Becton, Dickinson and Company · NYSE:BDX
Becton, Dickinson and — BD Medication Delivery Solutions (MDS20) Europe (April 2020)
37 slides from Becton, Dickinson and's conference presentation, April 2020
Slide 1: Presentation disclaimer
These presentations were developed by the respective presenter(s), and the findings, interpretations, and conclusions contained or expressed with them do not necessarily reflect the views of BD. To the extent these presentations relate to specific products, such products should always be used in acc
Slide 2: Quotes on change and new ideas
It's not that we need new ideas, but we need to stop having old ideas Edwin Herber Land The pace of change is so fast, that if you don't find a time to keep your eye « In life, there are not only solutions, on the future, you will have no there are forces in motion; they have to be chance of staying
Slide 3: Digital Sedation
Digital Sedation H Rosay, Edimbourg January 2020 Centre Léon Bérard Lyon France
Slide 4: No links of interests
No links of interests =
Slide 5: Contexte théorique. La douleur.
Contexte théorique. La douleur. • Pain Perception is strongly influenced by sensitive psychological, cognitif, emotional factors • Theory of the gate control; now « matrice control »
Slide 6: Attention Distraction
Attention Distraction
Slide 7: Slide 7
Slide 8: Slide 8
Slide 9: Hypnose : Avantages
Hypnose : Avantages • Impact on perception of anxiety and pain • Improve rehabilitation, experience of surgery
Slide 10: Hypnosis : Limits
Hypnosis : Limits Time Education Organization Reduced proposition of care
Slide 11: Hypnosis: Virtual Reality
Hypnosis: Virtual Reality Make that hypnosis become ACCESSIBLE and STANDARDISED 3 Dimensions Immersion Subsitute imaginative stimuli
Slide 12: Increasing Using
Increasing Using
Slide 13: Health: Increasing Using
Health: Increasing Using Publication Pub med /an 60 • Psychiatry: phobia, anxious neurosis 50 • Cognitive and physical rehabilitation 40 • Chronical and acute pain 30 • Support care in oncology • Nutritionnal Disorders. 20 10 • Teaching: Surgical 0 Simulations , serious game 2018
Slide 14: Virtual Reality vs Augmented Reality definitions
VR Virtual Reality is a computer Augmented reality is the superposition technology that simulates the physical of reality and elements (sounds, 2D, presence of the user in a virtual 3D images, videos, etc.) calculated by a environment. computer system in real time Virtual Environment-Immersion - Pre
Slide 15: Audiovisual Distraction
Audiovisual Distraction • Videogames • TV, Touch pad, Computer, smartphone, Books….
Slide 16: Virtual Reality: Bibliography
Virtual Reality: Bibliography • Poor Very small samples Patient disparity: age, pathology, intensity of pain, selection bias ... Disparity in procedures Devices disparity Disparities in assessments
Slide 17: 3 reviews of literature
3 reviews of literature The Use of Virtual Reality and Audiovisual Eyeglass Systems as Adjunct Analgesic Techniques: A Review of the Literature (Ann Behav Med 2005, 30(3):268-278) Autonomous University of Barcelona Barcelona, Spain Ad J.J.M. Vingerhoets, Ph.D. Tilburg University Tilburg, The Netherl
Slide 18: The Effect of Visual Stimulation via the Eyeglass Display and the Perception of Pain
The Effect of Visual Stimulation via the Eyeglass Display and the Perception of Pain CyBERPsYCHOLOGY & BEHAVIOR MIMI M.Y. TSE, MSc.,! JACOBUS K.F. NG, M.B.Ch. B., FANZA, FHKCA, FHKRM (Anaes)? Volume 5, Number 1, 2002 JOANNE W.Y. CHUNG, Ph.D.,! and THOMAS K.S. WONG, Ph.D2 TABLE 1. THE EFFECT OF VISUA
Slide 19: The quality of the VR app influences immersion and the effect on pain
The quality of the VR app influences immersion and the effect on pain Experimental Pain: Thermal Stimuli, Rien, 60°, 35°, The higher the quality of the app, Snow world the greater the effectiveness on pain
Slide 20: Snow world
2017 Anesthesia & Analgesia Snow world
Slide 21: Préliminairy Results: 72 patients
2017 Préliminairy Results: 72 patients Tumorectomy, axillary nodes
Slide 22: Virtual Reality Distraction during Endoscopic Urologic Surgery under Spinal Anesthesia
Journal of Clinical Medicine Virtual Reality Distraction during Endoscopic Urologic Surgery under Spinal Anesthesia: A Randomized Controlled Trial Jee Youn Moon !2, Jungho Shin !, Jaeyeon Chung !, Sang-Hwan Ji !, Soohan Ro ! and Won Ho Kim !2*® J. Clin. Med. 2019, 8, 2; doi:10.3390 /jcm8010002 i Tab
Slide 23: Modulation of thermal pain-related brain activity with virtual reality: evidence from fMRI
Modulation of thermal pain-related brain activity with virtual reality: evidence from fMRI Hunter G. Hoffman, Todd L. Richards,' Barbara Coda,” Aric R. Bills,* David Blough,° Anne L. Richards! and Sam R. Sharar* Table |. The mean subjective pain (and fun) ratings during thermal pain stimulation with
Slide 24: fMRI group analysis: no virtual reality vs virtual reality
Thalamus Fig. |. fMRI group analysis showing no virtual reality for 3.5 min vs vir- tual reality for 3.5 min (18). The green line outlines the anterior cingulate cortex, primary somatosensory cortex, secondary somatosensory cor- tex, insula, and thalamus respectively (from top to bottom). The five i
Slide 25: The Analgesic Effects of Opioids and Immersive Virtual Reality Distraction
The Analgesic Effects of Opioids and Immersive Virtual Reality Distraction: Evidence from Subjective and Functional Brain Imaging Assessments (Anesth Analg Barbara Mark P. Jen David K. Worst pain intensity Pain unpleasantness Time spent thinking about pain Fun
Slide 26: fMRI results by treatment condition
ACC Figure 2. Summary of group functional mag- Insula netic resonance imaging (fMRI) results (n = 9 subjects) showing voxel maps of significant differences in voxels between “pain” and “no pain” conditions, for each of the four treat- ment conditions (control, VR only, opioid $s2 only, and combined
Slide 27: Nombreuses animations: pédiatriques, multilinguistiques, de durée variable
Nombreuses animations: pédiatriques, multilinguistiques, de durée variable
Slide 28: Slide 28
Slide 29: Slide 29
Slide 30: Slide 30
Slide 31: Slide 31
Slide 32: Anxiety evolution between arrival in unit and departure to the operating theater
Anxiety evolution between arrival in unit and departure to the operating theater Evolution de l'anxiété entre l'arrivée dans le service et le départ au bloc 9 8 Echelle Numérique d'anxiété 7,77 7,71 7 6 5,89 5,7 5 4,76 4,82 moy écart + 4 Moyenne 3,26 moy écart - 3 2,93 2,95 2,74 2 1 0,76 0,56 0 ENA
Slide 33: Musicothérapie: Music care
Evaluation of the Standardized MUSIC CARE°® App in the Treatment of Pain: The U-Shape Composing Technique Stéphane Guétin’’*, Daniela Falvay’*, Gérald Chanques’, Samir Jaber’, Sylvie de Lattre°®, Bruno Souche’, Patrick Giniés®, Marie- scee sg ces cus 8 9 + g10 1 Christine Picot’, Christian Hérisson’
Slide 34: Musicotherapy - Music care
Musicotherapy - Music care Rythme stimulant Rythme modéré 80>T>60 NIESI10 60>T» 40 NI- 2S Music interventions for improving psychological and physical outcomes in cancer patients (Protocol) Dilco C, Bradt ocke D, Magill 1 THE COCHRANE COLLABORATION‘:
Slide 35: Take home message
Take home message
Slide 36: Virtual therapy
Virtual therapy • Virtual but today daily real Virtual but effective Integrated in the care process
Slide 37: Thanks !
Thanks ! herve.rosay@lyon.unicancer.fr
Becton, Dickinson and Company — BD Medication Delivery Solutions (MDS20) Europe (April 2020) on 6ix