Dr. Andy NG
Associate Consultant, Department of Anaesthesiology, Queen Mary Hospital, Hong Kong
Dr Andy Ng is an associate consultant anaesthetist at Queen Mary Hospital. He was UK trained and completed his specialist training at the Yorkshire and Humber Deanery in 2016. His main clinical interests are anaesthesia for advanced airway, obstetric anaesthesia and perioperative medicine.
Dr. Cherry WANG
Service Resident, Department of Anaesthesiology, Queen Mary Hospital, Hong Kong
Dr Cherry Wang is a U.K. Speciality training registrar (ST7) in Anaesthesia who has worked in London since 2011. She is currently undertaking an out-of-programme in training year abroad (OOPT) in Queen Mary Hospital, Hong Kong and joined the department in December 2019. Her specialist interests include regional anaesthesia, medical education and perioperative medicine.
Emergency laparotomy in the adult general surgical population represents a heterogeneous group of surgical patients with a significant risk of mortality and morbidity. These patients often show signs of decompensation with minimal time to optimise. Within Europe, there is an eight-fold increase in mortality averages compared with elective admissions.
In the UK, implementation of a protocoled bundle of care has resulted in a reduction in 30-day mortality from 14.9% to 9.6% over 4 years. At present, there is no standardised approach to multidisciplinary emergency laparotomy care in Hong Kong. By examining the hospital process, logistics and risk-adjusted outcomes of this group of patients, we hope to generate data that can be used for quality improvement and quantify the unknown risks and complications that can occur due to emergency laparotomies.