COURSE DIRECTOR: Mark T. Murphy, MD, MSN Education, Austin, Texas, and Medical Director, Northwest Anesthesia Seminars, Pasco, Washington

TARGET AUDIENCE: This course is designed for physicians, CRNAs, physician assistants, regis-tered nurses, and other medical care providers who must maintain state-of-the-art knowledge of not only the specialty, but also of all additional related disciplines which may impact it.

PROGRAM PURPOSE: The practitioner of anesthesiology must possess the scientific back-ground for clinical practice; maintain state-of-the-art knowledge of not only the specialty, but also of all additional related disciplines which may impact it; maintain an up-to-the-minute armamen-tarium of knowledge and skills for the selection and use of complex equipment, pharmacological agents, and procedures necessary for the provision of quality patient care; manage self and colleagues to function toward common goals in the clinical setting, the clinical and educational institutions, and the community in which the practice resides; serve as an expert in matters in-volving health care delivery; serve as an informed manager of clinical and educational services provided, including the acquisition and distribution of resources necessary in meeting profes-sional goals; and provide assistance with and support of other service providers, departments, institutions, and organizations dependent upon the professional expertise of the practitioner. Presentations are designed to facilitate the physician, nurse specialist, and other providers main-taining skills of the same kind to review and update knowledge and abilities in one or more of these areas vital to the practicing professional.

OBJECTIVES: At the conclusion of this activity, the participant will be able to:

Apply the pertinent physical and behavioral sciences — to include but not be limited to advanced anatomy and physiology, pathophysiology, chemistry, physics, psychology, and social sciences — as they impact and are affected by the planning, delivery, and monitoring of anesthesia and related services inherent in the anesthesia professions.

Explain the selection, dosing considerations with methods of administration, safe use, and contrain-dications and precautions of presented pharmacological agents through the understanding of their physicochemical properties, pharmacokinetics and pharmacodynamics, updated uses, and more recently developed additional, related, and similar drugs.

Outline comprehensive management plans for the group of patients discussed, whether related in age, physical status, cultural background, invasive procedure, anesthetic or analgesic require-ments, clinical setting, adverse reactions, and/or goals of care.

Apply the principles of safety and asepsis in the performance of anesthetic procedures and admin-istrations, equipment use, and other applications encountered during the provision of anesthesia and analgesia whether in the surgical unit, the labor and delivery suite, the pain management clinic, or other more remote location of anesthetizing services.

Incorporate the appropriate recommendations and/or requirements of pertinent external organiza-tions, institutions, and professional groups — recognized as serving as the authority for and/or hold-ing the responsibility to compile and approve such tenets — in the provision of anesthesia and relat-ed services, whether medical, legal, philosophical, ethical, or health care management standards.

Apply the new techniques in the clinical setting of the participant.

ACCREDITATION: This activity has been planned and implemented in accordance with the ac-creditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the A. Webb Roberts Center for Continuing Medical Education of Baylor Health Care System, Dallas and Northwest Anesthesia Seminars. The A. Webb Roberts Center for Continuing Medical Education of Baylor Health Care System, Dallas is accred-ited by the ACCME to provide continuing medical education for physicians.

The A. Webb Roberts Center for Continuing Medical Education of Baylor Health Care System, Dal-las, designates this live activity for a maximum of 20 AMA PRA Category 1 Credits™ Physicians should claim only the credit commensurate with the extent of their participation in the activity.

American Board of Anesthesiology: CME credit will be sent directly to The American Board of Anesthesiology to fulfill the Part 2 requirement for the Maintenance of Certifica-tion in Anesthesiology Program (MOCA®).

PA: AAPA accepts Category I credit from AOA CCME, Prescribed credit from AAFP, and AMA PRA Category 1 Credit™ from organizations accredited by the ACCME.

Canadian Physicians: The Royal College of Physicians and Surgeons of Canada lists The A. Webb Roberts Center for Continuing Medical Education of Baylor Health Care System, Dallas, as an approved ACCME accredited provider. The AMA PRA Category I Credits™ awarded may be submitted by the participant to the RCPSC for equivalent MOC Section 1 Credits.

CRNA: This program has been prior approved by the AANA for 20 CEC; AANA Code #1030408; Expiration date 5/7/2015.

AA: The NCCAA accepts these ACCME-approved programs for continuing educational credits.

RN: NWAS is approved by the California Board of Nursing, Provider Number 04833 and Florida and Washington, DC Boards of Nursing, Provider Number 50-7480. This program offers 20 contact hours. Meets the requirements of the Pennsylvania Board of Nursing, Rules and Regulations §21.133.

Anesthesia Update

12-Day Iberian Intrigue CruiseApril 26 – May 8, 2015

12-Day Iberian Intrigue CruiseApril 26 – May 8, 2015

This 12-day cruise features Sunday departure from Barcelona, Spain, to Copenhagen, Denmark, giving you the opportunity to experience these amazing cities in depth if you so choose. Enjoy ports of call in Portugal, England, France, and Belgium all while cruising onboard Holland America’s beautiful ms Eurodam.

ITINERARY*

Day Date Port Arrive Depart

Sun April 26 Barcelona, Spain 4:00pm

Mon April 27 Valencia, Spain 8:00am 5:00pm

Tue April 28 Cartagena, Spain 9:00am 6:00pm

Wed April 29 Gibraltar, British Territory 1:00pm 11:00pm

Thu April 30 Cadiz (Seville), Spain 7:00am 5:00pm

Fri May 1 Lisbon, Portugal 10:00am 6:00pm

Sat May 2 Vigo, Spain 11:00am 6:00pm

Sun May 3 At Sea

Mon May 4 Portland, England 8:00am 11:00pm

Tue May 5 Cherbourg, France 7:00am 5:00pm

Wed May 6 Zeebrugge (Brussels), Belgium 7:00am 4:00pm

Thu May 7 At Sea

Fri May 8 Copenhagen, Denmark- Disembark 7:00am

*Itinerary subject to change

Cabanas: Private cabanas are available to reserve by the day or by the cruise. Avail-able on two decks, they are tastefully decorated, filled with amenities and provide an exquisite poolside retreat.

The Retreat: Your own private oasis located high above the rest. Exclusive Retreat ca-banas are the ultimate place to relax surrounded by healthy refreshments and luxurious amenities.

Spa Suites and Staterooms: Relaxation... privacy... serenity. These are the hallmarks of the ms Eurodam’s spacious new Spa Suites and Staterooms, located on the Panorama and Observation decks include special spa amenities.

Digital Workshop: Guests will be able to “show and tell” their vacation memories, learn-ing how to share all their digital memories so friends and family can see where they’ve been cruising even before they return home.

Explorations Café, powered by The New York Times: A comfortable, coffeehouse en-vironment where you can browse through an extensive library, surf the Internet, check email, or simply read the morning paper.

Greenhouse Spa & Salon: Features heavenly beauty and wellness rituals. Enjoy a fa-cial, hot stone massage, steam in a thermal suite, or have your hair and nails done for a special evening.

Rembrandt Dining Room: Features impeccable service and an extensive wine list. Five-course menus include continental cuisine, vegetarian, and low-carb options.

Club HAL®: Dedicated youth facilities and activities for kids ages 3 to 12; activities are supervised and age appropriate.

The Loft: Designed exclusively for teens to have fun, socialize, and hang out with peo-ple their own age, includes our new video editing facility for teens.

Ship Features:Rembrandt Dining Room: Features impeccable service, an extensive wine list, and offers five-course menus, from continental cuisine to vegetarian and low-carb options.

Pinnacle Grill: The intimate reservations-only Pinnacle Grill offers an elegant, sophis-ticated dining experience and features premium hand-selected cuts of Sterling Silver beef, inspired seafood dishes, and many select wines rated “Excellent” by Wine Spec-tator. Dine in style with distinctive Bvlgari china, Riedel stemware, and Frette linens.

Offered once per cruise, the Pinnacle Grill transforms into “Taste of De Librije” fea-turing the cuisine of Culinary Council member and Michelin Star Chef Jonnie Boer. Named after Boer’s restaurant in the Netherlands, the menu showcases a selection of starters, soups, entrees, and desserts from his land-based eatery.

The Lido Restaurant: The Lido Restaurant offers a relaxed ambiance for all three meals and features a variety of fresh, cooked-to-order specialties.

Tamarind Restaurant and Silk Den Lounge: A Pan-Asian restaurant and lounge with panoramic views of the ocean and Lido Pool area.

The Culinary Arts Center: Presented by Food & Wine magazine, this is the setting for gourmet cooking demonstrations and interactive classes.

Canaletto Restaurant: Named for a famous 18th-century Venetian artist, Canaletto is your destination onboard for an intimate Italian dinner. The evening begins with the chef’s selection of antipasti with a taste of the delicious food and personal, polished service to follow.

The Mainstage Show Lounge: This venue features Las Vegas-style productions, tal-ented vocalists, illusionists, comedians, and variety acts.

The Crow’s Nest: Sweeping views make this observation lounge a top choice for re-laxing during the day, in the evening transforms into a fashionable nightclub featuring top-notch DJs and live bands.

ms Eurodam The ms Eurodam furthers the evolution of Holland America Line’s sophisticated mid-sized ships with 11 passenger decks, and new innovations. These include a topside 144-seat Pan-Asian restau-rant and 50-seat lounge surrounded by panoramic views overlooking the ocean expanse as well as the Lido pool. Other additions are the Explorer’s Lounge Bar, a specialty restaurant adjacent to the Lido offering the finest in Italian food, elegant luxury jewelry boutiques, the atrium bar area, the enhanced and reconfigured show lounge with theater-style seating, and a new photographic and imaging center.

www.nwas.com info@nwas.com(800) 222-6927 (509) 547-7065

Superior Veranda Suites2 lower beds convertible to 1 queen-size bed, bathroom with dual sink vanity, full-size whirl-pool bath and shower with additional shower stall, large sitting area, private veranda, 1 sofa bed for 1 person, floor-to-ceiling windows. Ap-proximately 273–456 sq. ft. including veranda.

Deluxe Veranda Suites2 lower beds convertible to 1 king-size bed, bathroom with dual sink vanity, full-size whirl-pool bath, shower stall, large sitting area, dressing room, private veranda, 1 sofa bed for 2 persons, floor-to-ceiling windows. Approxi-mately 506–590 sq. ft. including veranda.

Deluxe Veranda Oceanview Staterooms 2 lower beds convertible to 1 queen-size bed, bathtub, shower, sitting area, private veranda, floor-to-ceiling windows. Approximately 213–379 sq. ft. including veranda.

Large or Standard Inside Staterooms2 lower beds convertible to 1 queen-size bed. Shower. Approximately 141–284 sq. ft.

We have a block of cabins for seminar participants. Once this block is sold, cabins are on availability only

and may be at a higher rate. Cruises sell out early.

TRAVEL ARRANGEMENTS: To receive these discounted cruise fares you must book your cruise through NWAS. We have all of the information regarding the cruise and seminar and can make your cruise reservations.

RESERVATIONS: Reservations will be secured and cabins assigned upon receipt of passenger deposit of $600 per person. Final payment as instructed by our travel agent. Due to the number of details needed to complete cruise cabin booking accurately, a cabin will not be booked for you until you have spoken with one of our cruise agents via phone or via direct email correspondence. Please contact our office at 1-800-222-6927 or 1-509-547-7065 to complete your cruise reservation.

DISCOUNTED FARES: We have been able to negotiate a great discount for you on this luxurious cruise. Airfare and various promotional fares may also be available. Always call us before booking anywhere else.

FOR YOUR AIRFARE NEEDS PLEASE CALL:

Universal TravelContact: Kellee Kilmer: (858) 456-7887 or email: kellee@universaltravel1.com. Be sure to mention Northwest Anesthesia Seminars. Booking fee applies.

Register early to reserve your cabin on this cruise!

ACCOMMODATIONS

Rev

. 12/

3/14

COURSE REgISTRATION 26APR15 – 15AIBC

TUITION: In USD MD/DO CRNA RN/Others

Early (Paid by 1/26/15) $900 $850 $750

Regular (Paid after 1/26/15) $950 $900 $800

PAYMENT METHODS:Payment methods accepted for tuition include Visa, Mastercard, American Express, Discover, check, or money order in US funds, payable to NWAS.

SCHEDULE AND FACULTY CHANGES:Factors beyond our control sometimes necessitate changes in the schedule and fac-ulty. If time permits, we will inform all registrants of any changes prior to the program. Changes on site due to local conditions will be announced in class.

COURSE CANCELLATION BY PROVIDER:We reserve the right to cancel a course for any reason. In such case, a minimum of 30 days notice will be given to those registered and 100% of tuition paid will be refunded. NWAS and NWWT will not be responsible for any non-refundable airfare, hotel, or other liabilities you may incur. We highly recommend purchase of travel insurance. Travel at your own risk.

COURSE CANCELLATION FEE:$100 Feb. 25 to Mar. 27. No refund after Mar. 27; however, 50% of tuition paid may be applied toward tuition for another NWAS program within the next 12 months. Cancellation must be made in writing.

FAP (FREqUENT ATTENDEE POINTS):FAP lets you accumulate points based on dollars spent with NWAS including net hotel and tuition booked through NWAS (but not air). Once you have enough points to cover a full tuition they can be redeemed for tuition (no cash value). A great program to reward you for supporting NWAS.

1000 Anesthesia in the Elderly Patient: Clinical Pearls E.Lobato1100 Perioperative Management of Antiplatelet and Antithrombotic Therapy E.Lobato1200 Lunch Break1300 Health Reform: What Do We Need to Do to Play in the Sandbox? D.Lin1400 PACU Dilemmas D.Lin1500 Complications from MAC: Is it Our Fault? E.Lobato1600 Adjourn 20 CME I / 20 CEC

Friday, May 8 – Copenhagen, Denmark – Disembark Departure as scheduled or stay over and explore this unique treasure.

SChEDUlESunday, April 26 – Barcelona, Spain1600 Ship Sails (subject to change)

Monday, April 27 – Valencia, Spain – Day OpenTuesday, April 28 – Cartagena, Spain – Day Open

Wednesday, April 29 – Gibraltar, British Territory – Afternoon Open0630 Registration – Mandatory Sign In0655 Welcome NWAS Staff0700 Seven Habits for Highly Safe Anesthesiologists and Anesthetists (2 hours) D.Lin0900 Breakfast Break1000 Preoperative Pulmonary Evaluation: Why Is it Important and What Do We Really Need to Know E.Lobato1100 Preoperative Cardiac Evaluation: Do the Guidelines Tell Us What We Need to Know? E.Lobato1200 Adjourn

Thursday, April 30 – Cadiz (Seville), Spain – Day OpenFriday, May 1 – Lisbon, Portugal – Day Open

Saturday – May 2 – Vigo, Spain – Afternoon Open0645 Registration – Mandatory Sign In0700 Anesthetic Management of the Patient with Valvular Heart Disease During Noncardiac Surgery: Who Is High Risk? E.Lobato0800 Intraoperative Myocardial Ischemia: Diagnosis and Management E.Lobato0900 Breakfast Break0945 Introducing New Technology and New Toys Safely into the O.R. D.Lin1045 Adjourn

Sunday May 3 – At Sea0845 Registration – Mandatory Sign In – Eat Breakfast Before0900 Herbals: Is the “H” Silent in Your Anesthetic? D.Lin1000 Checklists: The Good, the Bad, and the Preventably Ugly D.Lin1100 A Safe Framework for Office-Based Anesthesia D.Lin1200 Lunch Break 1300 Systematic Approach to Patients with Pacemakers or Implantable Defibrillators E.Lobato1400 Perioperative Evaluation and Management of Patients with Coronary Stents E.Lobato1500 Break1515 Dialog and Disclosure: In the Eyes of the Patient D.Lin1615 Dialog and Disclosure: Case Discussion D.Lin1715 Adjourn

Monday, May 4 – Portland, England – Day OpenTuesday, May 5 – Cherbourg, France – Day OpenWednesday, May 6 – Zeebrugge (Brussels), Belgium

Thursday, May 7 – At Sea0845 Registration – Mandatory Sign In0900 The Cocaine Positive Patient Scheduled for Elective Surgery: Cancel, Delay, or Press On? E.Lobato

FACUlTYDella Ming Lin, MD

Senior Fellow, Estes Park InstitutePatient Safety Leadership Fellow and Faculty, HRET

Past Department Chief, AnesthesiologyQueen’s Medical Center

Honolulu, Hawaii

Emilio B. Lobato, MD Anesthesiology Services

North Florida/South Georgia VAMCGainesville, Florida

Sunday, April 26 – Barcelona, Spain

Barcelona effuses the ancient, the modernist, and the Gaudi. Legend has it the city was founded by Her-cules 400 years before the found-ing of Rome. Whatever the truth is, the city today is a global capital of commerce, art, fashion, culture, and sunshine (the city gets about 300 days of it a year.) Cruise visi-tors should start with a walk down Las Ramblas, the glorious tree-shaded thoroughfare at the heart of the city. Claim a patch of sand on one of the city beaches. But, most

of all, see what visionary architect Antoni Gaudi wrought. Seven of his creations have been honored as UNESCO World Heritage Sites, including La Sagrada Familia, the Park Guell, and Casa Mila.

Monday, April 27 – Valencia, Spain – Day Open

Since its founding as a Roman colony in 138 B.C., the Visigoths, the Moors, the Catalan and Ara-gonese, and the modern tomato-throwers have thrived on the shores of the Mediterranean at the Gulf of Valencia. Like many vener-able cruise destinations, Valencia is a mix of the old and the new. Unlike many cities, the difference between the old and new is a de-lightful chasm. The old is manifest in the stone geometry of the Va-lencia Cathedral and the towers in

the ancient city walls, especially the Torres de Serranos and the Torres de Cuart. The new is embodied in the arching white steel of the City of Arts and Sciences. Enjoy the city, and if you’re there in August, head to the nearby town of Buñol, for the Tomatina, the annual mass tomato fight.

Wednesday, April 29 – Gibraltar, British Territory – Afternoon Open

Gibraltar is a peninsula that juts off the southern end of Iberia and whose dominant feature is a 1,398 ft. high, cave-covered limestone. While it is today a British overseas territory, its culture also pulls from Andalusia, Portugal, Malta, Moroc-co, and India. The upper slopes are covered in olive, pine and bouquets of the endemic Gibraltar candytuft. Stroll on the Upper Rock or go for a guided tour and learn more about the local plants and animals.

Thursday, April 30 – Cadiz (Seville), Spain – Day Open

The Moorish palace started as a fort. One of the largest Roman Catholic Cathedrals in the world used to be a mosque. The Renais-sance archive contains the annals of the Spanish in the New World. All three (the Alcazar, the Seville Ca-thedral, and the Archivo de Indias) are UNESCO World Heritage sites. All three were built in the Mudejar style, a Muslim aesthetic that devel-oped under Christian rule. Cruise guests can see what alchemy can happen when cultures intertwine.

Friday, May 1 – Lisbon, Portugal – Day Open

In Lisbon’s past, ships captained by Portuguese explorers like Bar-tolomeu Dias, Vasco da Gama, and Ferdinand Magellan skittered across the globe, hauling treasure home and made Lisbon a major global capital and port. Lisbon is situated on a wide bay where the Tagus River meets the Atlantic, and the white facades of its an-cient neighborhoods lead uphill to the iconic Castelo de São Jorge. Other landmarks include the World Heritage Sites of Belém Tower and

Jerónimos Monastery, both built in Lisbon’s native Manueline architectural style.

Saturday – May 2 – Vigo, Spain – Afternoon Open

If you’re a fan of scenic green mountains and unspoiled white beaches, the hour-long ferry trip to Cíes Islands, a nature reserve off the coast of Vigo, is worth the detour. Bird-watchers should keep an eye out for the yellow-footed gulls that nest here. Castro Park offers scenic urban hiking and bik-ing trails. For the best views of Vigo and the Cíes Islands, head to the hilltop remains of a 17th-century fort. The MARCO art institution is one of Galicia’s youngest and most

innovative museums, specializing in interactive exhibits of contemporary art.

Tuesday, May 5 – Cherbourg, France – Day Open

The town of Cherbourg is no less a delight. Visit Place General de Gaulle, where cruise travelers can find great cafes (try an assi-ette de fruits de mer) and good people-watching. Shop the many boutiques on rue Tour-Carree and rue de la Paix. Hike up to Fort du Roule to explore the grounds and catch the view toward England. Then stop by the Musee de la Liberation for a bit of local history.

Thursday, May 7 – At Sea

Friday, May 8 – Copenhagen, Denmark – Disembark

Denmark’s capital city is sophis-ticated, saucy, and friendly. Stroll the beautiful grounds of Tivoli Gardens to take in bright lights and castles that inspire visions of fairytales. See the city’s 200-year-old Royal Palace and the lively Old Harbor where Hans Chris-tian Andersen once lived. Salute the Little Mermaid, symbol of this light-hearted city. Plan your trip to arrive early to enjoy this lovely city.

Wednesday, May 6 – Zeebrugge (Brussels), Belgium

Go from a busy port city tour to the canal-laced Brugge; Brussels, home of the European Union; and Ghent, mecca for chocolate lov-ers and the capital and largest city of the East Flanders province. Take a shore excursion to Ant-werp, the City of Diamonds. Visit a geniune palace at Palace on the Meir. This 18th century building used to be home to important rul-ers such as Napoleon Bonaparte and the Belgian Royal House.

Sunday May 3 – At Sea

Monday, May 4 – Portland, England – Day Open

Your visit to Portland and the Eng-lish countryside of County Dorset will be rich in scenic beauty and centuries-old history. Visit the an-cient village of Cerne Abbas and admire its beautiful 14th-century church and 16th-century houses; explore Sherbourne Castle, com-missioned by Sir Walter Raleigh in 1594; and marvel at prehistoric Stonehenge, a UNESCO World Heritage Site.

Tuesday, April 28 – Cartagena, Spain – Day Open

Cartagena offers a rich cultural legacy from the days of Roman, Muslim, and Arabic rule.

Register with us today:www.nwas.com(800) 222-6927

CRUISE RATES

Suites: All have verandah, TV/DVD, minibar, refrigerator, bathroom with dual sinks, large sitting area, whirlpool tub and separate shower.

Superior Suites: 2 lower beds convertible to 1 queen-size bed, 1 sofa bed for 1 person, floor-to-ceiling windows.

SS $3,799

Verandah Stateroom: All have verandah, TV/DVD, minibar, bathroom with dual sinks, large sitting area, dressing room, whirlpool bath and shower.

VA $2,289

VC $2,229

VD $2,199

Outside Stateroom:

C $2,139

D $2,119

Inside Stateroom:

J $1,839

K $1,819

The above rates are per person fares, based on double occupancy. Single occupancy 150%-200% supplement.

Cabin selection is limited based upon availability.Fares do not include tax or fuel surcharge.

3rd and 4th person prices may be available. To inquire, please call (800) 222-6927

DEPOSIT: Cabins MUST be reserved with a deposit of $600 per person to qualify for these low fares. Cabin selection is limited and the above listed categories may not be available. A single supplement is charged if there is only one person in a cabin. Prices subject to change without notice.

Various promotional fares may be available! Always call us before booking your cruise.

To register for this program, and reserve your cabin, please visit our website: www.nwas.com

or call (800) 222-6927.

PASSPORT VAlID FOR SIX MONThS

AFTER RETURN REQUIREDNon-US Citizens check with your consulate for

documentation requirements.