Free Paper Presentation
Date: 19 November 2022 (Saturday)
Time: 12:30 – 13:30
Moderator: Dr. Jessica TSANG

Speakers & Topics:
Analgesic Efficacy of Transversus Thoracis Muscle Plane (TTP) Block in Post-sternotomy Pain after Cardiac Surgery: Pilot Feasibility Study
Dr. Henry WONG (Hong Kong)

Single Lung Ventilation in Neonate for Tracheal Oesophageal Fistula Repair
Dr. Anne KWAN (Hong Kong)

Incidence, Hospital Mortality, and Trends of Sepsis in Hong Kong Using Objective Clinical Criteria from Electronic Health Record Data, 2009-2018
Mr. Jack Zhenhe ZHANG (Hong Kong)

Audit on One-Year's Focused Transthoracic Echocardiography Performed as Part of Preoperative Assessment in a Regional Hospital
Dr. Kin-Chung TSE (Hong Kong)

Perioperative Brain Health Initiative - a Protocol of Action
Dr. Daniel LUI (Hong Kong)

Trainee Projects’ Presentation
Date: 19 November 2022 (Saturday)
Time: 13:30 – 15:00
Moderator: Dr. Lydia LAU
Judges: Dr. Hing-Yu SO, Dr. Timmy CHAN, Dr. Henry WONG

Speakers & Topics:
Obesity and Perioperative Complications of Gynaecological Laparoscopic Surgery. A Retrospective Cohort Study in a Single Public Institution
Dr. Ho Chun Stephen WU (Hong Kong)

Perioperative Management of Intrathoracic Paraganglioma
Dr. Kwok To WONG (Hong Kong)

Case Series on the Use of Extracorporeal Life Support in Central Airway Obstruction in a Tertiary Institution in Hong Kong
Dr. Tan Hun Justin TSUI (Hong Kong)

Audit on Performance of Massive Blood Loss Management Guideline
Dr. Kai Ming LO (Hong Kong)

Effect of Anesthesia Depth on Postoperative Delirium and Postoperative Cognitive Dysfunction in High Risk Patients: an Updated Systematic Review and Meta-analysis
Dr. Loni LING (Hong Kong)

Nursing Symposium
Date: 20 November 2022 (Sunday)
Time: 09:00 – 10:30
Speakers: Ms. Renee YIP, Ms. Peggy TSUNG, Mr. Cheuk-Wai KAM (Hong Kong)

The COVID-19 pandemic has been posing a huge challenge for healthcare workers worldwide. Sustained enthusiasm of our nurses is crucial to the pathway of better perioperative care for our surgical patients. This year, we continue the hybrid nursing symposium program by sharing expertise on the adoption of artificial intelligence on an inquiry platform for patient's families, enhancement on perioperative warming, and revision of surgical school to enhance perioperative care. Hopefully all participants would have a fruitful and enjoyable learning experience in this nursing symposium.

Workshop 1: Crisis Workshop
Date: 19 November 2022 (Saturday)
Time: 10:00 – 12:00
Instructor: Dr. Eric CHUNG (Hong Kong)
Facilitators and Speakers: Dr. Albert CHAN, Dr. Anna FUNG, Dr. Vivian LAU, Dr. Louis MOK, Dr. Sherry TANG, Dr. Jasmin TONG, Dr. Caleb TSANG (Hong Kong)

In Chinese, the written word for ‘Crisis’ can be translated to ‘Wei Ji’, which is formed by combining 2 separate words of ‘Wei’ = Danger, and ‘Ji’ = opportunity. This has probably come from the ancient teachings about how we solve anticipated or unanticipated mystical, political or environmental problems that arise everyday whilst seeking opportunity to thrive.  Anaesthesia crises are rather uncommon especially in the experienced and well-planned anaesthetist. However, when it happens, anaesthetist must be able to manage it effectively to prevent morbidity or mortality for our patient.  It is because the rarity of a crisis occurrence and yet the serious consequence of an ineffectively managed crisis, that a simulation-based crisis workshop would be extremely valuable for our participants.  We will run 2 simulation-based crisis scenarios, targeting specialist anaesthetists. Debriefing session by highly qualified simulation trainers would be available afterwards to ensure you learn a lesson effectively and efficiently, without having to experience a true clinical crisis nor bare the responsibility of any untoward events.

Workshop 2: Perioperative Cardiopulmonary Exercise Testing (CPET) Workshop
Date: 19 November 2022 (Saturday)
Time: 13:30 – 17:00
Speakers: Dr. Benny CHENG, Dr. Carmen LAM, Dr. HS LIM, Dr. Vivian LAU, Dr. Leo CHIU, Dr. Wing WONG, Dr. Gerund CHEUNG, Mr. Jacky YAU, Mr. Ka-Kuen CHAN, Ms. Jasmine TAM, Mr. Ken Long-Hin TUNG (Hong Kong)

“Is this patient fit for surgery?” this is one of the most commonly raised questions in preoperative assessment.  The Cardiopulmonary Exercise Test aims to provide an objective and integrated evaluation of physical fitness. It yields an individualized risk profile in order to guide collaborative decision-making, to characterize functional capacity, and to predict whether the patients will tolerate the physiological stresses provoked by surgeries. The test-guided patient-specific prehabilitation, surgical and anaesthetic practice could ultimately translate to improved patient outcomes.  In this workshop we’ll have a live demonstration of CPET, followed by case-based discussions. We would like to guide you through a wide range of topics, including the physiological basis of cardiorespiratory responses to exercises, practical tips and test interpretations. We would also love to share with you some local experience of our faculties.

Workshop 3: Transoesophageal Doppler Haemodynamics Workshop
Date: 19 November 2022 (Saturday)
Time: 15:00 – 17:00
Facilitator: Dr. Howard WAKELING (United Kingdom) 
Sponsor: Pacific Medical Systems Limited

"Application of Transoesophageal Doppler for Intra-Operative Haemodynamic Management and Practical Tips"

In this practical workshop we cover the importance of perioperative hemodynamic optimization, or goal-directed therapy (GDT), which has been shown to significantly decrease complications and risk of death in patients undergoing moderate to major surgeries.  An important aim of GDT is to prevent an imbalance between oxygen delivery and oxygen consumption in order to avoid the development of multiple organ dysfunction. The utilization of cardiac output monitoring in the perioperative period, such as the Deltex Oesophageal Doppler Monitor (ODM), recommended by the NICE (UK) guidelines on perioperative fluid management, has been shown to improve outcomes if integrated into a GDT strategy.  GDT guided by dynamic predictors of fluid responsiveness or functional haemodynamics with the Deltex ODM minimally invasive cardiac output monitor is suitable for the majority of patients undergoing surgery.

For patients at higher risk of complications and death, such as those with advanced age and limited cardiorespiratory reserve, alternative anaesthetic management, such as the use of Ketamine and the addition of inotropes to the treatment algorithm, to maximize oxygen delivery, is associated with better outcomes.

We look forward to your participation and engagement.

Workshop 4: Ultrasound for Regional Anaesthesia and Pain Management for the Shoulder and Hip
Date: 20 November 2022 (Sunday)
Time: 09:00 – 11:00
Instructors: Dr. Wing-Sang CHAN, Dr. Sunny LEE, Dr. Sumire SASAKI (Hong Kong)
Facilitators: Dr. Alex Shing-Chau CHAN, Dr. Tom CHAN, Dr. Will CHAN, Dr. Gareth CHENG, Dr. Dickson CHEUNG, Dr. Aaron LEE, Dr. Henry MAK, Dr. Fiona TSUI, Dr. Stephen WU (Hong Kong)

Shoulder and hip surgery are commonly encountered in daily anaesthetic practice. These areas are amenable to regional nerve blocks, which can reduce surgical stress, provide stable haemodynamics and better post-operative pain control. These areas are also common sites for patients to present with chronic pain, due to degenerative changes and microtrauma, among others. USG-guided injections or nerve blocks and neurolysis can be done for effective pain relief. In this workshop, we will go through USG anatomy and scanning techniques of the shoulder and hip, to facilitate nerve blocks for perioperative anaesthesia or analgesia, and pain interventions of these areas.

Workshop 5: How to Thrive in a Demanding Workplace: Tackling Anaesthesiologists’ Burnout with Positive Psychology
Date: 20 November 2022 (Sunday)
Time: 10:30 – 12:30
Speaker: Mr. Carl CHUNG (Hong Kong)
Facilitators: Dr. Albert CHAN, Dr. Vansie KWOK, Dr. Vivian LAU, Dr. Clara POON (Hong Kong)
Target Audience:  “Young fellows within 10 years of fellowship” and “High trainees who have completed part 2 exam in the perifellowship year”

While many causes of burnout among doctors originate from the work environment which is beyond their control, burnout is posing threats to doctors. A territory-wide cross-sectional survey in 2021 indicates a high prevalence of burnout among young doctors in Hong Kong. Due to various reasons, doctors themselves are often not aware of the consequence of burnout until their stress accumulates and crosses the threshold. Apart from exhaustion, robust research has identified association between physician burnout and increased medical errors, increased medical malpractice, and the shortening of their professional life span.

Through the lens of positive psychology and mutual sharing of personal experiences between facilitators and participants, this interactive workshop aims to equip anaesthesiologists with i) a method for evaluation of one’s psychological wellbeing, ii) preventive measures to personal burnout, and iii) practical tips on how to empower anaesthesiologists to promulgate positive psychology within their own organisations to support each other’s well being. We will focus on positive psychology strategies to build rapport, to manage tough situations that we may encounter as anaesthesiologists, and to face feedback in the workplace — with the ultimate goal of helping all of us thrive in a demanding workplace!

Workshop 6: ROTEM-guided Bleeding Management: Interactive Case Discussions in Different Clinical Settings
Date: 20 November 2022 (Sunday)
Time: 13:30 – 15:30
Speaker: Dr. Klaus GOERLINGER (Germany)
Facilitators: Dr. Dickson CHEUNG, Mr. Charles CHAN, Ms. Maggie CHAN, Ms. Celine CHENG,  Mr. Gordon HUI, Mr. Amanda LAM, Mr. Andy LEE, Mr. Simon TANG (Hong Kong)
Sponsor: Werfen Hong Kong Limited

Blood is Precious, Every Drop Counts. A guided and evidence-based protocol provides a new transfusion approach for bleeding management.  Save the blood and put the patient safety as the top priority by controlling the patient blood loss at the soonest.  ROTEM (rotational thromboelastometry) - guided testing can provide real-time coagulation status and the fibrinolytic stage of the patient. Anesthetists can use such information to respond effectively in acute hemorrhage with target therapy.  This fast emerging, reliable point of care test requires experiential learning to prepare anesthetists to manage the occurrence of most critical events. Case simulation is the preferred method to address these learning needs.

In this workshop, we will design few simulations of clinical scenarios involving various coagulopathies and interventions. We will go through the data interpretation of the ROTEM (rotational thromboelastometry) and have a hands-on session to run a test with the help of our facilitators.  It can be a clinical crisis without stopping the patient to bleed. Should a guided therapy approach help you with clear direction and decision in critical events. Practice makes perfect, please join us to this simulation workshop to explore more possibilities on the Rotem (rotational thromboelastometry) testing.