Deadline for Abstract Submission:
19 September 2022
Deadline for Early-Bird Registration:
19 October 2022

Speakers

Dr. May MAN
Associate Consultant
Department of Intensive Care
Pamela Youde Nethersole Eastern Hospital
Hong Kong


Dr May Man is an associate consultant at the Department of Intensive Care, Pamela Youde Nethersole Eastern Hospital.

She has shown great interest in clinical research when she was higher trainee, and her research interests are critical care infections and sepsis. Being inspired by the department chief-of-service Dr Shum, who is the leading researcher in the critical care and nephrology field, Dr Man and Dr Shum published more than 20 articles on infection-related topics in the intensive care. In 2021, She was awarded the best original paper award by the Hong Kong Medical Journal. Recently, she is actively involved in the Hong Kong East Cluster Clinical Research Symposium and is currently reviewer of renowned journals, for example, Antibiotics, BMC Anaesthesiology.

To extend her passion in the field, she holds the post-graduate diploma of infectious disease, organized by the University of Hong Kong and is currently studying the Master of Infectious Disease at the London School of Hygiene and Tropical Medicine.


Abstract
Managing COVID Patients in PYNEH ICU

It has been more than two years since COVID-19 struck Hong Kong. To date, there are more than 800,000 confirmed cases locally, which has put tremendous stress on the healthcare system[1], of which the intensive care service was severely affected in the fifth wave.

To alleviate the strain on the healthcare system, early initiation of anti-virals, mass community vaccination program, appropriate public health measures on social distancing were implemented in attempt to effectively control the spread of COVID-19. Apart from invasive organ support, including high flow nasal oxygen, awake prone positioning was raised as a potentially useful intervention in managing critically ill patients.[2] Early case studies and randomized controlled trials demonstrated that awake proning in COVID-19 patients was beneficial in avoiding intubation, and even in reducing mortality but later studies showed conflicting results.[3, 4]

We would like to share with you some of our experience in managing COVID-19 patients and the possible ways of implementing awake prone positioning in those with moderate to severe acute respiratory distress syndrome (ARDS) with support of local and overseas evidence.[5]

References:

  1. Centre of Health Protection, H.K.S., Latest Situation of Coronavirus Disease (COVID-19) in Hong Kong. 2022.
  2. Bamford P, B.A., Dean J, et al., Ics guidance for prone positioning of the conscious COVID patient, 2020.     .
  3. Alhazzani, W., et al., Effect of Awake Prone Positioning on Endotracheal Intubation in Patients With COVID-19 and Acute Respiratory Failure: A Randomized Clinical Trial. JAMA, 2022. 327(21): p. 2104-2113.
  4. Ehrmann, S., et al., Awake prone positioning for COVID-19 acute hypoxaemic respiratory failure: a randomised, controlled, multinational, open-label meta-trial. Lancet Respir Med, 2021. 9(12): p. 1387-1395.
  5. Man-Yee, M., et al., Prong positioning in non-intubated patients with coronavirus- A single-centre experience in Hong Kong. June 16, 2021, Hong Kong Journal of Emergency Medicine.

 

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