125Years of Anaesthesia inHongKong

303 Pages·2014·15.82 MB·English

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, 回 顧 與 前 瞻 : 香 港 麻 醉 一 百 二 十 五 年

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P A S T , P R E S E N T A N D F U T U R E
T he College emblem is plainly symbolic: n T he SAHK emblem features an imposing
a golden dragon is entwined around a a dragon, bearing two spheres in its right
e
poppy plant, a source of pain relief and s fore-claw and three in the left. In its left
t
anaesthesia. Surrounding this dragon-poppy symbol h hind-claw, the dragon grasps the Caduceus staff,
is the official title of the Hong Kong College of e representative of the art and science of medicine.
s
Anaesthesiologists and the College motto in Chinese, i The legendary dragon is symbolic of the Chinese
a
which reads: Vigilance Ensures Safety. people. The five spheres in its claws are the chemical
i
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symbols for nitrous oxide and oxygen, an anaesthetic

H introduced in the last quarter of the 19th century
by Edmund Andrews. The monochrome version
o
of this emblem gives the impression that there are
n
g rings in the claws of the dragon. In the multicolour

version, however, the rings transform into coloured
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spheres, representing chemical molecules. The
o
n two white spheres in the right claw of the dragon
g represent the oxygen molecules. The left claw holds
one white sphere and two blue spheres, representing
the cluster of one oxygen molecule and two nitrogen
molecules comprising the chemical formula for
nitrous oxide. The symbolism of the SAHK emblem
ISBN 9789889742607
90000 > was envisioned by Dr T.M. Moles and formalized by
the Society Council in the late 1980s.
HKAM
9 789889 742607
P r e s s
Dedicated
to Hong Kong Anaesthesiologists…

回 顧 與 前 瞻 :香 港 麻 醉 一 百 二 十 五 年
ears of naesthesia
Y A
in ong ong
H K
P A S T , P R E S E N T A N D F U T U R E
The mace of the Hong Kong College of Anaesthesiologists.
This mace was crafted in Sri Lanka according to instructions kindly provided by Dr Chandra Rodrigo.
125
回 顧 與 前 瞻 : 香 港 麻 醉 一 百 二 十 五 年
ears of naesthesia
Y A
in ong ong
H K
P A S T , P R E S E N T A N D F U T U R E
Hong Kong Academy of Medicine Press
Room 901, 9/F, Hong Kong Academy of Medicine Jockey Club Building,
99 Wong Chuk Hang Road, Aberdeen, Hong Kong
Copyright © 2014 The Society of Anaesthetists of Hong Kong and the
Hong Kong College of Anaesthesiologists
ISBN 978-988-97426-0-7
Copyright and Disclaimer
The editors and authors have done their utmost to ensure the accuracy of all
information published. The authors alone are responsible for the views expressed
in this publication and do not necessarily represent the views of the Society of
Anaesthetists of Hong Kong and the Hong Kong College of Anaesthesiologists.
In the event of any dispute, the Society, the College and the publisher shall not
be liable for any damages incurred as a result of the use of this publication.
No part of this publication may be reproduced, stored in a retrieval system
or transmitted in any form or by any means without the written permission
of the Society of Anaesthetists of Hong Kong and the Hong Kong College
of Anaesthesiologists.
Requests for permission to reproduce any material and other enquiries should
be directed to the Hong Kong College of Anaesthesiologists, Room 807, 8/F,
Hong Kong Academy of Medicine Jockey Club Building,
99 Wong Chuk Hang Road, Aberdeen, Hong Kong.
Book design by Lea & Ink design
E D I T O R I A L B O A R D
Co-Chief Editors The editorial board would
Dr Simon Chan like to express its deepest
gratitude to all contributors
Dr Steven Wong
for their selfless efforts
in sharing their views
Members
on, and experience in,
Dr Timmy Chan
anaesthesiology in Hong
Dr Phoon-Ping Chen Kong. The irreplaceable
Associate Professor Chi-Wai Cheung photographs contributed
Ms Kristy Cheung by Dr Desmond Lam,
Dr S.L. Tsui, Dr P.P.
Dr Arthur Chung
Chen, Dr Florence Tai,
Dr Grace Hui
Dr C.T. Hung, and Ms
Dr Chi-Hung Koo
Florence Szeto are greatly
Dr Doris Leung
appreciated. Our thanks also
Dr John Liu go to Dr S.K. Ng for the
Dr Lai-Ming Ng Chinese translation of this
monograph’s title. Valuable
Advisors opinions from the advisory
team of Dr C.T. Hung,
Dr Chi-Tim Hung
Dr Ronald Lo, Dr T.W.
Dr Tsun-Woon Lee
Lee, and Dr S.L. Tsui have
Dr Ronald Lo
laid the foundation of this
Dr Siu-Lun Tsui commemorative monograph.
And lastly, special thanks
go to Ms Kristy Cheung of
the Hong Kong College of
Anaesthesiologists and Ms
Yvonne Kwok, Managing
Editor of the Hong Kong
Academy of Medicine Press,
for their sleepless nights
devoted to this important
assemblage of text and
artwork for the Society of
Anaesthetists of Hong Kong
and the Hong Kong College
of Anaesthesiologists.
iii
C O N T E N T S
iii Editorial Board
1 Preface Simon Chan, Steven Wong
3 Message from the Presidents Michael Irwin, Chow Yu-fat
6 Timeline
Section I
10 1842 – 1954 : The Beginning
12 Chapter 1: Early Days of Medicine and Anaesthesia in Hong Kong
Ronald Lo and Zoltan Lett
19 Chapter 2: Anaesthesiology in Hong Kong: A Surgeon’s Perspective
C.H. Leong
Section II
24 1954 – 1989 : Growth and Development
26 Chapter 3: The Founding of the Society of Anaesthetists of Hong Kong
Ronald Lo and Zoltan Lett
34 Chapter 4: The First 35 Years of the Society of Anaesthetists of
Hong Kong Lee Tsun-woon
38 Chapter 5: The Formation of the Hong Kong College of Anaesthesiologists
Ivan Houghton
44 Chapter 6: Intensive Care Medicine Before the Hong Kong College
of Anaesthesiologists Tom Buckley
50 Chapter 7: Anaesthesia and Surgery: A Personal Perspective
Arthur K.C. Li
iv
Section III
54 1989 – 2014: Evolution and Diversification
56 Chapter 8: The Hong Kong College of Anaesthesiologists: The First 25 Years
The Early Period C.T. Hung
The Last 12 Years and Looking Ahead Tony Gin
68 Chapter 9: The Society of Anaesthetists of Hong Kong in the 21st Century
Cheung Chi-wai and Steven Wong
72 Chapter 10: Anaesthesiology and Intensive Care in Hong Kong 1988–1998:
A Golden Decade Teik E. Oh
75 Chapter 11: Development of Pain Medicine in Hong Kong
S.L. Tsui and Joseph C.S. Yang
80 Chapter 12: Simulation-based Education in Hong Kong:
Contributions of Anaesthesiologists P.P. Chen
89 Chapter 13: College Educational Activities Douglas Fok and C.H. Koo
100 Chapter 14: Anaesthetists and the Community Anne Kwan
105 Chapter 15: The Relationship with Our Sister Anaesthesiology
Communities: China and Macau Cheung Chi-wai
111 Chapter 16: The Role in Hong Kong of the Australian and
New Zealand College of Anaesthetists Simon Chan
Section IV
116 Beyond 2014 – Riding Opportunity
118 Chapter 17: The Future of Anaesthesiology in Hong Kong
Michael Irwin and Chow Yu-fat
123 Chapter 18: Pain Medicine in Hong Kong: The New Era Steven Wong
130 Chapter 19: Looking to the Future for Intensive Care in Hong Kong
Gavin M. Joynt
140 Chapter 20: Translational Research and the Future of Anaesthesiology
in Mainland China Jin Liu
146 Chapter 21: Anaesthesiology in Singapore and Hong Kong:
Similarities and Differences Chen Fun-gee
152 Chapter 22: Ambulatory Patients: Ambulatory Anaesthesiologists John Low
164 Chapter 23: The View from Future Anaesthesiologists:
What Lies in the Future? Nick T.K. Tsui, Stanley Wong, Rowena Lee
170 Chapter 24: Anaesthesiologists Outside the Theatre: Past and Future
Libby Lee
174 Chapter 25: The Hong Kong Academy of Medicine and the
Hong Kong College of Anaesthesiologists: The Next Ten Years Donald Li
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Section V
178 Development of Anaesthesiology:
Perspective from a Department
180 Chapter 26: The University of Hong Kong Ross Holland and Michael Irwin
188 Chapter 27: The Chinese University of Hong Kong
The Viewpoint from the First Professor of Anaesthesiology in Hong Kong
Andrew Thornton
Academic Anaesthesia in Hong Kong at the Department of Anaesthesia
and Intensive Care Tony Gin
199 Chapter 28: Queen Mary Hospital Susan Joyce Wong
205 Chapter 29: Queen Elizabeth Hospital Amy Lam
217 Chapter 30: Grantham Hospital Devasirvatham Sudhaman
225 Chapter 31: Alice Ho Miu Ling Nethersole Hospital Jean Allison
232 Chapter 32: Prince of Wales Hospital Cindy Aun and Amy Cho
241 Chapter 33: Kwong Wah Hospital Lee Ying-yin
247 Chapter 34: United Christian Hospital Clement Yuan
254 Chapter 35: The Duchess of Kent Children’s Hospital Bernadette F.M. Chow
261 Chapter 36: Pamela Youde Nethersole Eastern Hospital
Walking with Nethersole: A Journey from Bonham Road to Lok Man Road
Wallace Chiu
266 Chapter 37: Alice Ho Miu Ling Nethersole Hospital H.Y. So
273 Chapter 38: Tuen Mun Hospital Sathasivam Anandaciva
277 Chapter 39: Tseung Kwan O Hospital Cheng Hung-kai
283 Chapter 40: North District Hospital Sze Tak-suen
287 Photo Credits
288 Index
vi