3 dn srinath-ge_complete-anaesthesiology_ncas_2011

GE Healthcare Technology in the Operating Room

DN.Srinath

Business Manager

2 This is GE Healthcare 2011

Founded by Thomas Edison in 1878

Only company from the original

1896 Dow Jones index still listed today

290,000 employees world-wide

Operating in more than 150 global

locations

$150 billion revenue in 2010

General Electric – A heritage of innovation


General Electric today GE Energy Infrastructure

GE Capital

Home & Business

Solutions, Media

Energy

Oil & Gas

Power & Water

Healthcare

Aviation

Transportation


GE Healthcare

$17 billion global business unit of

GE

53,000 employees

worldwide

$1 billion+/year investment in R&D

Core strengths in bio-sciences, technology, business


Global Research HQ Niskayuna, NY

John F. Welch Technology Center Bangalore, India

China Technology Center Shanghai, China

Global Research - Europe Munich, Germany

© 2010, General Electric Company

Global Research Center

Rio de Janeiro, Brazil

Coming 2012

3,000 scientists & technologists strong in 5 global research facilities


Healthcare Systems

Anesthesia Delivery

Bone Densitometry

Computed Tomography

Diagnostic Cardiology

Home Health

Interventional

Life Support Solutions

Maternal Infant Care

Molecular Imaging

Patient Care Solutions

Advancing every phase of patient care, from diagnostic imaging to routine testing to life-critical care.

Magnetic Resonance Imaging

Respiratory & Sleep

Service

X-ray

Ultrasound


The

environment


Healthcare trends Patient-centric care

• Better health for more people at lower cost

Towards wellness and prevention

• From post-symptomatic diagnosis to pre-symptomatic screening

• Improved access through telehealth

Clinical convergence

• Diagnostic tests (in vivo and in vitro)

• Diagnosis linked to therapy

• Convergence of pharma / diagnostic industries

Productivity and „cost-out‟ driven

• Reimbursement pressure on providers

Information driven

• Payors demand rigorous cost/benefit analysis

• Accessible and actionable patient information


Need for a fundamental change…

Heart Disease Cancer Brain Disorders

Aging population People with multiple diseases

Treatment costs Productivity loss


How can GE help?


The need for healthcare innovation

Technology for lower-cost outcomes

• Targeted & “ just what you need” technologies and services.

Rural & other underserved focus

• Health essentials: water & energy, financing.

Consumer-driven health

• More innovations outside of hospitals (e.g. homes, retail settings).

• Consumer awareness, motivation.

Accelerate healthcare IT

• Enable physicians through decision support, productivity tools & financing.

Best Solutions

Healthcare is changing around the world…so is

GE.

” Big health challenges“ • Rise in chronic and costly diseases:

Alzheimer‟s, cancer, congestive heart failure, cancer, obesity.

• Aging populations.

Broaden technology & services

• Innovation that drives access & productivity.

Global vs. local responses

• Local solutions with global applicability.

• Tools to address rural health.

Healthcare Needs


healthymagination

Addressing important global healthcare needs

$6 billion commitment to making health sustainable

Improve quality and efficiency by simplifying

ways of driving best standards of care

Increase access to better health for more people

through low-cost innovation, education, and financing

Reduce the cost of health procedures and

practices through GE technologies and services


Ways this may benefit…

Underserved people will have more access to better health technology and services such as water, energy and GE Healthcare solutions.

People will be able to access quality health from home and will have education and tools on a variety of health and prevention topics.

Our world

More doctors and hospitals will have access to lower-cost and more targeted health products and IT through GE Capital financing.

GE will help health providers become safer and more efficient through IT solutions and process improvements.

Healthcare


How can GE Healthcare

address new challenges in

OR of Ambulatory Surgery

& imaging needs in

Ultrasound Guided Regional

Anesthesia & Pain

Management ?


100 years in Anesthesia .

A quarter million anesthesia machines.

1910. Teter

Anesthesia

Machine

1912.

Monovalve

anesthesia

machine

1922.

Heidbrink

Junior

1935.

Heidbrink

212A

1963.

Ohio 4000

1963.

Unitrol

1966.

Ohio

DM5000

1978.

Ohio 30/70

1980

Modulus

1983

Mod 2

1987

Excel

1995

AS/3l

1998

Aestiva

2003

Aespire

2003

Avance

2010

Aisys

with Et

control

2003

Aisys

“Listening to us has resulted in

a comprehensive family of

anesthesia delivery solutions,

monitoring systems, information

management, training, service

and education.”

“GE has more firsts than

any other anesthesia

company, bar none.”

“Every time GE develops a

new anesthesia delivery

solution, they bring 100 years

of history to the table.”

“Knowing that GE is the

global leader in anesthesia

makes it that much easier

for us.”

“GE has a deep history of

innovation in anesthesia from

which it build-upon like no one

else can.”

“To see GE‟s future, just look

to its past”

“GE‟s anesthesia innovation in

service is just as relevant as its

innovation in product”


Fragmented Technology =

ergonomic problems

Echocardiograph integration on Perioperative Carestation

Personalized Point of Care Management

-

Pharmacogenomics

Perioperative with balanced

anesthesia, crisis management,

device diagnostics, and Clinical IT

Acute Care device and clinical IT

integration Systems

integration of UI,

parameters and

info systems

Anesthesia-specific clinical feedback

(Entropy/Analgesia) to inhalation and iv

therapy

Best integrated point of care solution,

assisting caregivers to deliver truly safe

personalized clinical practice and

decision management.

“Seamless Information

mediating clinical

applications

for Personalized

Patient Care"

“Analog/Disparate

Information"

“Partial Integration/

Limited Connectivity"

Multiple stacked boxes/

Drug delivery

Interfaced workstation

of monitoring & therapy

dev

Intrinsic (natural) Integration

Carestation Vision


Wireless

Point of care Ultrasound - Anesthesia The Surgical & AN Perspective


Ultrasound-Guided RNBs

Situation Overview Surgery and Anesthesia are intricately linked peri-operatively to

guide a patient comfortably through the surgical process and on

to recovery or rehabilitation. As Anesthesiologists consider

adding the benefits of an ultrasound-guided Regional Nerve Block

(RNB) program to their anesthesia delivery options, the surgical

team (surgeons/PACU nurses) becomes key stakeholders in the

decision. The surgical team is a direct beneficiary of the workflow

benefits of using ultrasound-guided RNBs by Anesthesia,

although some mis-information/myths exists within this

community. Further, because the surgical suite is a highly

profitable department within the hospital (or surgery center), the

surgeon holds an enviable position with Administration. This

makes them a desirable champion and ally in securing the funds

and workflow changes necessary to smoothly and efficiently

integrate ultrasound/RNBs in their O.R./surgical department to

realize the overall cost benefits.

KEY POINTS

- Surgery and Anesthesia are intricately linked in the OR

- The Surgeon/Anesthesiologist relationship can be tenuous

- Surgical team (surgeons/nurses) are key RNB stakeholders

- Some miss-info/myths exist w/surgery team regarding U/S

RNBs

- RNB programs change O.R. workflow and resource allocation

- RNB require a resource shift with more pre-op and less post-op

- Surgeons have CxO respect - can be u/s fund

promoter/detractor

Making AN & Surgeons Champions of

Ultrasound


AN Audiences/Influencers

Accelerate Adoption • u/s is hot AN topic

• Evidence accumulating

• Education critical

Justify Purchase • Economics required

• Quality/Safety/Cost

• Patient Satisfaction

Support Coverage • Evidence-based

• Quality/Safety/Cost

• ROI for HC system

Awareness Pull •Avoid post-op pain, POVN

•Min. Opioid/pain med use

•Pain-free rehab w/confidence

Surgeon/Nurse • Easier for “me”

• Productivity gains post-op

• Patient/Staff Satisfaction

A tool for this audience


ICU

Ultrasound Value Chain for Anesthesia Workflow Comparison Gen An vs Ultrasound RNBs:

PACU

OR

PRE-OP

HOME

Arrival Intubate Surgery Emergence Post-Op Recovery

PACU

OR

PRE-OP

Surgery Recovery

Prep

Blx Set Arrival UGNB

HOME

Unintended Admittance

Ge

n A

n. W

ork

flo

w

Ultra

so

un

d W

ork

flo

w

•Pain

•PONV

•Bladder Retention

•Constipation

•Arrive

•Prep

•Sedate

•In-theater intubation for gen AN

•Surgery

•Anesthesia Emergence pre-PACU

•Earlier arrival

•Administer RNB

•Pre-op Block set time

• Patient rolled in ready

• Surgery

• Pot. no intubate/emergence •Pain- free recovery, happy nurses

•No PONV or other complications to delay discharge

•Reduce PACU LoS or potential to skip PACU altogether

•Pat on-to life/rehab quicker

• Pre-op

• In OR

• Post-op

U/S RNB Workflow Oppty:

• addl pre-op time

• shorter in-OR time

• save/eliminate post-op

•Earlier discharge

• $ oppty for OR dept

http://www.gehealthcare.com/usen/anesthesia/products/anesth_aduplus.html


Why use Ultrasound in Reg‟l Anesthesia?

• Patient comfort. Patient safety – single needle stick

vs. multiple attempts

• Visualization of peripheral nerves and surrounding

structures

• Visual tracking of needle movement in real time

• Portable, affordable, accessible in the OR

• Numerous articles supporting the use of ultrasound

• Trend towards outpatient care and minimally invasive

surgery

• Reimbursement for anesthesiologist

PAIN MANAGEMENT

“For all the happiness Mankind can gain; Is not in pleasure , But in rest from pain.”

JOHN DRYDEN (1631-1701)


PAIN PATHWAYS


Pain Management : Nerve Block Placement

Accurate placement of local anesthetic in sufficient amounts around

a target nerve to achieve successful blockage & efficient pain

management

Traditional methods:

•Trial and error technique, “Poke and hope”

•Anatomical markers

•Indirect cues - Peripheral nerve stimulators

Clinical situations:

•Intra-op pain management

•Post-op pain management


Introducing Venue™ 40

Simple Sophistication

• Exceptional image quality

• Cross Beam & SRI Integrated

• Easy to use

• Portable & sleek

• Easy to clean

• Hi Frequency Probe upto

18Mhz

• Wide Range of Probes

….Just Gel and go

“GE Venue 40 Ultrasound Guidance for Efficient PNB & Pain Management "

Live from RSNA 2010 - Venue 40 demo.mp4


• Intuitive touch interface

• Pre-configured applications

• User-friendly image file formats

Easy to Use

…touch and go.

Freeze/Save Depth/Gain

Flexible archiving

Stylus

precision

Annotation library


Easy to Clean

…clean and go.

• Cleanable by design

• Fluid resistant

• Withstands many

medical disinfectants

Single-

surface

user interface

No knobs

or

keyboard to

clean

No seams

Flush

probe

connector


GE Vscan – Now answers deeper connection

For All Ambulatory Physicians & Surgeons , Vscan is a pocket-sized ultrasound device

that provides immediate information

to help answer focused cardiovascular questions

which can improve efficiency of patient management

and strengthening their role as specialist.

For compassionate point of care providers, Vscan is a pocket-sized visualization tool

that provides more clues & enhances their discoveries

to help them maintain a deeper connection with their patients.

That‟s because Vscan allows them

to take an easy look inside the body

that enhances the physical exam.


GEHC Education & Training Partnership

Awareness

Building brand

recognition and

leadership reputation

Education

GE program

sponsorship, sales

growth enabler

Distribution Leveraging adjacent

segment leaders and

experts, expand GE

expertise

Products

“One size fits all” to

customer tailored

solutions

Seek & Own the Luminaries Be the Leader with

Education

Design & Market to

one

Engagement, Metrics, Partners

GE Healthcare

Thank you Nova India Team

& best wishes for all your healthcare

initiatives focussed on world

class care

3 dn srinath-ge_complete-anaesthesiology_ncas_2011

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