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

TARGET AUDIENCE: This course is designed for physicians, CRNAs, physician assistants, registered 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 background 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 armamentarium 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 involving health care delivery; serve as an informed manager of clinical and educational services provided, including the acquisition and distribu-tion of resources necessary in meeting professional 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 maintaining 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 contraindica-tions and precautions of presented pharmacological agents through the understanding of their physico-chemical properties, pharmacokinetics and pharmacodynamics, updated uses, and more recently devel-oped 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 requirements, clinical setting, adverse reactions, and/or goals of care.

Apply the principles of safety and asepsis in the performance of anesthetic procedures and administra-tions, 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 organizations, institutions, and professional groups — recognized as serving as the authority for and/or holding the re-sponsibility to compile and approve such tenets — in the provision of anesthesia and related 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 accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the co-providership of the A. Webb Roberts Center for Continuing Medical Education of Baylor Healthcare System, Dallas and Northwest Anesthesia Seminars. The A. Webb Roberts Center for Continuing Medical Education of Baylor Healthcare System, Dallas is accredited by the ACCME to provide continuing medical education for physicians.

The A. Webb Roberts Center for Continuing Medical Education of Baylor Health Care System, Dallas, des-ignates 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 Certification in Anesthesiol-ogy Program (MOCA®).

PA: AAPA accepts Category I credit from AOA CCME, Prescribed credit from AAFP, and AMA PRA Cat-egory 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 #1030505; Expiration date 5/15/2015.

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 Wash-ington, 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.

Clinical Concerns in Anesthesia

Alaska Explorer Cruise via Glacier Bay

May 9–16, 2015

Alaska Explorer Cruise via Glacier Bay

May 9–16, 2015This 7-day cruise features Saturday departure round-trip from Seat-tle, Washington, giving you the opportunity to experience this amaz-

ing city in depth if you so choose. Enjoy ports of call in Juneau, Sitka, and Ketchikan, Alaska as well as Victoria, British Columbia,

Canada. Look forward to scenic views of Glacier Bay all while cruising onboard Holland America’s beautiful ms Westerdam.

ITINERARY*

Day Date Port Arrive Depart

Sat May 9 Seattle, Washington 4:00pm

Sun May 10 At Sea

Mon May 11 Juneau, Alaska 1:00pm 10:00pm

Tue May 12 Glacier Bay 7:00am 4:00pm

Wed May 13 Sitka, Alaska 7:00am 3:30pm

Thu May 14 Ketchikan, Alaska 7:00am 1:00pm

Fri May 15 Victoria, British Columbia 6:00pm 11:59pm

Sat May 16 Seattle, Washington 7:00am

*Ports and times subject to change

Vista Show Lounge: Features talented vocalists, dancers, illusionists, comedians, and variety acts.

Crow’s Nest: Offers sweeping 270° views during the day, and a hip, fashionable night-club each evening.

Club HAL®: A dedicated youth facility with activities for kids ages 3 through 12; activities are supervised and age appropriate.

The Loft: Designed exclusively for teens 13 to 17 to have fun, socialize, and hang out with people their own age.

Ship Features:The Digital Workshop: Guests will be able to show and tell their vacation memories, learning how to share all their digital memories through email, blogging, and social networking so friends and family can see where they’ve been cruising even before they return home.

The Culinary Arts Center: State-of-the-art demonstration kitchen offering interactive gourmet cooking lessons taught by our own Master Chefs or culinary guests.

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

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

Pinnacle Grill: This intimate reservations-only venue offers an elegant, sophisticated dining experience. Featuring premium Double R Ranch Beef, inspired seafood dish-es, and many select wines rated “Excellent” by Wine Spectator, as well as distinctive Bvlgari® china, Riedel® stemware and Frette® linens.

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 fare and personal, polished service to follow.

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

Explorations Café, powered by The New York Times: A comfortable, coffee house environment where you can browse through an extensive library, surf the Internet, and check email, or simply read the morning paper.

ms Westerdam Defining the future of cruising, the ms West-erdam offers guests more of everything they desire on a cruise ship: more staterooms with private Verandahs, more dining choices from formal dinners to casual pool side dining, and the very best in cruise activities and cruise entertainment. The theme of the ms Westerdam’s art collection is Dutch heritage in the New World. Artwork includes paintings of historic Dutch ships, such as Henry Hudson’s Half Moon, as well as impressive sculptures and statues. Contemporary pieces include an original Andy Warhol portrait and signature sculptures by Sedona artist Susanna Holt.

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

Penthouse Verandah SuiteBedroom with 1 king bed, oversize whirlpool bath, shower, and shower stall. Living room, din-ing room, dressing room, private Verandah with whirlpool, pantry, 1 sofa bed for 2 persons, mi-crowave, refrigerator, guest toilet, private stereo system, DVD player, and floor-to-ceiling windows.

Deluxe Verandah Suite2 lower beds convertible to 1 king bed, bath-room with dual sink vanity, full-size whirlpool bath, shower, and shower stall, large sitting area, dressing room, private Verandah, 1 sofa bed for 2 persons, and floor-to-ceiling windows.

Superior Verandah Suites2 lower beds convertible to 1 queen-size bed, bathroom with dual sink vanity, full-size whirl-pool bath, shower, and shower stall, large sit-ting area, private Verandah, 1 sofa bed for 1 person, floor-to-ceiling windows.

Large Oceanview Staterooms 2 lower beds convertible to 1 queen-size bed, bathtub, shower.

Deluxe Verandah Oceanview Staterooms2 lower beds convertible to 1 queen-size bed, bathtub and shower, sitting area, private Ve-randah, floor-to-ceiling windows.

Large or Standard Inside Staterooms2 lower beds convertible to 1 queen-size bed, shower.

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 $350 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. 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. Booking fee applies.

Register early to reserve your cabin on this cruise!

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.

ACCOMMODATIONS

Rev

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22/1

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COuRSE REgISTRATION 9MAY15 - 15MAKC

TUITION: In USD MD/DO CRNA RN/Others

Early (Paid by 2/8/15) $900 $850 $750

Regular (Paid after 2/8/15) $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 March 10 to April 9. No refund after April 9; 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.

Saturday, May 16 – Seattle – Departure as Scheduled

Children and non-registered guests are not allowed to attend the lectures.

SChEDulESaturday, May 9 – Seattle, Washington1600 Ship Sails – Puget Sound & San Juan Islands

Sunday, May 10 – Scenic Cruising0700 Registration – Mandatory Sign In NWAS Staff0725 Welcome0730 Cleared for Surgery J.Kryc0830 Breakfast Break0930 Preoperative Evaluation of the Ambulatory Patient J.Kryc1030 Office Based Anesthesia: The Wild Wild West of Healthcare J.Kryc1130 Testing and Reversal of the New Oral Anticoagulants J.Kryc1230 Lunch Break1330 Anesthesia for Trauma (2 hrs) S.Barker1530 Anesthesia for the Elderly S.Barker1630 Adjourn

Monday, May 11 – Juneau, Alaska – Afternoon Open0845 Registration – Mandatory Sign In*0900 Nanotechnology: The Edge of the Cutting Edge J.Kryc1000 Nanotechnology: Medical Applications J.Kryc1100 Adjourn

Tuesday, May 12 – Glacier Bay Scenic Cruising – Afternoon Open0845 Registration – Mandatory Sign In*0900 New Developments in Oxygen Transport and Monitoring (2 hrs) S.Barker1100 Adjourn

Wednesday, May 13 – Sitka, Alaska – Open Day

Thursday, May 14 – Ketchikan, Alaska – Morning Open1445 Registration – Mandatory Sign In1500 Technology in Anesthesia: Part I S.Barker1600 Technology in Anesthesia: Part II S.Barker1700 Clinical Case Discussion: “Fire in O.R. #9!” S.Barker1800 Adjourn

Friday, May 15 – Victoria, B.C. – Evening Open0715 Registration – Mandatory Sign In0730 What Does It Take to Make the Perfect Clot? J.Kryc0830 Breakfast Break0930 Triggers, Targets, and Antithrombotics J.Kryc1030 Neuraxial Anesthesia and Anticoagulation: Is This a Good Idea? J.Kryc1130 Flying the Anesthesia Machine: So Simple a Caveman Can Do It? S.Barker1230 Lunch Break 1330 Malignant Hyperthermia S.Barker1430 Postoperative Pain Management: The Good, the Bad, and the Ugly J.Kryc1530 Adjourn 20 CME I / 20 CEC*Please eat prior to the meeting. Breakfast will not be served.

FACulTY

Steven J. Barker, PhD, MDProfessor of Anesthesiology

University of Arizona College of MedicineTucson, Arizona

Joseph J. Kryc, MD, MBAClinical Associate Professor Department of Anesthesiology

University of Arizona Health Sciences CenterTucson, Arizona

Staff AnesthesiologistDirector of Obstetric Anesthesiology

Banner Baywood Medical CenterMesa, Arizona

To register for this program and reserve your cabin,

please visit our website: www.nwas.comor call (800) 222-6927.

May 9 – Seattle, Washington

Harvester of trees. Provisioner to gold rushers. Gateway for sea commerce. Incubator of jazz and grunge, jets and literature, coffee and computer software. Seattle is as much about reinvention as it is a landscape. There are lakes, mountains, and forests every-where you look. The rest is an archipelago of neighborhoods studded with boutiques and cof-fee shops. Catch a salmon at Pike Place Market. Ride the elevator to the top of the Space Needle and

take in gorgeous city vistas. Sample a local microbrew in Fremont, enjoy fresh steam-ers down at the pier, or slurp a bowl of steaming pho in the International District.

May 15 – Victoria, British Columbia, Canada

Victoria is a city that started as Salish Village, spent a roustabout adolescence as a main port for gold prospectors and opium trad-ers, and then transformed itself into an icon of British gentility after the completion of the trans-Canada railroad put neighboring Vancouver in the ascendant. Two events were seminal: the opening of Butchart Gardens in 1904 and the comple-tion of the Empress Hotel in 1908. Butchart is a collection of gardens more than a single garden -- high-

lights for cruise visitors include the Sunken Garden (built from a former limestone quarry), the Italian Garden, the Japanese Garden, and the fragrant Rose Garden. The Empress Hotel is merely a national icon. Come in for high tea.

May 16 – Seattle, Washington – Disembark

Depart as scheduled or stay over to enjoy this magnificent city.

May 14 – Ketchikan, Alaska

As Alaska’s first city, Ketchikan claims to be the salmon capital of the world. Its harbor shelters a colorful fleet of fishing and plea-sure boats. Watch for eagles swooping to snatch a fish for din-ner. Ketchikan is also center of the ancient Tlingit culture and proudly displays its heritage. Tour to see Alaska’s largest collection of origi-nal totems. Walk through the forest to an authentic Indian community house, with awesome carvings. Go flight seeing to scenic Misty Fjords

National Monument with its sheer granite walls, glacier-carved fjords and sky-blue alpine lakes. Go fishing. Shop for gold nugget jewelry or a soapstone carving.

May 13 – Sitka, Alaska

The onion domes of St. Michael’s Cathedral are your first clue that Sitka was once a key Russian settlement. Indeed, it was capital of Russian America, seat of the bishop of Kamchatka, and the most important port on the West Coast for the first half of the 19th century. Catch a performance by the New Archangel Dancers, be greeted by native Tlingit people, then stand on the spot where the United States took possession of Alaska in 1867. The dramatic setting in the shadow

of Mt. Edgecumbe is one of the loveliest in the Great North.

May 10 – At Sea

May 11 – Juneau, Alaska

No roads lead to Juneau, which gives the Alaskan capital a misty inscrutability. You need to come by air or water, but when you ar-rive, the place will delight you with its bounty of water, forests, and mountains. Squeezed between the Gastineau Channel and Coast Mountains, Juneau offers a lot of variety in close proximity. The massive Mendenhall Glacier  and the immense Juneau Icefields are at its back door. The vast Tongass National Forest stretches away to

the northeast. You can shop downtown or get out and kayak, dogsled, raft, hike, whale watch, flightsee or fish. The adventures are as bountiful as the daylight.

May 12 – Glacier Bay, Alaska

This Y-shaped bay is 65 miles long. A journey up its arms is a profound regression through the life cycle of a new land - from maturing Sitka-spruce forests replete with grizzlies and wolves to thin-skinned tundra, lichens, and mosses that gain purchase on land exposed at a glacier’s maw, the first beginnings of or-ganic soil. Glacier Bay stands at farthest possible remove from the tiresome clamor of the modern world. So, at least for a little while,

trade in your cell phone’s jangle for the pop, crackle, and thunderous boom of a building-size berg calving into the sea from a vast river of ice. You’ll be adventuring far beyond the end of the road.

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

CRuISE RATES

Suites: See inside panel for cabin information.

Superior Suites:

SS $1,849

Verandah Stateroom:

VA $1,489

VC $1,429

VD $1,399

Outside Stateroom:

C $1,289

D $1,259

Inside Stateroom:

J $839

K $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 $350 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.

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

(800) 222-6927

PASSPORT VAlID FOR SIX MONThS

AFTER RETuRN REQuIREDNon-US Citizens check with your consulate for

documentation requirements.