CADAVERS ARE THE NEW SIMULATORS: DEVELOPING A CURRICULUM TO IMPROVE TRAINEE ENDOSCOPIC HEMOSTASIS SKILLS USING FRESH FROZEN CADAVERS

of anesthesiologists (ASA) physical status classification was used to assess the patients' underlying health.All procedures were performed with anesthesia assistance with sedation and endoscopy technician only.Results: A total of 1697 advanced interventions (356 EUS; 1341 ERCPs) were performed in the OP endoscopy unit (Table ).Analysis of the EUS data showed: 116 patients (32.6%) with ASA-I or II; 219 (61.6%) with ASA-III or higher.Analysis of the ERCP data showed: 408 patients (30.4%) with ASA-I or II; 897 (66.9%) with ASA-III or higher.No ASA grade could be found in 5.9% and 2.7% of EUS and ERCP patients respectively.Four complications resulting in hospitalization were noted.Two patients (ASA-III, IV) developed abdominal pain after an ERCP.One patient (ASA-III) developed respiratory distress and severe hypotension after EUS-FNA.No procedure-related bleeding was noted.One patient (ASA-II) developed respiratory distress after diagnostic EUS.He was discharged within 24 hours on oral antibiotics for aspiration pneumonitis.Conclusion: The risk of serious adverse reactions remains low for the OP anesthesia-assisted interventional endoscopy procedures even in the absence of an RN during the procedure.Adding an additional staff member may add to the healthcare costs.Additional randomized controlled studies are required to assess the patient safety, high quality patient care and optimal utilization of resources. Su1022