Presented by Getz Clinical

201628th August - 2nd September

16th World Congress Of Anaesthesiologists

Interviews with leading healthcare professionals from the

Presented by Getz Clinical

Hong Kong

Presented by Getz ClinicalPresented by Getz Clinical

Contents

D r B j o r n C h r i s t o p h e r O r h a g e n 8

I N T E RV I E W S BY:

I n t ro d u c t i o n 1 P ro f D u s i c a S u m i c 1 0

D r J u a n C h e u n g 3

D r J o h n H y n d m a n 1 4

D r C a r l os C r u z 9

D r I a n K l u k 2

D r J o h n B e r g 1 3

D r I re n e O s b o r n 1 1

P ro f M a n o j Ku m a r M a r m a ka r 4

D r K i m M i k ke l s o n 1 5

D r J a c k C h e n 1 2

P ro f A m r M o n t a s s e r 6

M r S t e p h a n e H o l l a n d e 1 6

A n o n y m o u s 7

A n o n y m o u s 1 7

Contents

Presented by Getz Clinical

Presented by Getz ClinicalPresented by Getz Clinical1

Introduction

Getz Clinical are excited about the changing face of the health industry and the ways in which this will affect anaesthetists worldwide. After attending the 16th World Congress of Anaesthesiologists (WCA2016), Getz Clinical has returned with insights and commentary from fifteen key individuals, including Professor Manoj Kumar Karmakar, Dr John Hyndman and Professor Dusica Sumic.

The World Congress of Anaesthesiology is a key international event in the field of anaesthesia. Held every four years, the congress is considered by many to be ‘the Olympics of Anaesthesiology’ and serves as a benchmark for best practice.

We hope you enjoy the views on industry challenges on the following pages.

‘The Olympics of Anaesthaesiology.’

2 Presented by Getz ClinicalOntario, Canada

1. What is your occupation? Tell us a bit about yourself and your professional background. I work at Thunder Bay hospital in Ontario. It’s a tertiary care centre so there are high volumes of patients and efficiencies are important for our success. I’ve been out of residency for 3 years. I was trained on electronic patient records and solutions, which shows how important it is to provide these across all hospitals. I currently use paper in the operating room.

2. How have you enjoyed WCA 2016 so far, and who have you enjoyed hearing from? The quality of the event and lectures has been good, with lots of planning evident. The scope has been broader than I expected and this has helped my own education at the event.

3. What are your key takings from the congress? Obstetrics lectures have shown the desire for putting real change into practice. The first day was excellent and I enjoyed hearing from Cynthia Wong of the USA. The conclusions the speakers are making highlight the fact that further research is required. The topics are good but I wanted to see more fact-based conclusions at this stage of the discussions.

4. What trends do you see changing the industry? Public hospitals, such as the one in which I work, will not be on the bleeding edge of technology. We need to see technology proven first. An example is Masimo and their brain monitoring technology shown at the congress. I question whether being notified of a change in a patient less than a minute earlier is clinically significant for what they are highlighting in their technology. In reality, we can’t say without more research. Our hospital would be keen to participate in the research but I don’t see that we would lead it.

5. What experience do you have with integrating perioperative technology into clinical processes? It’s frustrating to capture information on paper. Solutions must be user friendly when they are implemented and also intuitive to use. We have a system for patient monitoring at present which allows some electronic record keeping.

6. What do you believe hospitals need to be doing to keep up with trends and developments? Senior management are often afraid of what is being recorded. The need to change mindsets is critical to healthcare, moving forward. The licensing of drugs is also a challenge. Government needs to push to make the regulations for drugs easier to adopt. I do see new developments, which is positive, and even though funding is often mentioned as being hard to find, it is available as we have seen through purchases of new equipment.

7. What are your forecasts for the future for health care and the integration of technology? Record keeping can’t be hospital by hospital. It must be regional and cover all demographics. Patient self-assessment and clinic assessment records need to be easily accessible. Integration between an EMR and a record keeping solution is mandatory for any success. All system interoperability is essential and needs to improve. It’s best to have the same system throughout a hospital as this allows for easier handover (for example, from OR to ICU) and better collaboration.

Ian KlukOntario, Canada

Dr Ian Kluk, AnaesthetistThunder Bay Hospital, Ontario, Canada

‘It’s frustrating to capture information on paper.’

Presented by Getz Clinical

Presented by Getz Clinical3 Panama City, Panama

1. What is your occupation? Tell us a bit about yourself and your professional background. I’m an anaesthetist with a focus on obstetrics/labour anaesthesia, which I enjoy the most. I work at Panama Public General Hospital, which is also a teaching hospital. I studied in Mexico and have been practising for many years. I’m a supporter of technology and support colleagues where I can.

2. How have you enjoyed WCA 2016 so far, and who have you enjoyed hearing from? The first day was excellent, with the best speaker of the event so far in the very first session: Cynthia Wong from the USA. I have enjoyed following the obstetrics stream. I also enjoyed the books from some of the exhibitor stands. Masimo was the best technology element at the WCA I have seen (brain monitoring and non-invasive).

3. What are your key takings from the congress? Nothing specific. The program has been well balanced and the focus on overall outcomes and global themes has been good to see.

4. What trends do you see changing the industry? Equipment (specifically monitors). Accuracy and specific cardiac output. Intensive monitors. Information and discussion on Remifentanil, which is a new drug in Panama that we’re starting to use. Panama is already advanced in the use of airways and scopes, such as those on display in the exhibitor hall. Studies on this are continuing and are interesting to see.

5. What experience do you have with integrating perioperative technology into clinical processes? Currently we use paper charts. We are changing to use technology now. Plans are underway for full electronic record keeping software. This will be an electronic patient record (EPR) and include the operating rooms and recovery, pre-assessment and e-prescribing.

6. What do you believe hospitals need to be doing to keep up with trends and developments? Money! For many staff, learning new technologies is proving difficult. For staff who are pre-1980s, the stress of this change is very high. I help colleagues where I can. Clearly private practices use electronic records and software more than public institutions, although this is now changing.

Dr Juan Cheung, AnaesthetistPanama Public General Hospital, Panama City, Panama

‘Plans are underway for full electronic record keeping software.’

Presented by Getz Clinical4 Sha Tin, Hong Kong

1. What is your occupation? Tell us a bit about yourself and your professional background. I work at the Prince of Wales Hospital in Sha Tin, Hong Kong but I’m primarily affiliated with the Chinese University of Hong Kong. It has taken nearly 4 years to prepare for the WCA!

I now travel and present or facilitate at around 15 conferences globally each year. I used to do 3 to 4 a month, which was just too many. I still actively practice. After qualifying I joined the NHS in the UK and then went into research at Royal Liverpool General Hospital before I relocated to Hong Kong in 1997 at the time of the handover.

2. How have you enjoyed WCA 2016 so far, and who have you enjoyed hearing from? Bringing world experts as chairs to Hong Kong, together with local co-chairs, has been amazing and also very successful. Seeing the conference and the program take shape over the past 2–3 years has been very satisfying.

3. What are your key takings from the congress? We (Hong Kong) made a bid for the WCA 8 years ago. Argentina got it in 2012. We pushed again 4 years ago for 2016 and we learnt from our first bid. Participants are pleased and, speaking with exhibitors, they have enjoyed the event a lot. South Africa and other countries in Africa are coming together and bringing a strong voice for low and middle income nations.

4. What trends do you see changing the industry? I think back to Chinese University Hospital, which is at the forefront of medicine and was founded more than 100 years ago. I see more regional anaesthesia rather than general anaesthesia. More drugs are required and the pipeline needs to come through in trials, which will be transformational. What if non-invasive or slow release drugs and technology would allow for this to happen over 3–4 days post an operation? This wouldn’t affect motor skills of patients. Also, this sort of technical innovation and techniques in many areas could be refined

through visualisation. It would allow accurate and reduced dosages to be given, thus lowering toxicity and complications. What is important is that we need more of a focus on objective rather than subjective discussions. Training is important as well to provide new approaches for clinicians. 4D imaging is revolutionary. Technology is very expensive. Prince of Wales hospital in Hong Kong is lucky enough to have this technology. We need to see the cost come down to gain broader appeal.

5. What experience do you have with integrating perioperative technology into clinical processes? Prince of Wales hospital is fully electronic, the only one in Hong Kong.

6. What do you believe hospitals need to be doing to keep up with trends and developments? Set up research units to capture larger volumes of data from nursing staff in a controlled, systematic manner. Avoid bias of scientists. Conduct studies with a narrower focus and greater numbers of participants. Remember that bad data in equals bad data out.

Prof Manoj Kumar Karmakar, Director of Paediatric AnaesthesiaPrince of Wales Hospital, Sha Tin, Hong Kong

‘What is important is that we need more of a focus on objective rather than subjective discussions.’

Presented by Getz Clinical

Presented by Getz Clinical5 Sha Tin, Hong Kong

7. What are your forecasts for the future for health care and the integration of technology? Machine-based learning. We will still see the manual entry of some data, although this should be largely replaced. Fly by wire anaesthetic machines. Automatic data recording from infusion pumps and also greater breadth and depth of data (bigger data). The Zeus system, with volatile gases provided much more efficiently, proves that even though the initial cost is much higher, the return is still rapid. Lower ongoing drug costs (Desflurane) means that we can use the very best drugs for every patient, but less of them.

Prof Manoj Kumar Karmakar, Director of Paediatric AnaesthesiaPrince of Wales Hospital, Sha Tin, Hong Kong

‘Prince of Wales hospital is fully electronic, the only one in Hong Kong.’

Presented by Getz Clinical6 Cairo, Egypt

1. What is your occupation? Tell us a bit about yourself and your professional background. Professor of Anaesthesia at the Salam International Hospital, specialising in ophthalmic, spinal and neurological surgeries.

2. How have you enjoyed WCA 2016 so far, and who have you enjoyed hearing from? Yes, all week. I especially liked seeing the ultrasound workshops and technology sessions.

3. What are your key takings from the congress? The new ultrasound block techniques which will be tested when I return to Egypt.

4. What trends do you see changing the industry? The changes will be mostly related to ultrasound as there are breakthroughs in the technology but there is no expectation of any new drugs.

5. What experience do you have with integrating perioperative technology into clinical processes? My experience is mainly with monitors although an EMR is not available. Paper is still being used although I do not need to fill it out so much as the residents do it for me!

6. What do you believe hospitals need to be doing to keep up with trends and developments? In Egypt, EMRs are needed but they are not being invested in. Hospitals need more team work and improved relationships with surgeons, who generally take the upper hand in decision making. Even if it isn’t the right decision.

7. What are your forecasts for the future for health care and the integration of technology? Egypt is a developing country and there is a huge market there for technology after the economic crisis caused by the revolution in 2011.

The world needs a revolution in healthcare, more money sent to developing countries and more global funds pushed to healthcare.

Prof Amr Montasser, Pain Management & AnaesthesiologySalam International Hospital, Cairo, Egypt

‘The world needs a revolution in healthcare.’

Presented by Getz Clinical

Presented by Getz Clinical7 Australia

1. What is your occupation? Tell us a bit about yourself and your professional background. General Anaesthetist who specialises in regional blocks. I trained in Hong Kong. I presented at the conference in the Technology track.

2. How have you enjoyed WCA 2016 so far, and who have you enjoyed hearing from? Yes and no! It has been very busy and there has been too much to see. There has not been enough time to get to everything and I even missed the exhibitors! I went to see them on the last day but they had gone!

3. What are your key takings from the congress? The lung protective strategies using pressure on the chest were really useful. I liked the Technology track but a lot more could have been covered here.

4. What trends do you see changing the industry? More specific measurements will be introduced in the areas of EEG and the depth of anaesthesia. The colour spectrum will evolve and similarly more focus will be on the values of cardiac output rather than just blood pressure. It is the measuring of this information and the precision of the information which makes a difference in how we care for patients. We need precise measurements to help with the management of patients and take the guess work out of it.

5. What experience do you have with integrating perioperative technology into clinical processes? The hospital in which I work has an electronic medical record where they practice and a host of other equipment for measuring cardiac output such as echocardiography. They also have lots of ultrasound technology, videolaryngoscope and endoscopes, so they are ‘not bad off’ and feel quite advanced.

6. What do you believe hospitals need to be doing to keep up with trends and developments? It is not just about hospitals, it is a government issue to help healthcare keep up and make the right decisions in what to purchase. The government needs to exclude healthcare from strict tendering processes when it impacts badly on patients and the wrong systems or equipment are chosen. The patient loses and so does the hospital as it wastes time and dollars and only the vendor wins.

7. What are your forecasts for the future for health care and the integration of technology? Apps are going to become very popular as aids to physicians as it will mean that we won’t rely on memory, which is good for patients. Risk calculators on apps will become more popular and there will be advances in point of care technology. But things attaching to smartphones in the operating theatre are gimmicky and grotty and increase the risk of infection to the patient.

AnonymousAustralia

‘Apps are going to become very popular as aids to physicians as it will mean that we won’t rely on memory.’

Presented by Getz Clinical8 Bergen, Norway

1. What is your occupation? Tell us a bit about yourself and your professional background. I’m an anaesthetist who specialises in obstetrics and ICU. I’m of Scottish and Norwegian heritage.

2. How have you enjoyed WCA 2016 so far, and who have you enjoyed hearing from? I’ve definitely enjoyed it, yes! All week it has been good. I enjoyed the workshops the most, particularly relating to mechanical ventilation.

3. What are your key takings from the congress? I was not focused on the exhibitions, which may be due to their location on the 5th floor. There was not too much to be gained from a professional perspective but I have been reassured that I am up to date in techniques. Things are not as straight forward as coming here and taking new things home. You need to combine nature, medicine and learnings to bring together new things. The congress reconfirmed that the world needs to come together more and low resource countries should be able to lean on resources from richer countries so all patients get better care.

4. What trends do you see changing the industry? We are trending towards better non-invasive technology. This has been confirmed at the congress. Masimo has been demonstrated at the hospital I work at in Norway but more research into it is needed before being able to trust it.

5. What experience do you have with integrating perioperative technology into clinical processes? I have used Metavision information management system from iMDSoft. I’m not sure what could be done better except to stop repeating previous patient history into different systems. It’s good when systems can bring out the key points from a patient’s history in a repeatable way rather than relying on a clinician writing it up where it can be seen. This is lacking in hospitals and it is needed to help with early intervention of complications.

6. What do you believe hospitals need to be doing to keep up with trends and developments? Training and development of resources. I think it’s very important for hospitals to encourage and maintain professional integrity and autonomy. Technology is not an issue and I’m pleased that the anaesthetist community gets a say in the technology chosen.

7. What are your forecasts for the future for health care and the integration of technology? A hard question! I think that non-technology advancements are required and they should focus on team-based training to encourage a team environment.

Dr Bjorn Christopher Orhagen, AnaesthetistBergen Health, Bergen, Norway

‘We are trending towards better non-invasive technology.’

Presented by Getz Clinical

Presented by Getz Clinical9 Bogota, Colombia

1. What is your occupation? Tell us a bit aboutyourself and your professional background.I’m an anaesthetist focusing on plastic surgeryand general anaesthesia.

2. How have you enjoyed WCA 2016 so far, andwho have you enjoyed hearing from?Yes, love it! The people and the city. I’m notfocusing on any particular sessions and amgoing to as many as I can.

3. What are your key takings from the congress?I have not learned much I didn’t already knowbut I’m using the sessions to compare and willtake away recommendations to review once Ireturn home.

4. What trends do you see changing theindustry?I believe that techniques are very similar aroundthe world. I’ve very much enjoyed seeing thetrends in other parts of the world and enjoyedseeing the technology from other countries andespecially Asia.

5. What experience do you have withintegrating perioperative technology intoclinical processes?I do not use very much technology and mostlyuse paper in my practice.

6. What do you believe hospitals needto be doing to keep up with trends anddevelopments?Technology is too expensive so there is not muchtechnology in the hospitals I work in that I canuse. It needs to be less expensive so more peoplecan use it.

7. What are your forecasts for the future forhealth care and the integration of technology?Technology will be used so much more but I donot see devices such as smart phones being usedin operating theatres.

Dr Carlos Cruz, AnaesthetistBogota, Colombia

‘[Technology] needs to be less expensive so more people can use it.’

Presented by Getz Clinical10 Belgrade, Serbia

1. What is your occupation? Tell us a bit about yourself and your professional background. I am Professor of Anaesthesia – University Children’s Hospital in Belgrade. Worked since 1984 and specialised in Paediatrics since 1987. Presenter on TV to promote anaesthesia and a moderator at the conference. I am the Chair of the Paediatric Committee of the World Federation of Societies of Anaesthesiologists.

2. How have you enjoyed WCA 2016 so far, and who have you enjoyed hearing from? Yes, very much! I have enjoyed the paediatric specialty and was the Chair for the ‘Building bridges in paediatric anaesthesia’ session on Wed 31 August 2016. I was also the moderator in an ePoster discussion session and gave a presentation on ‘The use of Propofol for sedation and anaesthesia in children’ at the lunchtime Primex Symposium. I enjoyed listening to other sessions on paediatrics from around the world.

3. What are your key takings from the congress? There is a lot of enthusiasm from both the developed and developing world on making anaesthesia better. I’m very happy to see the enthusiasm.

4. What trends do you see changing the industry? The trends are that people are not used to improvising as much anymore and are using technology more. The developing world still needs to improvise and I see Serbia as a developing country.

5. What experience do you have with integrating perioperative technology into clinical processes? Serbian hospitals are getting machines and technology now but it is slow, very slow, and there is especially a lack of anaesthetic technology. When there are funds available (rarely) and anaesthetic teams are in competition with other teams then the other teams get it. Surgeons are generally more strong in putting their case forward and getting what they want. I believe that the profile of anaesthetists must be raised. And paediatric anaesthetists even more so as naturally they are more empathetic, gentle people who are not fighters.

6. What do you believe hospitals need to be doing to keep up with trends and developments? They need to have more money to help education and purchase equipment. Anaesthetists in Serbia are the most clinically

active profession and every month they gather and share and learn to increase their training. Each year I organise and host a 2-day summer camp for general anaesthetists to learn the paediatric specialty.

7. What are your forecasts for the future for health care and the integration of technology? In Serbia some form of EMRs do exist but not in my hospital. I see that technology will move forward but from what I can see from colleagues with electronic medical records, more and more time is being spent on administration and printing. If technology is moving forward then it must be intuitive and allow more time with patients.

Prof Dusica Sumic, Paediatrics AnaesthetistUniversity Children’s Hospital, Belgrade, Serbia

‘People are not used to improvising as much anymore and are using technology more.’

Presented by Getz Clinical

Presented by Getz Clinical11 New York, United States of America

1. What is your occupation? Tell us a bit about yourself and your professional background. I’m an anaesthetist who is an academic specialising in Neurosurgery, and I teach in a training facility. I serve as Division Director for the Department of Anaesthesiology Neuroanaesthesia at the Icahn School of Medicine at Mount Sinai Hospital.

2. How have you enjoyed WCA 2016 so far, and who have you enjoyed hearing from? Yes, very much. I love Hong Kong, the place and the people, and have enjoyed seeing friends and people I have not seen for many years. I’ve enjoyed being involved in the respiratory workshops. I was the organiser of the Airway workshop ‘Videolaryngoscopy’. I was the moderator of the ePoster discussion ‘Respiratory & Airway’, panellist for the ‘Difficult airway submitted cases’ and speaker for ‘The Neurosurgical Airway –Challenges, myths and innovations’.

3. What are your key takings from the congress? That everyone is very excited and that there is a lot of focus on patient safety and improving patient outcomes. I’ve enjoyed the obesity and sleep apnoea sessions as they link quite closely with the situation I’m facing within the New York hospitals I serve.

4. What trends do you see changing the industry? Making things simpler to use. The Fisher and Paykel high flow oxygen mask is great technology as it is less invasive.

5. What experience do you have with integrating perioperative technology into clinical processes? Making anaesthesia simpler but technology has to be sure it is not just ‘cool’ but scientifically helps patient outcomes. Hospitals should look at helping the cost of healthcare or reducing the length of stay so patients can be with their families sooner.

6. What do you believe hospitals need to be doing to keep up with trends and developments? Hospitals need to be more patient and family friendly. Patients need more assurance that things are OK, and also their family needs sooner or better reassurance following surgery. I’m quite surprised when I see a patient’s family and they have not been informed that the patient has finished surgery and of their status.

I believe patients should be taught more relaxation techniques while waiting and sitting in waiting rooms as the longer they wait, the more anxious they become. I’ve started giving patients guided imagery tapes to listen to through headphones to help them relax prior to surgery. I believe that hospitals should be warmer, more welcoming environments with better colours and offer patients massages.

7. What are your forecasts for the future for health care and the integration of technology? I hope that technology will become less expensive and more accessible to more people. I hope that there will be more education for patients.

Dr Irene Osborn, AnaesthetistMount Sinai Hospital, New York, United States of America

‘Technology has to be sure it is not just ‘cool’ but scientifically helps patient outcomes.’

Presented by Getz Clinical12 Sydney, Australia

1. What is your occupation? Tell us a bit about yourself and your professional background.I’m a research academic focusing on clinical improvement. I have an MBA in Business Management and a PhD in Statistics and Epidemiology. I initially studied in Shanghai but have since moved to Australia. I presented the session ‘Big Data demonstrates the value of care provided’.

2. How have you enjoyed WCA 2016 so far, and who have you enjoyed hearing from? Absolutely. There has been a really broad range of topics. I particularly enjoyed the Research track and enjoyed and was surprised at how much there was on the Intensive Care subjects. The Humanities and Arts track was also extremely good.

3. What are your key takings from the congress? Lots of ideas for research to take home.

4. What trends do you see changing the industry? Wireless and cloud-based technologies. Remote monitoring for patients will increase and it is already happening gradually. The challenge is how to integrate it into daily clinical processes.

5. What do you believe hospitals need to be doing to keep up with trends and developments? Keep up with technology and best practices.

6. What are your forecasts for the future for health care and the integration of technology? There are great trends happening in technology but the key is to ensure that the patient is at the centre of that. Although technology is important, the patient is more important and patient-centred care needs to integrate the right technology.

Dr Jack Chen, Clinical Improvements ResearcherUniversity of NSA, Sydney, Australia

‘Patient-centred care needs to integrate the right technology.’

Presented by Getz Clinical

Presented by Getz Clinical13 Melbourne, Australia

1. What is your occupation? Tell us a bit about yourself and your professional background. I’m a General Anaesthetist actively practising as part of a private anaesthetic group in Melbourne. I studied in Sydney and regularly attend educational meetings.

2. How have you enjoyed WCA 2016 so far, and who have you enjoyed hearing from? Yes, I’ve enjoyed the whole week. I’m particularly interested in the Ambulatory sessions and Obesity sessions.

3. What are your key takings from the congress? Too many to think of! Lots of snippets from each day which haven’t really sunk in yet.

4. What trends do you see changing the industry? The introduction of Sugammadex has changed a lot of things as a reversal agent for neuromuscular blocks but I can’t see any big trends at the moment. There is nothing much in the way of technology and the idea of using smart phones in theatre doesn’t seem right. There is no way I would put one near a patient for taking videoscopes!

5. What experience do you have with integrating perioperative technology into clinical processes? I’m currently using electronic prescribing in some hospitals but it hasn’t always been implemented well. I work in private practices which do not have electronic medical records so I use paper. I’m mindful of using technology due to how data entry is time consuming. The capturing of vitals is good but not for medications as typing them into systems is distracting clinicians from patients.

6. What do you believe hospitals need to be doing to keep up with trends and developments? Don’t really know what they can do. It is a hard one to answer.

7. What are your forecasts for the future for health care and the integration of technology? The implementation of technology is going to happen but it will be hard. If there is the ability to speak into a system to record the drugs so there is no typing, then this would be great. Then you wouldn’t be looking at the system and can focus on the patient and not be distracted. When you are prescribing you want to look at the patient, not the system.

Dr John Berg, AnaesthetistGrey Street Anaesthetic Group, Melbourne, Australia

‘If there is the ability to speak into a system to record the drugs so there is no typing, then this would be great.’

Presented by Getz Clinical14 Christchurch, New Zealand

1. What is your occupation? Tell us a bit about yourself and your professional background. I’m a General Anaesthetist based in Christchurch and I’m retiring next year. I remember working in the 1970s where anaesthetics was done with only an ECG monitoring the patient and the rest was done by sight and touch. My partner, Ivan Batistich, and I are the Innovation Award Winner at WCA 2016 and New Zealand Innovator of the Year Award Winner 2016 for developing a compact, affordable, reliable and simple anaesthesia machine (the HYVAN) for use in developing countries. This took 12 years to develop.

2. How have you enjoyed WCA 2016 so far, and who have you enjoyed hearing from? The conference and organisers have been very good to us as delegates and on the stand for the New Zealand Society of Anaesthetists.

3. What are your key takings from the congress?I really like the idea of the whole world being here and a lot of delegates being here from developing countries.

4. What trends do you see changing the industry? The TIVA process will change and hopefully reduce and other methods will reduce the need to use Sevoflurane. But even so, we still need to monitor brain functions and to use anaesthetic machines. I want to see paperless take over everything.

5. What experience do you have with integrating perioperative technology into clinical processes? I’ve used Getz Clinical Cloud at Forté Health hospital. I really enjoy gathering information from PACU and having the opportunity to store data from patients. I regularly conduct personal audits and look back over the last 50 hip or knee surgeries and at data such as blood pressure. I enjoy analysing the data to review my own performance.

6. What do you believe hospitals need to be doing to keep up with trends and developments? Registrars don’t know much about how machines work. They just know technology and trust the data on the machine without knowing or understanding how it works. I feel that people are losing the hands-on experience. Office-based surgeries and accompanying anaesthetics are becoming more prevalent as hospitals are getting more or too expensive. Surgeons are setting up their own operating theatres for lower risk procedures.

7. What are your forecasts for the future for health care and the integration of technology? The growth of technology will continue. Medicine is already miles ahead and technology will continue on. I saw a blood pressure cuff on a patient and the reading being seen on a mobile phone 10 metres away with bluetooth, which is amazing. Technology will be transformational and surgeons will be out of some work as techniques such as interventional radiology or orthopaedic resurfacing of joints through keyhole surgery is investigated. Anaesthetics and surgery will become much more tech focused and surgeons will stop using the knife so much but will use more chemicals.

Dr John Hyndman, Specialist AnaesthetistHYVAN Anaesthesia, Christchurch, New Zealand

‘I want to see paperless take over everything.’

Presented by Getz Clinical

Presented by Getz Clinical15 Hammerfest, Norway

1. What is your occupation? Tell us a bit about yourself and your professional background. I’m an anaesthetist. I studied in East Germany and now practice in Hammerfest Hospital in northern Norway. I’m also an anaesthetist in the Defence Force on rescue helicopters.

2. How have you enjoyed WCA 2016 so far, and who have you enjoyed hearing from? Very interesting, with lots of good lectures across a broad range of subjects. The sessions or tracks should include pre-hospital emergency ambulance or other transport modes where anaesthetics are used.

3. What are your key takings from the congress? Norway is up to date in terms of technology and practices. The conference has reassured me that Norway and my hospital are doing things the right way. I’ve taken some notes and gathered some ideas on techniques but mainly information on communication in how to improve my skills through training and practising.

4. What trends do you see changing the industry? The drugs or medicines are the same and I expect them to stay the same. The new technology is fine but there hasn’t been enough research into it yet to enable us to trust it, especially non-invasive monitoring.

5. What experience do you have with integrating perioperative technology into clinical processes? My hospital is electronic except charting in ICU and the operating theatre, which is on an A3 sheet of paper which is hard to get into an EMR. The paper is scanned into systems and stored. Pre-hospital forms are still scanned into systems also. Technology and data capture screens still have a way to go to be user friendly and intuitive. But when they do come it will be a great improvement.

6. What do you believe hospitals need to be doing to keep up with trends and developments? They need to get better IT systems which are more intuitive, like a smartphone is easy to learn.

7. What are your forecasts for the future for health care and the integration of technology? Similar to smart phones in operating theatres. More automation by machines but those which are procedure-focused, and more algorithms will be used in systems. The hands on ‘art’ of anaesthetics is going and will be replaced by technology, which is a shame. It is true that few clinicians are able to measure saturation without a machine these days. The senses of clinicians are deteriorating as they become more reliant on technology.

Dr Kim Mikkelson, AnaesthetistHammerfest Hospital, Hammerfest, Norway

‘Technology and data capture screens still have a way to go to be user friendly and intuitive. But when they do come it will be a great improvement.’

Presented by Getz Clinical16 Nice, France

1. What is your occupation? Tell us a bit about yourself and your professional background. I’m a Business Development Manager with a background in Electronics Engineering who develops medical devices. I have a device being presented at WCA 2016 which is a tube and monitor and measures CO2 from a patient.

2. How have you enjoyed WCA 2016 so far, and who have you enjoyed hearing from? I have not attended any sessions but I’ve enjoyed being here as a delegate.

3. What are your key takings from the congress? Partnerships and networking.

4. What trends do you see changing the industry? I see CO2 technology being underused. There are too many incidents due to wrong intubation or complications and there is more focus on developing products for emergency such as ICU or ambulance.

5. What experience do you have with integrating perioperative technology into clinical processes? None but I’d be happy to do something. Machines in some countries such as China lack connectivity to other machines. They need to be more interoperable.

6. What do you believe hospitals need to be doing to keep up with trends and developments? They need to learn more from CO2 and how it can be measured and used. It is not just numbers but could be used for even detecting pregnancy and if volume is checked as well as concentration, then it is possible to learn more about internal haemorrhaging.

7. What are your forecasts for the future for health care and the integration of technology? Through advanced technology I see better vision of body condition by doctors.

Mr Stephane Hollande, Business Development ManagerZug Medical Systems, Nice, France

‘Machines in some countries such as China lack connectivity to other machines. They need to be more interoperable.’

Presented by Getz Clinical

Presented by Getz Clinical17 Norwich, United Kingdom

1. What is your occupation? Tell us a bit about yourself and your professional background. I’m an anaesthetist. I studied in India 25 years ago and moved to the UK to work for the NHS. I specialise in Orthopaedic and Trauma. I do not want to become commercialised and want to use my skills to help people, not to make money.

2. How have you enjoyed WCA 2016 so far, and who have you enjoyed hearing from? It’s alright. I really liked the music sessions, sessions focusing on obesity and traditional Chinese techniques in anaesthesia.

3. What are your key takings from the congress? There is not too much new information being presented.

4. What trends do you see changing the industry? There is so much technology now but it is hard to try and get it to the actual anaesthetists in the hospital. They are stuck with NHS funding which means that great technology is out there but the decision makers are not at the conference to see its value.

5. What experience do you have with integrating perioperative technology into clinical processes? I’ve used lots of systems such as Drager and Phillips but one interesting thing is that only little bits of systems are being used and lots of functionality is not being used, which is crazy.

6. What do you believe hospitals need to be doing to keep up with trends and developments? There needs to be more general exposure of what is going on. Ensuring attendance at conferences to see what is happening, such as trends and developments. It’s so good to see what exists and to see machines that you can’t see in regional conferences, such as the Chinese anaesthetic machines which don’t go to the European conferences.

7. What are your forecasts for the future for health care and the integration of technology? I hope things will be better and we can reach out to the poorer countries. It is hard to move to the third world and help as that doesn’t make that much difference and it’s about giving more than money. It’s about teaching more.

Anonymous, AnaesthetistNational Health Services, Norwich, United Kingdom

‘There is so much technology now but it is hard to try and get it to the actual anaesthetists in the hospital.’

Presented by Getz Clinical

Learn more about Getz Clinicalhttp://www.getzclinical.com

Presented by Getz Clinical

THAN K YOU