1. 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

2. 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

3. Items discussed
Complications report – Feb 2013
AOB

4. 1. Complications Report – Feb 2013

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

6. 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

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

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

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

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

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

12. 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

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

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

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

16. Suspected ‘morphine narcosis’
Urology
Suspected ‘morphine narcosis’

17. Cardiothoracic Surgery
Deleted as these are pre-existing condition

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

19. 2. AOB

20. 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

21. END