Clinical Concerns in Anesthesia
12-Day Mediterranean Tapestry Cruise
Barcelona, Spain to Venice, Italy
September 23-October 5, 2012

Sunday, September 23 - Board Ship in 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 del 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.

Monday, September 24 - At Sea

Tuesday, September 25 - 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; and Jewels of the Cote d'Azur: Nice, Eze, & Monaco.

Wednesday, September 26 - 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. See the famous Tower of Pisa still standing crookedly after 650 years.

Thursday, September 27 - Civitavecchia (Rome), Italy

Plan your time here carefully, as the Eternal City's sights are endless: the Colosseum, the Forum, the Sistine Chapel, the Vatican, Venice Square, Trajan Markets, Spanish Steps, the Trevi Fountain, and so much more. 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.

Friday, September 28 - 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; 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.

Saturday, September 29 - At Sea

Sunday, September 30 - Nafplion, Greece

Tour Greece's most prized ruins: the Ascelpion in Epidaurus, sanctuary of the god of healing; the Grand Palace at Mycenae, once King Agamemnon's domain; Athens and its stupendous Acropolis. The four-mile-long Corinth Canal facilitates shipping between the Ionian sea and the Aegean, as it has for a hundred years.

Monday, October 1 - Katakolon (Olympia), Greece

Katakolon is 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.

Tuesday, October 2 - 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.

Wednesday, October 3 - 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 monastery. 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-Friday, October 4-5 - Venice, Italy - Disembark October 5th

The "City of Light" stretches across an archipelago of 122 islands in the marshy Venetian Lagoon along the Adriatic Sea in northeast Italy and is world-famous for its canals, of which there are about 150. The islands on which the city is built are connected by about 400 bridges. The canals serve the function of roads and the primary form of transport is on water or on foot. Venice is Europe's largest urban car-free area, unique in Europe in remaining a sizable functioning city in the 21st century entirely without motorcars or trucks. The classical Venetian boat is of course the gondola, although it is now mostly used for tourists or for weddings, funerals, and other ceremonies. Most Venetians now travel by motorized waterbuses ("vaporetti"). St. Mark's Square is Venice's heart with palatial arcades and charming cafés. Tour the exquisite Doge's Palace, once home to the dukes of Venice. Ply the canals in a gondola, shop for exquisite Venetian glass, or sip a bicerin at timeless Caffé Florian.

The Ship:   MS Nieuw Amsterdam

The MS Nieuw Amsterdam's interior design and art collection reflects the glamour and history of New York City, formerly called Nieuw Amsterdam. This ship further defines and expands the Holland America Line premium brand with new concepts such as the innovative pan-Asian Tamarind restaurant and Silk Den lounge surrounded by panoramic views overlooking the ocean expanse and the Lido pool. Other additions are an Explorer's Lounge Bar, a premium wine-tasting lounge, an elegant luxury jewelry boutique, atrium bar area, enhanced and reconfigured show lounge, and a photographic and imaging center.

Some features of MS Nieuw Amsterdam:

• Canaletto Restaurant: Italian restaurant
• Tamarind Restaurant and Silk Den Lounge: Pan Asian Restaurant and lounge with panoramic views of the ocean and Lido Pool area
• Cabanas: private cabanas available to reserve by the day or by the cruise. Available on two decks, they are tastefully decorated, filled with amenities, and provide an exquisite poolside retreat.
• The Culinary Arts Center, presented by Food & Wine Magazine: state-of-the-art demonstration kitchen offering interactive gourmet cooking lessons taught by 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
• Manhattan 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 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
• 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
• The Showroom at Sea: features talented vocalists, dancers, illusionists, comedians, and variety acts
• Crow's Nest: offers sweeping 270° views during the day, and a hip, fashionable nightclub each evening
• Club HAL®: With dedicated youth facilities and activities for kids ages 3 to 12 - activities are supervised and age appropriate
• The Loft: designed exclusively for teens to have fun, socialize, and hang out with people their own age

MS Nieuw Amsterdam Cabins

Superior Verandah Suites

2 lower beds convertible to 1 queen-size bed, bathroom with dual sink vanity, full-size whirlpool bath and shower with additional shower stall, large sitting area, private verandah, 1 sofa bed for 1 person, floor-to-ceiling windows. 273–456 square feet with verandah.

Deluxe Verandah Ocean-view Staterooms

2 lower beds convertible to 1 queen-size bed, bathtub and shower, sitting area, private verandah, floor-to-ceiling windows. 213–379 square feet.

Large Ocean-view Staterooms

2 lower beds convertible to 1 queen-size bed, bathtub, shower. 169–267 square feet.

Large or Standard Inside Staterooms

2 lower beds convertible to 1 queen-size bed, shower. 141–284 square feet.

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. 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 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 BEFORE BOOKING ANYWHERE ELSE.

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 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 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.

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 incorporation, into practice, of 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

ACCREDITATION

The A. Webb Roberts Center for Continuing Medical Education of Baylor Health Care System, Dallas, designates 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.

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.

Canadian Physicians The Royal College of Physicians and Surgeons of Canada recognizes A. Webb Roberts Center for Continuing Medical Education of Baylor Health Care System, Dallas as an accredited organization and has determined that Canadian physicians may record Section 1 credits for their participation in this conference.

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.

CME certificates will be mailed following completion of the course.

AANA approved for 20 CEC Code #1026160 Exp. Date 10/4/2012

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, Austin, Texas, and Medical Director, Northwest Anesthesia Seminars, Pasco, Washington.

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.

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 will not be responsible for any non-refundable cruise fare, airfare, hotel, or other liabilities you may incur. We highly recommend purchase of travel insurance.

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! 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!!

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

Please note that children and non-registered guests are not allowed to attend the lectures. Most hotel Concierges and the cruise lines we use can provide you with childcare information.

REGISTER EARLY

We recommend that you register early to assure your spot. We reserve the right to close registrations to a course at any time without notice. We may not be able to accommodate onsite registrations.

Click here for course and cruise registration