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The Transgender Patient and Perioperative Complications

Price: $15.00
Nursing CE: 1.50   Imaging CE: 2.50

This course was designed to assist the healthcare practitioner in developing a solid understanding of perioperative complications in the transgender individual undergoing surgery and offer recommendations regarding the anesthetic care of this population. The critical risks of Hormone Replacement Therapy (HRT) and Gender Affirming Surgery (GAS) in the perioperative period most pertinent to the anesthesia provider such as venous thromboembolism (VTE), myocardial infarction (MI), cerebrovascular accident (CVA), restrictive lung patterns, and difficult airway will be discussed. Anesthesia care recommendations will involve the anesthesia provider’s plan including preoperative evaluation, induction considerations, intraoperative considerations, and plan for emergence. The recommendations encountered in the research will increase the anesthesia provider’s knowledge of the benefits of tailoring care to this population, thereby decreasing morbidity and mortality while increasing patient safety.

Anesthesia care recommendations will involve the anesthesia provider’s plan including:

  • Preoperative Evaluation
  • Induction Considerations
  • Intraoperative Considerations
  • Plan for Emergence

Upon the successful completion of this course, program participants will be able to:

  1. Define the transgender individual.
  2. Identify the transgender surgical patient undergoing gender affirming therapies at risk for perioperative complications.
  3. Examine the effects of HRT discontinuation prior to surgery and potential medication interactions.
  4. Summarize the critical complications associated with HRT in the transgender patient during the perioperative period.
  5. Formulate an anesthetic plan for transgender surgical patients on HRT.
  6. Summarize the critical complications associated with gender affirming surgeries and practices in the transgender patient during the perioperative period.
  7. Formulate an anesthetic plan for transgender surgical patients who have undergone gender affirming procedures or have partaken in gender confirming practices.

Qualified Planners/Faculty

Abilio Cima, BSN, RN, CCRN

Abilio Cima is currently a Student Registered Nurse Anesthetist (SRNA) pursuing a Doctorate of Nurse Anesthesia Practice (DNAP) degree at AdventHealth University, Orlando FL. Prior to the DNAP program, Abilio obtained his Bachelor in Science of Nursing (BSN) at AdventHealth University, graduating with Summa Cum Laude, GPA 3.92. He then began working for AdventHealth Orlando in 2017 as a bedside nurse on the Surgical Oncology Progressive Care Unit, caring for post-surgical and chronic cancer patients. In 2018, he worked in the Cardiac/Medical Intensive Care Unit (CICU/MICU) and gained vast experience and professional growth by caring for critically ill patients including ECMO evaluations, pre-heart and lung transplant, and advanced heart failure, post-cardiopulmonary arrest. He also worked on the first COVID ICU in Florida up until being accepted into the DNAP program. During this time in the ICU, he attained his Critical Care Registered Nurse (CCRN) certification. After two and a half years of experience, Abilio then pursued a career in Nurse Anesthesia.

Disclosures

*There are no relevant financial relationships with ineligible companies for those involved with the ability to control the content of this activity.

Kelsey Dobes, BSN, RN, CCRN

Kelsey Dobes is currently enrolled in a Doctorate of Nurse Anesthesia Practice program at Adventhealth University. She is a Certified Critical Care Registered Nurse, with a background in surgical, transplant, and cardiac intensive care. She also practiced as an ICU nurse at the frontlines of the Covid-19 crisis. Kelsey attended The University of Central Florida Honors College where she was awarded the John C. Hitt Presidential Scholarship. Here, she graduated as Salutatorian with her degree in the Bachelor of Science in Nursing. Kelsey is currently utilizing her position as a student nurse anesthetist to educate and promote inclusive and safe anesthetic care to her peers and colleagues.

Disclosures

*There are no relevant financial relationships with ineligible companies for those involved with the ability to control the content of this activity.

Revisioning Author: Jill Mason, EdD, DNAP, MSN, CRNA, APRN, COI, FAANA

Dr. Mason is the Chair/ Program Director for the Doctor of Nurse Anesthesia Program at AdventHealth University in Orlando. She was born in Peoria, Illinois  but moved to Sao Paulo, Brazil when she was 12 yrs. old. She became fluent in Portuguese the year she graduated from HS in 1988. After high school, she moved back to the U.S. after graduation where she enlisted into the USAF as an allergy/immunology technician/EMT/medic for 4 years and was stationed at Joint Andrews Base, Maryland, the President’s Air Force Base. After the Gulf War she got off Active Duty and returned to Illinois where she did 2 more years in the Peoria, Illinois Air National Guard unit as a medic. She went to the University of Illinois at Chicago for her BSN degree and worked in the transplant unit at UIC Medical Center as a student nurse. Graduating Cum Laude she went to work at Northwestern Memorial Hospital (Chicago, IL) as an ICU nurse in a Medical Oncology Unit, then MICU, and then in CCU. She began Nurse Anesthesia School in Chicago at a program that started as Ravenswood School of Nurse Anesthesia but graduated as Evanston Northwestern University School of Nurse Anesthesia in 2002. She moved to Greenville, South Carolina where her parents lived, and practiced nurse anesthesia for the next 20 years. She worked the first 10 years in (2) Level I Trauma Centers and became the Nurse Anesthesia Educator at both. She spent the next 10 years in an outpatient surgery center where she worked on getting her DNAP degree and completed in 2015, as well as a Doctor of Education (Ed.D.), which she finished in May 2022. She has served on several state and national committees and was elected President of South Carolina Association of Nurse Anesthetists in 2019-2020. She served on the American Association of Nurse Anesthesiology Government Relations Committee for 3 years and the Journal of the AANA. She has published 5 times and won the SC CRN Research of the Year award.

Disclosures

*There are no relevant financial relationships with ineligible companies for those involved with the ability to control the content of this activity.

Bao Ta, BSN, RN

Bao Ta is a University of Central Florida alumnus where he graduated with Cum Laude while receiving his Bachelors in Science of Nursing. He began his nursing journey in 2017 on a Multisystem PCU with AdventHealth Orlando where he was able to expand his knowledge of the field and work amongst a variety of patients. After expanding his role as a preceptor for new graduates, Bao strived to broaden his proficiency further which led him to become a Cardiovascular Intensive Care Unit (CVICU) nurse. As a CVICU nurse, he adapted to working with heart and lung transplant patients, patients who required mechanical circulatory support devices, such as ventricular assistive devices and total artificial hearts, as well as precepting within a year of being on the unit. Bao is constantly seeking to feed his passion for learning and aggrandize his knowledge in the medical field. During his time in CVICU he also obtained his CCRN certification, which encouraged him to pursue schooling at AdventHealth University for his Doctorate of Nurse Anesthesia where he is currently a Student Registered Nurse Anesthetist.

Disclosures

*There are no relevant financial relationships with ineligible companies for those involved with the ability to control the content of this activity.

- 1/31/2026
4052 Bald Cypress Way
BIN C21
Tallahassee, FL 32399-1741
Phone: 850-245-4266
https://www.doh.state.fl.us/environment/radiation/ www.ahra.com
CE Credits: 2.50, Category: Cat A/Technical Approved - Expiration Date 1/31/2027
CE Credits: 2.50, Category: AHRA - END3398/Cat A ARRT - Expiration Date 1/31/2026

Completion Requirements: To receive continuing education credit commensurate with the credit awarded for this on-line activity, the participant must:

  • View all modules
  • Participate and pass all learning checks
  • Pass the Post Test(s) with a minimum score of 80%
  • Complete and submit the on-line evaluation

Certificates of Completion: will be available to print immediately upon finishing the completion requirements. You are encouraged to print and save your certificate for your portfolio as required by your licensing body. Interdisciplinary accredited activities, activities having multiple accreditors, will be listed individually on the Certificate of Completion.

Non-Endorsement of Products: echelon®, as an accredited provider, has demonstrated proficient experience and viable resources to provide for valid and reliable evaluation of CE activities. The accuracy of the facts and opinions contained in this activity are the responsibility of the author(s) and do not necessarily reflect those of echelon® or its sponsors. Practitioners should consult primary resources, state regulations, and their healthcare facility policies and procedures for specific application of said content to their local situation. echelon® does not imply that there is real or implied endorsement of any product, service, or company neither referred to in this activity nor of any company subsidizing costs related to this activity. All information contained in this activity is for educational purposes only.

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*There are no relevant financial relationships with ineligible companies for those involved with the ability to control the content of this activity.