Dr Li Hsee
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MB BCh BAO FRACS FACS
Consultant Trauma and Emergency Surgeon, Auckland City Hospital, NZ Dr Li Hsee is a Consultant Trauma and Emergency Surgeon at Auckland City Hospital. He is the current Head of Department in General Surgery. Dr Hsee is the immediate past Chair of the Aotearoa New Zealand Trauma Committee and is a member of the Royal Australasian General Surgery Court of Examiners. Dr Hsee is the Auckland Director of the Definitive Surgical Trauma course (DSTC). He completed his surgical fellowships at Auckland City Hospital and Sunnybrook Trauma Centre in Toronto, Canada. Dr Hsee was a NSQIP scholar of the American College of Surgeons in 2015. He is on the Emergency Management of Surgical Trauma (EMST/ATLS) committee and serves as an executive at Australia New Zealand Association for Surgical Trauma (ANZAST). Dr Hsee was the Unit Director and the foundation surgeon for the Acute Surgical Unit (ASU) at Auckland City Hospital. He was responsible for the development and implementation of the first ASU in New Zealand.
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Surgical Approaches to Severe Chest Trauma
Chest trauma can cause significant morbidity and mortality. In New Zealand, similar to other parts of the world, blunt chest trauma is more common than penetrating. Motor vehicle collisions and falls are the two main mechanisms that account for a high number of chest injuries in New Zealand. Severe chest injury can be challenging to treat. This cohort comprises of up to 20 - 25% of trauma deaths per annum. However, only 10% of patients with chest trauma require operative intervention.
With severe chest wall injury there should be a robust management system that includes multidisciplinary input within the hospital. At Te Toka Tumai, Auckland City Hospital, there is a robust clinical pathway and a dedicated acute pain service assessment. International studies have shown patients with flail chest management in ICU that require mechanical ventilation will benefit from rib stabilisation surgery to decrease major complications such as pneumonia and the need for a tracheostomy. Patients with intractable pain not responding to advanced analgesia and those with anatomical anomaly may benefit from surgery in selected cases. In this presentation, we will explore the indications for rib stabilisation surgery in the clinical context.
With severe chest wall injury there should be a robust management system that includes multidisciplinary input within the hospital. At Te Toka Tumai, Auckland City Hospital, there is a robust clinical pathway and a dedicated acute pain service assessment. International studies have shown patients with flail chest management in ICU that require mechanical ventilation will benefit from rib stabilisation surgery to decrease major complications such as pneumonia and the need for a tracheostomy. Patients with intractable pain not responding to advanced analgesia and those with anatomical anomaly may benefit from surgery in selected cases. In this presentation, we will explore the indications for rib stabilisation surgery in the clinical context.
