Northwest Anesthesia Seminars, Inc.
Continuing Education for the Medical Professional
Presents
Focus on Clinical Anesthesia
10-Day Mediterranean Enchantment Cruise
September 14-24, 2008

LOCATIONS

TARGET AUDIENCE

THE SHIP

PROGRAM PURPOSE

CRUISE RESERVATION

OBJECTIVES

 

PROGRAM SCHEDULE

FACULTY

ACCREDITATION

FAP

COURSE REGISTRATION


10-Day Mediterranean Enchantment Cruise

Roundtrip Civitavecchia (Rome), Italy

Cruising is a luxurious, leisurely style of travel no one does better than Holland America. Delve into history and culture. Spend time looking at treasures, not hotels, while you travel effortlessly at night. Traveling roundtrip from Civitavecchia, Italy you will have the opportunity to discover eight beautiful ports of call in Italy, Spain, Monaco, and Tunisia. You will fall in love with the Mediterranean's golden light softening the colors of centuries-old stone. Be dazzled by a single star Ionian column casting a shadow in the sun.

Click for Interactive Map
Sunday, September 14 - 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 history 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.
Monday, September 15 - Livorno (Florence/Pisa), Italy
In Florence, view timeless treasures: the lofty Duomo, Giotto's bell tower, Michelangelo's David, the Uffizi Gallery, and Ponte Vecchio over the Arno. In Pisa, see the famous Tower, still standing, if crookedly, after 650 years. Possible shore excursions: Florence Full-Day; Leaning Tower of Pisa; Lucca, Villa Lucchese, & Wine Tasting; Transfer to Florence; Tuscan Countryside & Wine Tasting; and Tuscan Landmarks: Florence & Pisa.
Tuesday, September 16 - Monte Carlo, Monaco
See the Casino, of course if only to venture into the enchanting Salon Rose, with its nymphs on the ceiling. A drive along the scenic Corniche takes you to Nice, undisputed capital of the Riviera. Possible shore excursions: A Taste of the Riviera; Highlights of Monaco & Monte Carlo; Jewels of the Cote d'Azur: Nice, Eze, & Monaco; Lifestyles of the Rich & Famous; Monaco Exploration by Helicopter; Nice & Eze Spectacular Riviera; St. Paul de Vence; Scenic Drive; Stars of the Cote d'Azur; and Cannes, Grasse, St. Paul de Vence.
Wednesday, September 17 - At Sea
Thursday, September 18 - Barcelona, Spain
Barcelona is considered to be a genuine open-air museum filled with charming streets and the hustle and bustle of everyday life. While away the day exploring tree-shaded Las Ramblas, Spain's version of the Champs-Elysees, shop for exquisite Lladro ceramics or ponder the other-worldly architecture of the Church of the Sacred Family, Gaudi's masterpiece. This is a sight not to be missed. It was started in 1882, but is still unfinished. Take a short ride to Figueres to enjoy the Dali Museum or to Sant Sadurni d'Anoia, location of the Codorniu Champagne Cellars. Tour the Gothic Quarter and Santa Maria dei Mar Church, considered by many to be the best example of Gothic architecture in Cataluna. Then visit the Picasso Museum, situated in the two beautifully preserved Gothic palaces of Berenguer Aguilar and Baron de Castellet.
Friday, September 19 - Palma de Mallorca, Spain
Floating gem-like off Spain's Mediterranean Riviera, these islands offer you pearls, pottery, and perfectly sublime sandy beaches. Visit Valldemosa, where George Sand and Frederic Chopin spent a romantic winter in 1838. Explore the Caves of Drach, a series of mysterious caverns which hide the world's largest underground lake. Tour Manacor, most famous for its olive wood and cultured pearl-inlaid furniture industry. Stand in awe at Palma's lovely cathedral, built in the 13th century, which presides over the city as perhaps the finest example of pure Gothic architecture in Europe.
Saturday, September 20 - At Sea
Sunday, September 21 - La Goulette (Tunis & Carthage), Tunisia
Tunis, the Tunisian capital, has impressive Colonial-style boulevards and a bustling medina (Old Town) quarter, the ancient heart of the city. Savor the sounds, sights, and aromas of the markets; barter a little for silver, perfumes, spices, carpets, and other treasures at fire sale prices while soaking up the atmosphere. Tour along the coast to the picturesque village of Sidi Bou Said, an artist's paradise, with blue and white sugar-cube houses scattered across the hillside above the sea. There will be ample time to stroll and admire the typical architecture and local handicrafts, or to relax over some refreshing mint tea. Just down the hill lie the impressive ruins of Carthage, founded in 800 BC by the Phoenicians. It was from here that Hannibal began his legendary journey. The Romans destroyed and rebuilt Carthage in 146 BC, and it became the Roman Empire's second city after Rome. View the impressive Baths of Antonius Pius and the amphitheatre, as well as the Punic ports during your visit to the ruins. You can also visit a Berber village for an unfiltered view of traditional village life.
Monday, September 22 - Palermo, Sicily, Italy
Ah, Sicily - the heat-soaked, fertile island at the southern tip of Italy, where expressions are earthy and vivid, and food is a simple, bold blend of the many cultures who have come, conquered, and moved on. Enjoy it as you would caponata: sweet and tangy, surprising, delicious. Palermo was a Phoenician stronghold and a Roman trading center. Reminders of all the city's conquerors exist still. There are traces of Roman, Arab, and Norman monuments to be seen. Visit the cathedral, built in 1185 by an English Archbishop. Under Muslim rule it became a mosque and was later reconsecrated to Christianity. In its chapel there is a silver urn containing the remains of St. Rosalia. You can visit the Arab-Norman Church of St. John of the Hermits built in 1132.
Tuesday, September 23 - Naples, Italy
School children everywhere know the story of Pompeii and the eruption of Mt. Vesuvius that destroyed it. In real life, Pompeii is even more impressive, as meticulous excavation has bared the soul of a city frozen in time since 79 AD. Perfectly preserved, you'll gain an insight into the lives of the ancient Romans as you discover baths, theaters, temples, markets, and the huge forum. For a breath of fresh air, sail across the bay to the flowery Isle of Capri or visit the ostentatious boutiques of Sorrento, a village brimming with character and overflowing with picturesque street scenes and charming people. Sorrento inspired the Greeks' and Romans' art and industry, and you will find an extraordinary collection of wood work, mosaics, furniture, embroidery, and porcelain.
Wednesday, September 24 - Disembark in Civitavecchia (Rome), Italy

We have selected this itinerary so that you have the option of spending several days in this fantastic city. You will need all of them to even touch on the marvelous history of Rome. The Eternal City's sights are endless; you will want to make your "must see" list before arrival.

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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
VIRTUAL TOURS
DECK PLANS
STATEROOMS
ART TOUR

 
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, 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, 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. Connie 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 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!

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, 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 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 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
Focus on Clinical Anesthesia
10 Day Mediterranean Enchantment Cruise
September 14-24, 2008
Sunday, September 14 - Civitavecchia (Rome), Italy
1800 Ship sails
Monday, September 15 - Livorno (Florence), Italy - Open Day
Tuesday, September 16 - Monte Carlo, Monaco - Morning Open
1700 Registration - Mandatory Sign In
1725 Welcome NWAS Staff
1730 Patients with Obstructive Sleep Apnea Syndrome: Are They Suitable for Ambulatory Surgery G.Joshi
1830 Patients with Automated Implantable Cardiac Devices: Are They Suitable for Ambulatory Surgery? G.Joshi
1930 Adjourn
Wednesday, September 17 - At Sea
0730 Registration - Mandatory Sign In
0740 Optimal Fast-track Anesthesia Techniques for Ambulatory Surgery G.Joshi
0840 Breakfast Break
0930 Management of the Difficult Airway: Part I L.Pelinka
1030 Management of the Difficult Airway: Part II L.Pelinka
1130 Alternatives to the Endotracheal Tube: The LMA and Other Airway Devices L.Pelinka
1230 Lunch Break
1330 Glycemic Management During Ambulatory Surgery: Do We Need Tight Control? G.Joshi
1430 Postoperative Pain Management for Ambulatory Surgery G.Joshi
1530 Break
1600 Shock: The Anesthesia Provider's Point of View L.Pelinka
1700 Perioperative Fluid Management L.Pelinka
1800 Question & Answer Session Faculty
1900 Adjourn
Thursday, September 18 - Barcelona, Spain - Open Day
Friday, September 19 - Mallorca (Palma), Spain - Open Day
Saturday, September 20 - At Sea
0720 Registration - Mandatory Sign In
0730 Potential Perioperative Complications: Lessons Learned L.Pelinka
0830 Breakfast Break
0915 Dealing with the Unexpected - All's Well That Ends Well L.Pelinka
1015 Recovery after Ambulatory Surgery: Discharging Outpatients Safely and Quickly G.Joshi
1115 Science in Action: Perioperative Respiratory Care L.Pelinka
1215 Lunch Break
1315 Vital Systems Failure L.Pelinka
1415 What Went Wrong? Lessons Learned for the Future L.Pelinka
1515 Break
1530 Anesthesia for Laparoscopic Bariatric Surgery G.Joshi
1630 Intraoperative Complications of Laparoscopic Surgery G.Joshi
1730 Question & Answer Session Faculty
1830 Adjourn 20 CME 1 / 20 CEC
Sunday, September 21 - La Goulette (Tunis & Carthage), Tunisia - Open Day
Monday, September 22- Palermo, Sicily, Italy - Open Day
Tuesday, September 23 - Naples, Italy - Open Day
Wednesday, September 24 - Civitavecchia (Rome), Italy - 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

Linda Pelinka, MD, PhD
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.

Certificates will be mailed following completion of the course.

AANA approved for 20 CEC Code #30732 EXP DATE 09/20/2008

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! The environment takes a heavy hit with our syllabus: Over 8 tons of paper, toner cartridges and shipping. We are interested in doing our part to help. Therefore as of January 1, 2008, NWAS will replace the printed course syllabus for our seminars with a CD containing the lectures in PDF format, making it easier for participants to search for items of interest at home. If you would prefer to receive a printed syllabus after returning home, we will be happy to provide one to you for a nominal fee.

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Last Update: 5/08/08
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