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Prof Hwang Nian Chih

Prof Hwang Nian Chih


Senior Consultant

Director, Cardiothoracic Anaesthesia & Director, Postgraduate Medical Institute

Specialty: Anaesthesiology

Sub-specialties: Cardiothoracic Anaesthesia

Clinical Appointments

  • Postgraduate Medical Institute Singapore General HospitalSingapore General Hospital
  • Head and Senior Consultant Department of Cardiothoracic Anaesthesia National Heart Centre SingaporeNational Heart Centre Singapore
  • Senior Consultant Anaesthesiology Singapore General HospitalSingapore General Hospital

Academic Appointments

  • Professor SingHealth Duke-NUS Anaesthesiology & Perioperative Sciences Academic Clinical Programme


Dr Hwang, a Singaporean, graduated with MBBS from the National University of Singapore in 1985. He began his training in anaesthesia in the Singapore General Hospital in 1987 and continued his anaesthesia training in the UK. While working at the Manchester Royal Infirmary, UK, in 1992, he obtained his FFARCSI. From mid-1995 to mid-1996, Dr Hwang received his training in Cardiothoracic Anaesthesia at the John Radcliffe Hospital, Oxford, UK. After his return to Singapore, he helped to set up the cardiothoracic anaesthetic service in Singapore General Hospital.


Professional Appointments and Committee Memberships

  • Senior Consultant and Director of Cardiothoracic Anaesthesia in the Department of Anaesthesiology in Singapore General Hospital 
  • Head, Department of Cardiothoracic Anaesthesia in National Heart Centre, Singapore 
  • Director, Postgraduate Medical Institute 
  • Professor, Duke-NUS Medical School, Singapore 
  • Associate Professor, Department of Anaesthesia, Yong Loo Lin School of Medicine, National University of Singapore 
  • Mentor to undergraduate medical students, Yong Loo Lin School of Medicine, Singapore. 
  • Examiner, Division of Graduate Medical studies, Yong Loo Lin School of Medicine, Singapore 
  • Chairperson, Cardiothoracic anaesthesia subcommittee of the Singapore Society of Anaesthesiologists 
  • Member, Transitional Year Residency Programme Review Committee, Ministry of Health, Singapore 
  • Member, Safety and Quality of Practice Standing Committee, World Federation of Society of Anaesthesiologists 
  • Executive, Asian Society of Cardiovascular Anesthesiologists 
  • Editor, ASEAN Journal of Anaesthesiology, a publication of Confederation of Societies of Anaesthesiologists 
  • Chief Editor, Proceedings of Singapore Healthcare, a publication of SingHealth Academy, SHS


  • 2008 EXSA Award (Star) (2008) 
  • GCEO Excellence Award (Professional Category)(2008) 
  • Spring Singapore Gold Award for CPIP group project (2005) 
  • Finalist, Young Investigator's Award, SGH (1995) 
  • Dermatological Society of Singapore Book Prize (1985)

Research Interests

  • Postoperative outcome prediction


  • Combined heart-liver transplantation with extended cardiopulmonary bypass. Singapore Med J. 2011 Mar;52(3):e48-51. 
  • Percutaneous transcatheter aortic valve replacement: first transpical implant in Asia. Singapore Med J 2010 Jan; 51(1):69-72 
  • Percutaneous transcatheter aortic valve replacement: first transfemoral implant in Asia. Singapore Med J. 2009 May;50(5):534-7. 
  • Quadriparesis after cardiac surgery: a case report. Journal of Cardiovascular and Thoracic Anesthesia. 2008 Aug;22(4):587-9. 
  • Less traumatic method of inserting nasotracheal; tube in children. Pediatric Anesthesia 2008; 18:355-6 
  • ProSeal laryngeal mask airway in a myasthenia gravis patient for thymectomy. Anaesth Intensive Care. 2007 Apr;35(2):310. 
  • Measurement of cardiac output using Physio Flow with different positions of electrode placement. Singapore Med J. 2006 Nov;47(11):967-70. 
  • A statistical analysis of factors predisposing patients to heparin resistance. Perfusion 2006;21:99-103. 
  • The effect of mixing lidocaine with propofol on the dose of propofol required for induction of anesthesia. Anesth Analg. 2003 Aug;97(2):461-4. 
  • Inhalation of nitrous oxide reduces the induction dose of propofol. Anesthesia and Analgesia 2000; 90:1213-6. 
  • Changing the institutional practice of prolonged mechanical ventilation after cardiac surgery to early extubation. Ann Acad Med Singapore 1999; 28:534-41. 
  • The intubating laryngeal mask (ILM) - Preliminary experience. British Journal of Anaesthesia 1998;81:610-1. 
  • Hepcon vs Celite activated clotting time guided management of anti-coagulation for cardiopulmonary bypass. Department of clinical research. Singapore General Hospital. Annual report 1998:8. 
  • Use of patient-controlled analgesia with alfentanil for burns dressing procedures: a preliminary report of five patients. Burns 1996;22(3):238-41. 
  • Subclavian Venous Cannulation -Reducing the Risk of Pneumothorax. International Journal of Intensive Care 1995;2:10-1. 

Research Trials