Northwest Anesthesia Seminars, Inc.
Continuing Education for the Medical Professional
Presents
Clinical Concerns in Anesthesia
10-Day Roman Empire Cruise
May 19-29, 2008

Roundtrip	Civitavecchia (Rome), Italy
Imagine traveling through the exotic Mediterranean...country after country...and unpacking only once. This is a leisurely, luxurious style of travel nobody does better than Holland America. Delve into history and culture. Spend time looking at treasures, not hotels. Travel effortlessly at night while being fed and entertained on a grand scale. What an itinerary of exciting ports we have selected for you to visit on this magnificent 10-day journey through the birthplace of civilization. This is what exploring the Mediterranean with Northwest Seminars and Holland America is all about!	Click for Interactive Map
Monday, May 19 - Board ship in Civitavecchia (Rome), Italy
Make your plans to arrive one or two days early or stay over following the cruise to take in a little of the marvelous city of Rome. Plan your time here carefully, as the Eternal City's sights are endless. The Colosseum, the Forum, the Sistine Chapel, the Vatican, and so much more including Venice Square, Trajan Markets, Spanish Steps, and the Trevi Fountain. Countless museums and art galleries are also to be found. Additionally, some of Italy's finest shopping incorporates entire streets: Via Nazionale, Via del Corso, Via Frattina, Piazza di Spagna, and Via del Tritone.
Tuesday, May 20 - At Sea
Wednesday, May 21 - Dubrovnik, Croatia
The massive city walls of Dubrovnik enclose an enchanting World Heritage site: tall medieval houses and marble-paved squares, meticulously repaired since the 1991 shelling. Korcula, birthplace of Marco Polo, follows suit with palaces from the Middle Ages. Enter the 13th-century city via the Pile Gate. One of the main attractions in this timeless part of Dalmatia is the Sponza Palace. Its elegant courtyard and elaborate stone carvings are truly impressive. See the Dominican church and monastery with its rich treasures, the Rectors Palace, the Church of St. Blaise, and the cloister of the 14th-century Franciscan. Medieval ramparts encircle the city, and the stone bridge is guarded by the city's patron saint, Blaise. Explore the spectacular Adriatic coast, visit scenic vineyards, sample world class wines, and purchase local art.
Thursday, May 22 - Kerkira, Corfu, Greece
Head out into Corfu's lush and verdant countryside of olive, orange, and lemon trees. Visit Achillion, the mansion built by the Empress Elisabeth of Austria and later owned by Kaiser Wilhelm II. Its beautiful gardens and statues have been left intact for visitors to admire. Get behind the wheel of a four-wheel-drive vehicle and drive along the main coastal route, and up a small country road through olive groves, leading into one of the oldest villages of Corfu, Sokraki. Stretch your legs by taking a walk through the narrow winding streets of the village and enjoy a meze (traditional light snack) with a glass of local wine. Set off again along a country lane to admire the beautiful panoramic view of the island as well as the magnificent view of the old town of Corfu.
Friday, May 23 - Katakolon (Olympia), Greece
A small port on the Ionian Sea coast of the Peloponnese Peninsula, close to Pyrgos. While Katakolon's main street is just a five-minute walk from the pier, you will probably want to venture farther out to see the ancient site of Olympia, the storied place where the Olympic Games originated in 776 BC. A look at the impressive monuments, including the Temple of Zeus, the Temple of Hera, and the famous stadium, along with a visit to the nearby Archaeological Museum, offers a fascinating introduction to the Games and ancient mythology. Back in town, stroll the oceanfront walkway. Relax over ouzo in an open-air café, or engage in a friendly round of haggling for jewelry and handcrafts, a modern-day sporting event that enjoys widespread popularity.
Saturday, May 24 - Santorini, Greece
The harbor on this island was created by a volcano in 1500 BC and the effect is still explosive: 1,000 foot-high cliffs rise from sea level and dazzling white houses cling to the cliffs. Santorini offers a wealth of scenery. Visit the Mountain of Prophet Elias, 2,000 feet above sea level, with panoramic views of the island. From the caldera viewpoint, you can see how Santorini's three islands form a crater rim left by a massive eruption in 1600 BC. Agios Nektarios is a typically striking Cycladic with a blue and white facade, stone latticework, and an octagonal cupola, an excellent photo opportunity. Or travel to Kamari fishing village, once the ancient port of Thera, famed for its dramatic black sand beach. Don't miss Fira, Santorini's largest town. Here you will see whitewashed houses that cling to steep volcanic cliffs. Accessible only by foot, Fira's narrow cobblestone lanes lead uphill past shops, homes, and cafes.
Sunday, May 25 - Kusadasi (Ephesus), Turkey
A visit to Ephesus is a visit to one of the best preserved ancient cities in the world. Ancient historians believed that Ephesus was founded by the Amazons, but now, it is believed to have been the Hittite city of Apasa. Ephesus is home to the one remaining pillar from the Temple of Artemis - an Ancient Wonder of the World. Marble streets lead past magnificent ruins of temples and baths, and the Celsus Library. Don't miss the amphitheater where St. Paul preached to the Ephesians. Explore the Odeion, where the advisory council held its meetings, the Baths, the Grand Theater of Ephesus, as well as many other columns, monuments, and ruins. Tour to Priene, best known for its 4th-century Athena Temple bankrolled by Alexander the Great. A five-thousand spectator theater built in the 3rd century is next, along with a gymnasium and a stadium at Anatolia. Roman ruins are also on display at Pirea and Didyma including the majestic Temple of Apollo, considered to be one of the great monuments of antiquity, built in 560 BC. Journey back in time via the Sacred Way of Didyma en route to Miletus. This ancient road was once flanked by lions, sphinxes, and statues of priests. At Miletus there are ruins of the theater, thermal baths, and the stadium. Then after all the Ancient Wonders, turn to a shoppers heaven, the carpet and jewelry mecca of Kusadasi!
Monday, May 26 - At Sea
Tuesday, May 27 - Valletta, Malta
The whole city of Valletta was inscribed as a UNESCO World Heritage Site in 1980. The official name given to the city by the Order of Saint John was Humilissima Civitas Valletta - The Most Humble City of Valletta. However, with the building of bastions, curtains, and ravelins, along with the beauty of the baroque buildings along its streets, it became known as Superbissima - 'Most Proud', amongst the ruling houses of Europe. Valletta's architecture easily rivals that of any city in Europe. Don't miss St. John's Co-Cathedral, formerly the Conventual Church of the Knights of Malta and home to the largest single work by Michelangelo Merisi da Caravaggio, his only signed work, and a priceless collection of seventeenth-century Flemish tapestries (alongside Republic Street); the Auberge de Castille et Leon, formerly the official seat of the of the Knights of Malta of the Langue of Castille; the Magisterial Palace, built between 1571 and 1574; and the National Museum of Fine Arts, a Rococo palace dating back to the late 1570s.
Wednesday, May 28 - Messina, Sicily, Italy
"Italy and Sicily couldn't agree, so Italy kicked Sicily into the sea." This age-old Italian children's rhyme comes into its own when you sail the Strait of Messina between the two and see how close the island is to the "toe" of Italy's boot. From one to the other, it seems like barely shouting distance. Messina's astrological clock is as much a man-made masterpiece as the road leading to Taormina, which canitlevers out of the rocky cliff face and stands on impossibly tall pylons. Leave it to the Italians to design a road that's both a thrill-ride and a feat of engineering! Once you're safely in Taormina, walk to the sublime Greco-Roman theatre that overlooks Naxos Bay and snow-capped Mt. Etna. Then spend some time on the Corso Umberto with a gelato firmly in hand.
Thursday, May 29 - Disembark in Civitavecchia (Rome), Italy
The end of this wonderful cruise through ancient lands. As you depart for home, you can start planning your next cruise with NWAS!
The Ship	ms Noordam
Designed to carry fewer guests than others in their class, the ships of Holland America are among the most spacious at sea and are graced with all manner of sophisticated amenities. Experience perfection - in the summons of pleasant music chimes to dinner, the gleaming curve of a teak deck chair, stunning scenery, and sublime service - in the perfect blend of destination and onboard experience that has long distinguished Holland America Line as the leader in global voyaging.
The ms Noordam, which is the first ship to be launched with the full complement of Signature of Excellence enhancements, exemplifies the classic style of the golden age of ocean travel with contemporary amenities and modern enhancements. In addition to excellent service and an incredible range of elegant dining choices, the ms Noordam has over 50 scheduled shipboard activities allowing you to do as much or as little as you please. The ambiance of the elegant ms Noordam will provide a comfortable, spacious, and relaxing backdrop as you sail the beautiful Mediterranean. See Holland America video Vista Visions The Holland America Line Experience EXPLORE ONLINE CINEMA: EXPERIENCE THE HOLLAND AMERICA LINE DIFFERENCE VIRTUAL TOURS DECK PLANS STATEROOMS SHIP HIGHLIGHTS
Features of the ms Noordam include:
• 85 percent of all staterooms have ocean views, 67 percent of all staterooms have verandahs
• The two-tier Vista Dining Room featuring five-course menus, offering everything from continental cuisine to vegetarian and low-carb options, enhanced by impeccable service and an extensive wine list
• The intimate reservations-only Pinnacle Grill, which offers an elegant, sophisticated dining experience featuring Sterling Silver premium hand-selected cuts of beef, inspired seafood dishes and many select wines rated "Excellent" by Wine Spectator - as well as distinctive Bvlgari china, Riedel stemware, and Frette linens
• The Lido Restaurant, which offers a relaxed ambience for all three meals and features a variety of fresh, cooked-to-order specialties
• The Culinary Arts Center, presented by Food & Wine magazine, the setting for gourmet cooking demonstrations and interactive classes
• Explorations Café, powered by The New York Times, featuring the largest library at sea, as well as comfortable music listening stations and Internet access
• The Greenhouse Spa & Salon - your spa at sea - featuring thermal suites and a magnificent hydrotherapy pool
• The new Pinnacle Bar, where guests can taste a selection of the best wines from around the world
• The Vista Lounge, featuring Las Vegas style productions, talented vocalists, illusionists, comedians, and variety acts
• The Crows Nest, where sweeping views make this observation lounge a top choice for relaxing during the day, and in the evening transforms into a hip, fashionable nightclub featuring top-notch DJs and great bands
• Expanded Club HAL featuring programs for kids ages 3 to 12
• The Loft and The Oasis for teens, new areas designed exclusively for ages 13-17 to get away from family, have fun, socialize and hang out with people their own age
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.

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 in the amount of $600 of 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 Alissa, Connie, Jennifer, or Lisa at 800-222-6927 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.

FACULTY
Laura D. Lowrey Clark, MD
Professor of Anesthesiology
Director of Acute Pain and Regional Anesthesia
Department of Anesthesiology and Perioperative Medicine
University of Louisville School of Medicine
Louisville, Kentucky

Ashish C. Sinha, MD, PhD
Assistant Professor Anesthesiology and Critical Care
University of Pennsylvania School of Medicine
Philadelphia, Pennsylvania

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.

Certificates will be mailed following completion of the course.

AANA approved for 20 CEC Code #30660 EXP DATE 05/26/2008

NWAS is an approved provider by the California and Florida State Boards of Nursing, Provider number #04833 and 50-7480 respectively. This program offers 20 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. NWAS and NW-WWT are not 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 (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! *You must have enough credit to cover a full 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 lecture notes with a CD containing the lectures in PDF format. If you prefer printed lecture notes, we will be happy to provide one to you for a nominal fee after the meeting.

Click Here For Course and Cruise Registration