Sex and gender differences in anesthesia: Relevant also for perioperative safety?
Best Pract Res Clin Anaesthesiol
; 35(1): 141-153, 2021 May.
Article
de En
| MEDLINE
| ID: mdl-33742574
ABSTRACT
Sex (a biological determination) and gender (a social construct) are not interchangeable terms and both impact perioperative management and patient safety. Sex and gender differences in clinical phenotypes of chronic illnesses and risk factors for perioperative morbidity and mortality are relevant for preoperative evaluation and optimization. Sex-related differences in physiology, as well as in pharmacokinetics and pharmacodynamics of anesthetic drugs may influence the anesthesia plan, the management of pain, postoperative recovery, adverse effects, patient satisfaction, and outcomes. Further studies are needed to characterize outcome differences between men and women in non-cardiac, cardiac, and transplantation surgery in order to individualize perioperative management and improve patient safety. Transgender patients represent a vulnerable population who need special perioperative care. Gender balance increases team performance and may improve perioperative outcomes.
Mots clés
Texte intégral:
1
Collection:
01-internacional
Base de données:
MEDLINE
Sujet principal:
Complications postopératoires
/
Caractères sexuels
/
Soins périopératoires
/
Identité de genre
/
Anesthésie
Type d'étude:
Risk_factors_studies
Aspects:
Determinantes_sociais_saude
Limites:
Female
/
Humans
/
Male
Langue:
En
Journal:
Best Pract Res Clin Anaesthesiol
Sujet du journal:
ANESTESIOLOGIA
Année:
2021
Type de document:
Article