Northwest Anesthesia Seminars, Inc.
Continuing Education for the Medical Professional
Presents
Anesthesia Update
12-Day South America Passage
January 23-February 4, 2011


12-Day South America Passage - January 23-February 4, 2011

Click for Interactive Map

The beauty of Buenos Aires... sensational wildlife...the fire in the Argentine tango...the majesty of icy blue glaciers...South America is calling your name. It is your turn to sail the astonishing seas that Magellan and Darwin sailed so many years ago. Come, explore the magic of South America with Northwest Anesthesia Seminars, Inc. and Holland America. You'll discover lands seldom-visited, whose attractions stand as immutable as first glimpsed by these famed adventurers.

               

ITINERARY

Day Date Port Arrive Depart
Sun Jan 23 Valparaiso (Santiago), Chile - Embark 5:00pm
Mon Jan 24 At Sea
Tue Jan 25 Puerto Montt, Chile 8:00am 5:00pm
Wed Jan 26 Cruising Darwin Channel Chilean Fjords
Thu Jan 27 Cruising Amalia Glacier Canal Sarmiento
Fri Jan 28 Strait of Magellan to Punta Arenas, Chile 7:00am 8:00pm
Sat Jan 29 Cruising Cockburn & Beagle Channels, Viewing Romanche & Alemania Glaciers 2:00am 10:00pm
Sat Jan 29 Ushuaia, Argentina 2:00pm 10:00pm
Sun Jan 30 Cruising Cape Horn
Mon Jan 31 Pt. Stanley, Falkland Islands 10:00am 4:00pm
Tue Feb 1 At Sea
Wed Feb 2 At Sea
Thu Feb 3 Montevideo, Uruguay 8:00am 6:00pm
Fri Feb 4

Buenos Aires, Argentina - Disembark 6:00am

PORTS OF CALL

Sunday, January 23 - Valparaiso (Santiago), Chile
An inviting maze of cobblestone streets and 17 tram-equipped hills makes Valparaiso a joy to wander. 74 miles northwest of Santiago, Valpo is Chile's principal port and second-largest city. It is Chile's most distinctive city and one of South America's most intriguing. Its convoluted center has distinctive, sinuous cobbled streets and is overlooked by precipitous cliffs and hilltop suburbs which are accessed by funicular railways and stairway footpaths. It is conducive to maze-like strolls and rides on the funicular, and its natural history, fine arts, and maritime museums are justly famed.

 

Monday, January 24 - At Sea

 

Tuesday, January 25 - Puerto Montt, Chile
This is one of southern Chile's most important cities. It features middle-European architecture, with shingles, high-pitched roofs, and ornate balconies. The redwood cathedral on the city's plaza is the city's oldest building, dating from 1856. The nearby port of Angelm as an outstanding crafts market and has fabulous seafood. A trip inland through the Lake District, former stronghold of the Auraucanian Indians, leads to fragrant eucalyptus and pine forests, pristine lakes, and snow-capped volcanoes.

 

Wednesday, January 26 - Cruising Darwin Channel Chilean Fjords
No cruising in the world matches it: the unearthly beauty of Seno Eyre Fjord, jagged walls of glacier ice creaking towards release, albatross shearing over dark water. A loud puff and a spray of mist signal a whale, while Magellanic penguins wiggle their tiny tails and flop into the sea.

 

Thursday, January 27 - Amalia Glacier Canal Sarmiento
Amalia Glacier is part of the Southern Patagonian Ice Field, the largest contiguous ice field in the Southern Hemisphere outside of Antarctica; it descends from the Andes, and is approximately 73 square miles in area.

 

Friday, January 28 - Cruising Strait of Magellan to Punta Arenas, Chile
Located within the Straits of Magellan, Punta Arenas is proud of being a frontier town. Set on rolling, wind-scoured hills, this is Chilean big sky country. It's also the takeoff point for Patagonia's Torres del Paine National Park and a flightseeing tour over Antarctica. From here, we follow in Darwin's wake, sailing the Cockburn and Beagle channels past several mighty glaciers. With one of the most unspoiled habitats of South America, Magdalena Island, a natural reserve for Magellan penguins, cormorants, and many other birds, is located 25 miles north of Punta Arenas.

 

Saturday, January 29 - Cruising Cockburn and Beagle Channels, viewing Romanche and Alemania Glaciers
"January 29th (1833) - Early in the morning we arrived at the point where the Beagle Channel divides into two arms…" Such is the comment entered in his diary by Charles Darwin, on board the Beagle, a ten-gun brig under the command of Captain Fitz Roy, R.N. Sail along the same channel and see the same peaks which, some 164 years ago, witnessed the presence of that legendary vessel and those prominent explorers. Experience the breeze, the smells, the cries of the cormorants, gulls, and petrels, or the growling of sea-lions.

 

Saturday, January 29 - Ushuaia, Argentina
The southernmost town in the world, sits at the edge of Tierra del Fuego. Surrounded by a countryside of snow-capped mountains, dense forest, rivers and waterfalls, the town has a rugged, frontier spirit. Nearby Tierra del Fuego National Park is a wildlife sanctuary. Domineering peaks loom on three sides; the fourth opens to the Beagle Channel, where sea lions bellow and mountains drop straight into the sea.

 

Sunday, January 30 - Cruising past Cape Horn
It marks the southernmost point of South America and extends into Drake Passage, the antarctic strait connecting the South Atlantic and South Pacific oceans. The rocky terrain of the cape rises to a height of 424 meters (1391 feet). Storms, strong currents, and icebergs make passage around the cape extremely hazardous. During the time of sailing ships, hundreds of vessels were wrecked while "rounding the horn."

 

Monday, January 31 - Pt. Stanley, Falkland Islands
Stanley, the capital of the Falklands, is a colorful seaside town nestled around the waters of Stanley Harbor. The town boasts many reminders of its British heritage, such as red phone boxes and eight distinctly English pubs. Visitors can enjoy the many military monuments, Museum, Philatelic Bureau, and of course retail outlets an restaurants. Brightly colored corrugated iron roofs and painted decorative woodwork are characteristic of older houses in the Falklands. The original Colonists' Cottages can be seen on Pioneer Row and Drury Street. Christ Church Cathedral and the neighboring Whalebone Arch are two of Stanley's most iconic attractions. Beautifully crafted goods are available from gift shops in Stanley ranging from delicately produced felt items to robust leather goods. Jewelry features the local semi-precious opaque pebbles, woollen garments are knitted from soft Falkland's wool to suit a variety of tastes, wooden souvenirs are crafted from salvaged shipwrecks and driftwood, and local artwork depicts land and sea-scapes, wildlife, and historical attractions. Collectors will enjoy seeking out stamps, coins, and medallions.

 

Tuesday, February 1 - At Sea

 

Wednesday, February 2 - At Sea

 

Thursday, February 3 - Montevideo, Uruguay
Unsung jewel of the South Atlantic Montevideo, on the northern shore of the mighty River Plate, teems with an intoxicating mix of European tradition and colorful South American culture. With its shady downtown plazas to historic camps, forts, farms, and missions that speak so eloquently of the dramas, hardships, and battles of pioneering days. Home to almost 50% of the nation's population, Montevideo is a modern metropolis with a historical old town dating back to colonial times. Surrounding the whole city lies an uninterrupted stretch of white sandy beach. Highlights include Ciudad Vieja (Old Town) with its 18th century buildings, the vibrant Mercado del Puerto, and the bustling commercial activity of Avenida 18 de Julio and its cultural offerings (theatres, museums, and art galleries).

 
Friday, February 4 - Buenos Aires, Argentina - Disembark
Mix together a beautiful European-like city with attractive residents, gourmet cuisine, awesome shopping, a frenzied nightlife, and top-drawer activities, and you get Buenos Aires, a cosmopolitan metropolis with both slick neighborhoods and equally downtrodden areas - part of the appeal. It's an elegant, seductive place with a ragged edge, laced with old-world languor, yet full of contemporary attitude. In between cutting-edge designer boutiques, ritzy neighborhoods, and grand parks are unkempt streets full of spewing buses and bustling fervor. Seek out classic Buenos Aires: the old-world cafes, colonial architecture, fun outdoor markets, and diverse communities.

THE SHIP - MS Veendam

Grandly proportioned and recently enhanced, the ms Veendam offers an onboard experience defined by spacious comfort and the latest Signature of Excellence features and amenities. Guests aboard the ms Veendam will not only enjoy elegant dining rooms, a $2 million art and antique collection, wide teak decks and spacious staterooms - many with private verandahs - but also new and exciting venues, stateroom options along with a complete update to all stateroom furnishings.

Other features of the ms Veendam include:

  • Rotterdam Dining Room - features impeccable service, an extensive wine list, and five-course menus including continental cuisine, vegetarian, and low-carb options
  • Pinnacle Grill - intimate reservations-only venue offers an elegant, sophisticated dining experience and features premium Sterling Silver beef, inspired seafood dishes, and many select wines rated "Excellent" by Wine Spectator - as well as distinctive Bvlgari® china, Riedel® stemware, and Frette® linens
  • Lido Restaurant - offers a relaxed ambiance for all three meals and features a variety of fresh, cooked-to-order specialties
  • The Culinary Arts Center, presented by Food & Wine Magazine - state-of-the-art demonstration kitchen offering interactive gourmet cooking lessons taught by Holland America's Master Chefs or culinary guests
  • Digital Workshop, powered by Windows® - offering fun, free learning about digital photography, videos, scrapbooking, blogging, and social networking
  • Mix - an innovative meeting place featuring three specialty venues: Champagne, for mid-day mimosas or anytime celebrations; Martinis, for Grey Goose cocktails and martini flights; and Spirits & Ales for microbrews, single malts, and sports updates
  • The Retreat - a private resort-style pool experience offering sophisticated poolside amenities and service
  • Explorations Café, powered by The New York Times - a comfortable, coffee house environment 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 facial, hot stone massage, steam in a thermal suite, and have your hair and nails done for a special evening
  • The Showroom at Sea: glamorous nightclub venue for world class entertainment.
  • Crow's Nest - offers sweeping 270° views during the day and a hip, fashionable nightclub each evening.
  • Club HAL® - our dedicated youth facilities and activities for kids ages 3 - 12.
  • The Loft and The Oasis - designed exclusively for teens (13 - 17) to have fun, socialize, and hang out with people their own age.
  • Lanai staterooms - offering a private entrance onto the classic teak Promenade Deck.
  • Spa staterooms - located close to the luxurious Greenhouse Spa and Salon and offering special spa amenities.

Deluxe Verandah Suites Verandah Suites Large Oceanview Staterooms Large or Standard Inside Staterooms

2 lower beds convertible to 1 king-size bed, whirlpool bath and shower, large sitting area, dressing room, private verandah, 1 sofa bed for 2 persons, mini-bar, refrigerator, floor-to-ceiling windows, 556 square feet.

2 lower beds convertible to 1 queen-size bed, whirlpool bath and shower, sitting area, private verandah, mini-bar, refrigerator, floor-to-ceiling windows, 292 square feet.

2 lower beds convertible to 1 queen-size bed, bathtub and shower, 197 square feet.

2 lower beds convertible to 1 queen-size bed, shower, 182 square feet.

Northwest-Worldwide Travel (NW-WWT) has a block of cabins for seminar participants. Once this block is sold, cabins are on availability only and may be at a higher rate. Book early - Cruises sell out early!

TRAVEL ARRANGEMENTS

To receive these discounted cruise fares you must book your cruise through Northwest-Worldwide Travel. Connie or Lisa 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 in the amount of $600 of the fare per person. Final payment as instructed by our travel agent.

DISCOUNTED FARES

We have been able to negotiate a GREAT DISCOUNT for you on this luxurious cruise!! See reservation form for details. Discounted airfares are also available. Various promotional fares may also be available. ALWAYS CALL CONNIE OR LISA BEFORE BOOKING ANYWHERE ELSE.

Register early
to reserve your cabin on this cruise!

info@nwas.com
Call toll-free (800) 222-6927 • Outside U.S. (509) 547-7065

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, pharmacologic 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 distribution 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 contraindications and precautions of presented pharmacological agents through the understanding of their physico-chemical 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 requirements, clinical setting, adverse reactions, and/or goals of care.

Apply the principles of safety and asepsis in the performance of anesthetic procedures and administrations, 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 responsibility 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.

PROGRAM SCHEDULE
Anesthesia Update
12-Day South America Passage
January 23-February 4, 2011
Sunday, January 23 - Santiago (Valparaiso), Chile
1700 Ship sails
Monday, January 24 - At Sea
0715 Registration - Mandatory Sign In
0735 Welcome NWAS Staff
0740 To Intubate or Not to Intubate: Trauma in the Prehospital Setting L.Pelinka
0840 Breakfast Break
0930 Case Presentation: Perioperative Complications in Trauma: (Near) Misses L.Pelinka
1030 Alternatives to the Endotracheal Tube: The LMA and Other Airway Devices L.Pelinka
1130 The Truth about Preoperative Fasting L.Pelinka
1230 Lunch Break
1415 Migraine as a Progressive Disease: Pathophysiology of Chronic Headache R.Burstein
1515 Traumatic Shock: The Physiologist's Point of View L.Pelinka
1615 Traumatic Shock: The Anesthesia Provider's Point of View L.Pelinka
1715 Perioperative Fluid Management in Trauma: Questions and Controversies L.Pelinka
Tuesday, January 25 - Puerto Montt, Chile - Day Open
Wednesday, January 26 - Cruising Darwin Channel Chilean Fjords
0900 Registration - Mandatory Sign In
0915 Mass Casualty Management: the European Point of View L.Pelinka
1015 Terrorism and Trauma: Blast Injuries L.Pelinka
1115 Natural Disaster Management: The Tsunami Experience L.Pelinka
1215 Photophobia: From Blind Patients to Novel Brain Pathways R.Burstein
1315 Lunch Break
Thursday, January 27 Amalia Glacier Canal Sarmiento - Day Open
Friday, January 28 - Cruising Strait of Magellan to Punta Arenas, Chile - Day Open
Saturday, January 29 - Cruising Cockburn & Beagle Channels viewing Romanche & Alemania Glaciers, Ushuaia, Argentina - Day Open
Sunday, January 30 - Cruising Cape Horn - Day Open
Monday, January 31 - Pt. Stanley, Falkland Islands - Day Open
Tuesday, February 1 - At Sea
0900 Registration - Mandatory Sign In
0915 Postoperative Nausea and Vomiting: A Persistent Problem Revisited L.Pelinka
1015 Murphy's Law B Minimizing the Risk of Anesthesia L.Pelinka
1115 Neurotrauma: the Anesthesia Provider's Point of View L.Pelinka
1215 Innervation of the Skull: Possible Role in Head Trauma Headache R.Burstein
1315 Adjourn
Wednesday, February 2 - At Sea
0900 Registration - Mandatory Sign In
0915 Regional versus General Anesthesia for Trauma Surgery L.Pelinka
1015 Complications of Spinal Anesthesia and How to Avoid Them L.Pelinka
1115 Forever Young? Anesthesia in the Elderly L.Pelinka
1215 Don't Take Your Organs to Heaven - Heaven Knows We Need Them Here L.Pelinka
1315 Adjourn 20 CME I / 20 CEC
Thursday, February 3 - Montevideo, Uruguay - Day Open
Friday, February 4 - Buenos Aires, Argentina - Disembark

FACULTY

Rami Burstein, BA, PhD
Professor and Vice Chairman
Research Department of Anesthesia and Critical Care Academic Director
HMFP Comprehensive Headache Center
Beth Israel Deaconess Medical Center
Harvard Medical School
Boston, Massachusetts
Linda Pelinka, MD
Assistant Professor
Department of Anesthesiology and Critical Care Medicine
Lorenz Boehler Trauma Center and Ludwig Boltzmann
Institute of Experimental and Clinical Traumatology
Vienna, Austria

ACCREDITATION


The A. Webb Roberts Center for Continuing Medical Education of Baylor Health Care System, Dallas, designates this educational activity for a maximum of 20 AMA PRA Category 1 Credit(s). Physicians should only claim credit commensurate with the extent of their participation in the activity.

This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education through the joint sponsorship of A. Webb Roberts Center for Continuing Medical Education of Baylor Health Care System, Dallas and Northwest Anesthesia Seminars, Inc. The A. Webb Roberts Center for Continuing Medical Education of Baylor Health Care System, Dallas is accredited by the ACCME to provide continuing medical education for physicians.

Physician Assistants AAPA accepts Category I credit from AOACCME, Prescribed credit from AAFP, and AMA PRA Category 1 Credit™ from organizations accredited by the ACCME.

AANA approved for 20 CEC Code #33430 EXP DATE 2/2/2011

CME Certificates will be mailed following completion of the course. Please allow up to twelve weeks for processing.

NWAS is an approved provider by the California and Florida State Boards of Nursing, Provider number #04833 and 50-7480 respectively. This program offers 20 contact hours.

COURSE DIRECTOR


Mark Murphy, MD; MSN Education, LLC., Austin, TX and Medical Director Northwest Anesthesia Seminars, Inc., Pasco, Washington.

COURSE CANCELLATION BY PROVIDER

We reserve the right to cancel a course for any reason. In such case, a minimum of 60 days notice will be given to those registered and 100% of tuition paid will be refunded. NWAS and NW-WWT (Northwest-Worldwide Travel) will not be responsible for any non-refundable cruise fare, airfare, hotel, or other liabilities you may incur. We highly recommend the purchase of travel insurance.

CRUISE CANCELLATION

Penalties apply for cancellation of the cruise for any reason. We strongly recommend purchase of the Cancellation Insurance. Ask Connie, Lisa, or Andy for details. Please be aware that premiums paid for insurance are non-refundable.

SCHEDULE AND FACULTY CHANGES

Factors beyond our control sometimes necessitate changes in the schedule and faculty. 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.

FAP (Frequent Attendee Points)

FAP lets you accumulate points based on dollars spent with NWAS including net cruise, net hotel, and tuition booked through NWAS (but not air). These points can then be redeemed for tuition. A great program to reward you for supporting NWAS! Not only do you receive the lowest fare, but you get a 1.5% credit toward future tuition!!

PASSPORT IS REQUIRED - CLICK HERE FOR MORE INFORMATION


Lecture notes will be provided on a CD in PDF format.

Click here for course and cruise registration

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NWAS
P.O. Box 2797, Pasco, WA, 99302
1 (800) 222-6927