Northwest Anesthesia Seminars, Inc.
Continuing Education for the Medical Professional
Presents
Anesthesia Exposure
Voyage of The Vikings
June 10 - 22, 2008

LOCATIONS

TARGET AUDIENCE

THE SHIP

PROGRAM PURPOSE

CRUISE RESERVATION

OBJECTIVES

 

PROGRAM SCHEDULE

FACULTY

ACCREDITATION

FAP

COURSE REGISTRATION


12-Day Voyage of The Vikings

Roundtrip Southampton, England

For sheer drama, few regions can compare to Northern Europe. The amazing cliffs of the North Cape, Europe's northernmost point, or the awe-inspiring fjords of Norway. Sail there with Queen Victoria, and you'll experience the region from a decidedly European perspective -- the way it was meant to be seen.
Tuesday, June 10 - Board Ship in Southhampton, England
This is Cunard's home port, part of seafaring legend. Simply start your holiday in style with a glass of champagne on deck aboard one of the most famous ocean liners in the world. London's fascination is its variety - history, pageantry and tradition mix with the modern, eccentric and avant-garde, offering something for everyone. Tour Winsor and Stonehenge, or go on a shopping spree at Harrods via Rolls-Royce complete with uniformed chauffeur.
Wednesday, June 11 - Cruising North Sea
Visions of Vikings on grand sailing ships are sure to cross your mind. Herring and sardines are the mainstay of many a fishing community on the blustery North Sea. Oil rigs rear up from nowhere to remind the observer that fossil fuels are found here, too.
Thursday, June 12 - Bergen, Norway
Bergen is historic and grand, yet full of charm and atmosphere. Wander along the city's narrow paths and alleyways, taste the fresh seafood at the Fish Market and hear Edvard Griegs's music performed at his home, Trollhaugen. Take the Fløibanen, or the cable car to one of the seven mountains surrounding Bergen. Enjoy the views or go hiking. Other musts include the old wharf area Bryggen, the Aquarium, the city's art treasures, Old Bergen or partake in one of the many festivals.
Friday, June 13 - Cruising the North Sea
Saturday, June 14 - Tromsø, Norway
Tromsø is known as the "Gateway to the Arctic," 250 miles north of the Arctic Circle. Tromsø is also known as the Paris of the North because of it's cafés and restaurants. Sample cuisine that carries the aroma of locally-caught seafood and exotic spices. The heroes of the day, the polar explorers, exploited the local knowledge and experience to their advantage, to set off on daring expeditions to the far North. Today, Tromsø is a center for education, research and culture in the North. The islands around Tromsø are characterized by enterprising fishing villages, with exports worth millions around the world, and by incredible and unspoiled isolated skerries, teeming with bird life and tens of thousands of years of history. Along the fjords that stretch for miles are luxuriant forests and green pastures, protected by the high peaks and fed by glaciers.
Sunday, June 15 - Honningsåvg, Norway
The world's northernmost village, the gateway to the North Cape, is a completely modern fishing harbor set in a land of forests, fjord waters, and crashing waterfalls, everything bathed in summer by the eerie light of the midnight sun.
Monday, June 16 - Cruising the North Sea
Tuesday, June 17 - Trondheim, Norway
The downtown area is dense and compact and easy to explore on foot. The focal point of the town is Torvet, the Market Square, overflowing with vegetables, fruit, flowers and souvenirs. From this point you can see many of Trondheim's most important tourist attractions: Nidaros Cathedral, Munkholmen islet, King Harald's residence in Trondheim, and Fort Kristiansten Festning. Theater, concerts and exhibitions for every taste are abound. Intimate pubs and cafes lie side by side with unique continental restaurants serving delicious meals. You may enjoy nature and tranquility in the beautiful hills and forests of Bymarka. And surely no other city can offer a visitor such an opportunity to go salmon fishing in the city center on a warm summer day!
Wednesday, June 18 - Hellesylt, Norway

Tiny Hellesylt is full of gorgeous fjord scenery and steep, waterfall-bedecked cliffs that tower above the town. Set out through farmland and past mountain lakes. Walk to Briksdal glacier, the largest glacier in continental Europe. Savor a Norwegian lunch, tour along the shore of emerald colored Lake Stryn, or climb the narrow valley for a magnificent view of the valley far below. Or stay on board the ship for scenic cruising of Geirangerfjord for breathtaking scenery. This is Norway's most photographed attraction.

Wednesday, June 18 - Geiranger, Norway
Geiranger is a picturesque fjord town nestled in a crook of winding, namesake Geirangerfjord. Glimpse the waterfalls known as the Seven Sisters and see abandoned mountain farmlets grasping the rugged hillside. Tour through high snow-covered mountains and lovely green valleys. Visit a 300-year-old farm, enjoy an introduction to the art of cheesemaking, or glide along the steep fjord walls in a kayak. Visit the Norwegian Fjord Center, the Fjord Farms exhibit or the Avalanche Experience.
Thursday, June 19 - Olden/Nordfjord, Norway
Home to the Norwegian Glacier Museum that explores the world of glaciers, from their formation to their impact on Earth's evolving landscape. Pause for a photo opportunity of the wild and desolate Utvik mountain country. Jostedalsbreen National Park is home to the last remaining ice sheet in Europe. Stretching over 37 miles in length, this remnant of the ice age is divided into three major arms and is over 1312 feet deep in certain sports. Marvel in the Bøyabreen Glacier, the arm of the mighty Jostedals ice sheet that descends into an extremely narrow valley. The road to Fjaerlands leads through a tunnel built under the glacier. Hike to the face of Kjenndal Glacier or cruise the turquoise waters of Lake Lovatn.
Friday, June 20 - Stavanger, Norway
In a country generally known as a winter wonderland, Stavanger - with its maritime climate - is green all year round. Endless sandy beaches front the North Sea and deep fjords cuts into the mountainous areas just east of Stavanger. Top picks for visitors include Old Stavanger, St. Svithun Cathedral, Norsk Hermetikk museum (museum for canned goods), Sola beach, and the Archeological Museum. There are many exciting restaurants and shops here sure to delight your senses.
Saturday, June 21 - Cruising the North Sea
Sunday, June 22 - Southhampton, England - Disembark
The Ship

Queen Victoria

Take your place in history and be among the first to experience the unveiling of the elegant Queen Victoria in her Maiden year. As you embark, you will encounter the dramatic three-tier Grand Lobby, whose magnificent staircase and eye-catching artwork offers a lavish taste of life aboard. Queen Victoria's pleasurable diversions and distractions ensure you are as thoroughly entertained and entirely relaxed as you would wish to be.
• Cunard Royal Spa & Fitness Centre - Join an aerobics class, work out on bikes and treadmills complete with their own LCD TV, or unwind with a range of indulgent spa therapies and beauty treatments.
• Sports Deck- Fun in the sun with traditional Ocean Liner games from shuffleboard to quoits.
• ConneXions™ Conference Centre - Expand your mind in ConneXions™ during days at sea, where engaging experts and celebrity speakers are the stars of our enrichment program.
• Ballroom Dancing - Step onto the dance floor with help from dance professionals brush up the basic moves or perfect your waltz, tango or samba at daytime dance classes.
• Library, ConneXions™ Internet Centre & Computer Lessons- improve your computer skills and keep up-to-date via email with friends back home or choose a relaxing book from over 6,000 titles.
• The Royal Arcade - Discover shopping as shopping should be in the uncrowded elegance of The Royal Arcade.
• Children's Program - These facilities feature both inside and outside areas dedicated to children ages 1-12.
• Winter Garden & Queens Room - Gaze across to the sun-dappled horizon in almost every direction from this grand conservatory, filled with greenery or take in a sublime white gloved afternoon tea service.
• Dining has always been the centerpiece of any Cunard voyage and there are 8 dining venues in all. Or dine in, room service is available 24 hours a day.
• Nightlife - Sip exotic cocktails as the band swings, Court Lady Luck in the casino, take in an extravagant show or settle into an armchair and savor a cigar in the Cigar Lounge.

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.

Cruises sell out early.

Queens Suite
Approximately 508-2,131 square feet
King-size or twin-size beds, bath and separate shower, living area, balcony, dressing room, floor to ceiling windows, sofa bed, butler and concierge service. Bar stocked with spirits, wines and soft drinks. Complimentary canapés and shoe shine service. Access to The Grills Lounge, Terraces and The Courtyard.
Princess Suite
Approximately 342-513 square feet.
King-size or twin-size beds, bath with shower, living area and balcony. Access to The Grills Lounge, Terraces and The Courtyard. Concierge service & shoe shine service. Single-seating dining in the Princess Grill, or al fresco dining in The Courtyard.
Balcony (A1-A7)
Approximately 242-472 square feet.
King-size or twin-size beds, shower, living area, balcony, refrigerator, safe, hair dryer, floor to ceiling windows, complimentary 24-hour room service and bathrobe and slippers.
Oceanview (C1 - C5)
Approximately 180-201 square feet.
King-size or twin-size beds, shower, living area, refrigerator, safe, hair dryer, complimentary 24-hour room service and bathrobe and slippers.
Inside (D1-D8)
Approximately 152-243 square feet.
King-size or twin-size beds, shower, refrigerator, safe, hair dryer, complimentary 24-hour room service and bathrobe and slippers.

TRAVEL ARRANGEMENTS: To receive these discounted cruise fares you must book your cruise through Northwest-Worldwide Travel. Alissa, Connie, Jennifer, and 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. 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 Alissa, Connie, Jennifer, or Lisa BEFORE BOOKING ANYWHERE ELSE.

Register early to reserve your cabin on this cruise!

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 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 and 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:
Discuss the pertinent physical and behavioral sciences - to include but not be limited to advanced anatomy & 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 profession.

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, 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.

Discuss 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.

Discuss the incorporating, into practice, 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.

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

PROGRAM SCHEDULE
ANESTHESIA EXPOSURE
12 Day Voyage of the Vikings
June 10 - 22, 2008
Tuesday, June 10 - Southampton, England
1600 Ship Sails
Wednesday, June 11 - Cruising the North Sea
0730 Registration - Sign In Mandatory
0800 Ambulatory and Office Based Anesthesia: Preoperative Evaluation J.Kryc
0900 Breakfast Break
0945 Patients with Obstructive Sleep Apnea Syndrome: Are They Suitable for Ambulatory Surgery G.Joshi
1045 Patients with Automated Implantable Cardiac Devices: Are They Suitable for Ambulatory Surgery? G.Joshi
1145 Optimal Fast-Track Anesthesia Techniques for Ambulatory Surgery G.Joshi
1245 Lunch Break
1345 Glycemic Management During Ambulatory Surgery: Do We Need Tight Control? G.Joshi
1445 Postoperative Pain Management for Ambulatory Surgery G.Joshi
1545 Break
1600 Office Based Anesthesia: Pitfalls and Outcomes J.Kryc
1700 Question & Answer Session Faculty
1800 Adjourn
Thursday, June 12 - Bergen, Norway - Afternoon Open
0720 Registration - Sign In Mandatory
0730 Hemostasis, Anticoagulation, and Neuraxial Anesthesia (3 hours) J.Kryc
0830 Breakfast Break
0945 Hemostasis, Anticoagulation, and Neuraxial Anesthesia - Continues
1145 Adjourn
Friday, June 13 - Cruising the North Sea
0930 Registration - Sign In Mandatory
0945 Anesthetic Management of Obstetric Emergencies J.Kryc
1045 Management of Cardiac Disease in Pregnancy: What the Anesthetist Needs to Know J.Kryc
1145 Update on Preeclampsia/Eclampsia J.Kryc
1245 Question and Answer Session Faculty
1345 Adjourn
Saturday, June 14 - Tromso, Norway - Open Day
Sunday, June 15 - Honningsvag (for North Cape), Norway - Open Day
Monday, June 16 - Cruising the North Sea
0930 Registration - Sign In Mandatory
0945 Current Controversies in Obstetric Anesthesia J.Kryc
1045 Malignant Hyperthermia: Diagnosis and Management J.Kryc
1145 Anesthesia for Laparoscopic Bariatric Surgery G.Joshi
1245 Intraoperative Complications of Laparoscopic Surgery G.Joshi
1345 Adjourn
Tuesday, June 17 - Trondheim, Norway - Open Day
Wednesday, June 18 - Hellesylt (drop off for shore excursion) Geiranger, Norway - Open Day
Thursday, June 19 - Olden/Nordfjord, Norway - Open Day
Friday June 20 - Stavanger, Norway - Open Day
Saturday, June 21 - Cruising the North Sea
0930 Registration - Sign In Mandatory
0945 Perioperative Fluid Therapy for Major Elective Surgery: Does Fluid Minimization Improve Outcome? G.Joshi
1045 Recovery After Ambulatory Surgery: Discharging Outpatients Safely and Quickly G.Joshi
1145 Nanotechnology in Medicine J.Kryc
1245 Concluding Question and Answer Session Faculty
1345 Adjourn 23 CME I / 23 CEC
Sunday, June 22 - Southampton, England - Cruise ends - Disembarkation. Departure as scheduled. Plan to stay over and explore this unique treasure

FACULTY
Girish P. Joshi, MB BS, MD, FFARCSI
Professor of Anesthesiology and Pain Management
University of Texas Southwestern Medical Center
Dallas, Texas

Joseph J. Kryc, M.D., MBA
Past President, Arizona Society of Anesthesiologists
President, Continental Gynecologic Society
Staff Anesthesiologist, Banner Baywood Hospital
Mesa, Arizona

ACCREDITATION:
The A. Webb Roberts Center for Continuing Medical Education of Baylor Health Care System, Dallas designates this educational activity for a maximum of 23 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 23 CEC Code #30663 EXP DATE 06/22/2008

NWAS is an approved provider by the California and Florida State Boards of Nursing, Provider number #04833 and 50-7480 respectively. This program offers 23 Contact Hours.

COURSE DIRECTOR: Mark Murphy, MD; Chief of Anesthesia, Mercy Medical Center, Durango, Colorado.

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. Neither NWAS nor NW-WWT is responsible for any non-refundable airfare, cruise fare, accommodations or other expenses you may incur. Travel insurance is highly recommended.

SCHEDULE & 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 and net hotel as well as tuition booked through NW-WWT (but not air). These points can later be redeemed for tuition. A great program to reward you for supporting NWAS! FAP is an especially valuable bonus when you book your cruises through NWAS. Not only do you receive the lowest fare, but you get a 1.5% credit toward future tuition!!

NWAS, Inc. is going green! With over 8 tons of paper used, hundreds of toner cartridges and the shipping impact, we want to do our part for the environment. Therefore as of January 1, 2008, NWAS will replace the printed syllabus with a CD containing the lectures in PDF format. If you prefer a printed syllabus, we will be happy to provide one to you for a nominal fee.

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Last Update: 4/11/08
NWAS
P.O. Box 2797, Pasco, WA, 99302
1 (800) 222-6927