains a distinct lack of understanding surrounding the care of critically ill transgender patients. This is likely in part because the specific care of transgender patients is not included in the Faculty of Intensive Care Medicine's, Royal College of Anaesthetists', Royal College of Physician's, or Royal College of Emergency Medicine's curriculum. There are several important considerations relevant for transgender patients in critical care including anatomical changes to the airway, alterations to respiratory and cardiovascular physiology and management of hormone therapy. Alongside this, there are simple but important social factors that exist, such as the use of patient pronouns and ensuring admittance to correctly gendered wards. In this review we will address the key points relevant to the care of transgender patients in critical care and provide suggestions on how education on the subject may be improved.
作为从事重症监护工作的临床医生，我们有责任为所有患者提供他们应得的高质量护理，无论其性别认同如何。跨性别群体持续遭受来自媒体、政客和公众的歧视。作为医护人员，我们常常为自己能够安全护理所有患者的能力而自豪。然而，对于重症跨性别患者的护理，仍然存在明显的认知不足。这可能部分是因为跨性别患者的特殊护理未被纳入重症监护医学学院、皇家麻醉师学院、皇家内科医师学院或皇家急诊医学院的课程中。对于重症监护中的跨性别患者，有几个重要的考虑因素，包括气道的解剖学变化、呼吸和心血管生理的改变以及激素治疗的管理。除此之外，还存在一些简单但重要的社会因素，比如使用患者代词以及确保患者被收治到性别匹配的病房。在这篇综述中，我们将阐述与重症监护中跨性别患者护理相关的要点，并就如何改进该主题的教育提出建议。
