Post-Procedure Complications Monitoring Programme 28th Review Meeting Friday, 26 April 2013 4:00-6:00pm, Room 8A31 Seminar Room Main Clinical Block and Trauma Centre, PWH

Attendance Present Prof. Paul B S Lai (Chairman) Team 1 – Dr. Charing Chong & Dr. Anthony Fong Team 2 – Dr. Simon Wong & Dr. Sally Luk Team 3 – Dr. Hon Sok Fei & Dr. Nerissa Mak PRAS – Dr. David Wong & Dr. Teresa Tan NEURO – Dr. C L Kwan & Dr. Calvin Mak PSU – Dr. Bess Tsui URO – Dr. C K Chan & Dr. C H Yee CTS – Dr. Rainbow Lau & Dr. Calvin Ng Mr. Alfred Chan Ms Eunice Tam

Items discussed Complications report – Feb 2013 AOB

1. Complications Report – Feb 2013

Team 1 – Hepatobiliary & Pancreatic Surgery + Anastomotic Leakage Potential M & M Case M & M

Team 1 – Hepatobiliary & Pancreatic Surgery (Cont’d 2/2) Should offer a follow-up appointment in Team 1 Clinic Dr. A. Fong will feedback to Dr. Yip the discussion of this case. Wound dehiscent

Team 2 – Upper Gastro-intestinal Surgery Anastomotic A patient with shallow affect

Team 3 – Colorectal Surgery Dr. Janet Lee is working on an analysis for the high rate of paralytic ileus Paralytic ileus

Team 3 – Colorectal Surgery (Cont’d 2/2) Indication for surgery - Team 3 should review the decision to offer a surgery

Team 4 – Vascular Surgery Prof. Paul Lai would ask Dr. Lam Y H to reconfirm the Feb 2013 statistics.

Plastic, Reconstructive and Aesthetic Surgery Add : ‘Haematoma’ Team should review management logistic especially in the use of anti-coagulant

Which comprises a few cases of pneumonia Neurosurgery Which comprises a few cases of pneumonia Add : ‘Haematoma’ Members should be aware of the proper use of anti-coagulant

Neurosurgery (Cont’d 2/2) The indications for Surgery were discussed

Paediatric Surgery and Paediatric Urology Team should alert nursing staff on infection

Paediatric Surgery and Paediatric Urology (Cont’d 2/2) Post-circumcision bleeding is usually technical Alfred to clarify

Suspected ‘morphine narcosis’ Urology Suspected ‘morphine narcosis’

Cardiothoracic Surgery Deleted as these are pre-existing condition

Cardiothoracic Surgery Massive effusion can be drained via the abdominal approach using laparoscope (though not recommended by anesthetists in this case) 18

2. AOB

Inauguration Ceremony of Wong Tze Lam - Hing Tak Centre of Surgical Outcome Research on 3 July 2013 – all members were invited to attend the ceremony HAHO SOMIP Steering committee meeting on 25 Apr 2013 – based on SOMIP data for the 1st half year (Jul- Dec 2012),  PWH is a poor outlier of emergency operation. GA list Cancellation – due to shortage of anesthetists – GA list cancellations will be implemented in July & Aug 2013 among all OT users.  Members were reminded to be prepared for this and explain to patients

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