unplanned intra-procedural niv

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Michel Sainville Marketing Division

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Page 1: Unplanned intra-procedural NIV

Michel SainvilleMarketing Division

Page 2: Unplanned intra-procedural NIV

Background informations

Advances in endoscopic

technology

Longer procedures,

deeper sedationHigher ARF risk

Page 3: Unplanned intra-procedural NIV

ARF Statistics

Every day, in each european country, the 0,01% of the population undergoes an UE.

The 5% of those patients develops an ARF.

(P/10k)(0.07 ± ε)Time

Page 4: Unplanned intra-procedural NIV

Europe= (731mln/10k)(0.07 ± 0.02)1

3˙655 to 6˙579 ARF per day.

Italy= (61mln/10k)(0.07 ± 0.02)1 305 to 549 ARF per day

Page 5: Unplanned intra-procedural NIV

Physician’s dilemmaTreating ARF

Non invasive ventilation

Planned

Prediction errors

Unexpected

Procedure interruption

Intubation

RisksCosts

Page 6: Unplanned intra-procedural NIV

Immediate and unplanned intra-procedural ventilation

Page 7: Unplanned intra-procedural NIV

Physician’s dilemmaTreating ARF

Non invasive ventilation

Planned

Prediction errors

Unexpected

Procedure interruption

immediate ventilation

Intubation

RisksCosts

Page 8: Unplanned intra-procedural NIV

Applications

•Tracheal intubationEmergency department

•FOB: fiberoptic bronchoscopy

•Gastroscopy•Enteroscopy•TEE: trans-esophageal echocardiography

•EBUS: endobronchial ultrasound

•ERCP: Endoscopic retrograde cholangiopancreatography

Endoscopicprocedures

Page 9: Unplanned intra-procedural NIV

MARKET SIZE

Page 10: Unplanned intra-procedural NIV

Assumptions

• Fewest ARF scenario

• Even treatment proportions

• Intra-procedural ventilation only (- NIV, CPAP)

Page 11: Unplanned intra-procedural NIV

EU market size 219˙300 units per year

Italian estimated market size 18˙300 units per year

Page 12: Unplanned intra-procedural NIV

Thank You