Anaesthesia for Transgender Surgery Final Exam Viva

Thanks Dr Rebecca! great performance and congratulations on passing the ANZCA Final Exam! welcome to the other side ;)

Here are some useful resources

VIVA STEM
You are asked to review your next patient. A 25yo 130kg transgender female (She/her/hers) for augmentation mammoplasty (implants and lipofilling).

Past history
Asthma 
Anxiety
Depression
Obesity 130kg. 170cm tall. BMI 45

Medications
Symbicort
Salbutamol
Venlafaxine
Spironolactone
Oral oestrogen

Allergies
Kiwi fruit - diarrhea
Avocado -diarrhea
Penicillin – whole body rash

She is very concerned about the impact of her hormone treatment and anaesthesia. What do you advise her?

A fantastic article without valuable information for the anaesthetist/anesthesiologist
https://www.bjaed.org/article/S2058-5349(23)00005-7/fulltext

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