Dr. Harry SIN
Intensive Care Unit
Queen Elizabeth Hospital
Dr. Sin is an intensive care specialist at Queen Elizabeth Hospital. He graduated from the Chinese University of Hong Kong and is a fellow of the Hong Kong College of Physicians, Royal College of Physicians of Edinburg and College of Intensive Care Medicine of Australia & New Zealand.
As a critical care physician, he has special interests in Trauma and Neurointensive Care. He worked as clinical fellow at the Neurosciences Critical Care Unit - Addenbrooke’s Hospital, Cambridge. He is currently the committee member of the Strategy and Planning of Trauma Steering Committee, Kowloon Central Cluster.
Dr. Sin is also a medical simulation instructor and has made great efforts to professional health education. He is appointed as the program co-director of the Hospital Authority Central Intern Orientation Program and Intern Simulation Training Boot Camp.
Traumatic Brain Injury (TBI), defined as an alternation in brain function or other evidence of brain pathology caused by an external force, is a common and serious medical condition. Globally, there was an estimated of 69 million (95% CI 64 – 74 million) individuals suffered from TBI each year, with major source of health loss and disabilities.
The traditional management goals in severe TBI patients are to stabilize hemodynamics and system oxygenation to prevent secondary brain injury. With better understanding of acute brain injury pathophysiology, such as loss of autoregulation & systemic inflammatory response, care is suboptimal if we only focus on prevention of increased intracranial pressure or decreased cerebral perfusion pressure.
Modern neurointensive care has refined new management strategies & protocols with implementation of multi-modality monitoring, neuroimaging and computerized data collection systems in order to improve clinical outcomes.
In this session, I am going to review on the advanced neuromonitoring in
1. Pressure reactivity index
2. Brain tissue oxygen