Northwest Anesthesia Seminars, Inc.
Continuing Education for the Medical Professional
Presents
Clinical Concerns in Anesthesia
7-Day Mexican Riviera Cruise
November 8-15, 2008

7-Day Mexican Riviera Cruise	Roundtrip San Diego, California
Come listen to the sound of mariachi music and the tolling of Spanish mission bells. Mexico is calling and this Mexican Riviera cruise will take you to the classic resorts of Cabo San Lucas, Mazatlan, and Puerto Vallarta. Prepare for margaritas, sport fishing, sunny beaches, colonial charm, and Hollywood chic. Don't miss the famous San Diego Zoo.	Click for Interactive Map
Saturday, November 8 - Board Ship in San Diego, California
With its constant warm and sunny weather, palm trees, and Spanish architecture, San Diego, the nation's seventh largest city, is well established as a favorite vacation destination. This sparkling waterfront city pulses with high energy attractions. Old Town San Diego dates back to 1769 and includes many Spanish period buildings and a Mexican bazaar. The Embarcadero walkway winds around to Seaport Village, a waterfront shopping and dining complex that recreates the atmosphere of California in the 1800s. Visit the windjammer Star of India at the Maritime Museum and stop by the naval open houses. A harbor cruise will yield a view of the skyline, naval installations, and ships. Tour boats take on passengers at the foot of Broadway at Harbor Drive. Enjoy the wide choice of shopping and dining in the Gaslamp Quarter, a National Historic District, or Horton Plaza, located downtown. Sprawling and beautiful, Balboa Park offers theaters, sports facilities, and a complex of museums, including the San Diego Museum of Art, San Diego Museum of Man, San Diego Natural History Museum, Museum of Photographic Arts, San Diego Aerospace Museum, and the Reuben H. Fleet Space Theater and Science Center. Also in Balboa Park, the Old Globe Theatre produces Shakespearean and contemporary drama. The San Diego Zoo is one of the world's greatest. This tropical garden zoo has thousands of animals, many of them rare. The zoo's attractions include the bioclimatic habitats Polar Bear Plunge, Hippo Beach, Gorilla Tropics, Sun Bear Forest, and Tiger River, as well as two giant pandas from the People's Republic of China. The San Diego Wild Animal Park, operated by the Zoo at a location north of the city, offers a quiet monorail ride through its 2,100-acre preserve where endangered and rare animals roam freely. At Mission Bay you can enjoy aquatic sports or simply take in the fresh air as you delight in the more than 20 miles of white-sand beaches.
Sunday, November 9 - At Sea
Enjoy the award-winning services of this luxurious Holland America ship. On board, life unfolds effortlessly, at a more gracious pace. Have breakfast in bed, aromatherapy in the Ocean Spa, sit with a good book, play bingo, work out in the fitness room with an ever changing ocean view, view and buy great works of art, try your luck in the casino, duty-free shop at great prices, sample the most extensive menu at sea in the elegant dining room or go casual in the Lido room, enjoy award-winning production spectaculars, variety shows, music, and dancing in the show lounge or the disco, or just take advantage of being away from work to relax.
Monday, November 10 - Cabo San Lucas, Mexico
Where the sea, sun, and desert join to cast an air of mystery and romance over all who visit is Cabo San Lucas. Located at the southernmost tip of the magnificent Baja peninsula, Cabo has been blessed with the perfect climate. For years Cabo was the remote playground reserved solely for private yacht owners. They flocked here to be near "Marlin Alley," as the waters around Cabo have often been described. The name is well deserved, as Cabo San Lucas is the undisputed billfish capital of the world. But Cabo is far from remote these days, and the attraction of this magical spot is no longer limited to marlin fishing. Cabo can be, many different things to people. Cabo San Lucas has become known as the perfect vacation spot for the entire family. If golf, water sports, boating, fishing, ATV's, horseback riding, and numerous other activities are what you seek, they're all here, waiting for you. If "party 'till you drop" is the mood of the evening, Cabo has got it for you, big time! Los Cabos is home to five world class, championship golf courses. Three of these were designed by Jack Nicklaus, one by Robert Trent Jones II and one by Pete Dye. Cabo del Sol, a Nicklaus creation, which skirts the shore of the Sea of Cortez, has been called one of the five most beautiful courses in the world.
Tuesday, November 11 - Mazatlan, Mexico
This incomparable port city is one of the most important tourist destinations in the world. Set in a beautiful cove of the Pacific and surrounded by the Sierra Madre Mountains, Mazatlan lies at about the same latitude as Hawaii. The temperature fluctuates from mid-60's to mid-90's depending on the time of the year. Mazatlan is Mexico's second largest coastal city with nearly 600,000 inhabitants. It has the largest port facility between Los Angeles and the Panama Canal, and is home to Latin America's biggest fleet of commercial shrimp vessels (over 800 boats). Nearly 40 tons of shrimp are processed each year, making Mazatlan "the shrimp capital of the world." One of the best things going for Mazatlan is its combination of affordable comfort and laid-back seaside charm. Its long, wide sandy beaches with rolling surf are lined with fun, open-air bistros and bars. The sunny beaches clamor with activity. Strolling vendors hawk their wares, parasails float upward, and sunbathers of all ages frolick in the blue Pacific. Mazatlán offers something for everyone: fishing, sailing, surfing, kayaking, birdwatching, golf, tennis, horseback riding, great dining and nightlife, shopping, music, and entertainment. Whatever your passion, this is the place. Unlike other vacation destinations that were developed strictly to lure tourists, Mazatlán is first and foremost a flourishing Mexican seaport. Here the visitor will experience the "real Mexico" with its rich cultural heritage and traditions. Take a stroll around Old Mazatlán (Centro) with its colorful colonial-style buildings, stopping at an outdoor café for a fresh "limonada" and some people-watching. It's a short steep hike up to Cerro de Vigia (Lookout Hill) above Olas Altas. The view from the top is worth the climb! Mazatlán has been known for years to big game fisherman worldwide for the excellent sport fishing here, as evidenced by the number of sportfishing fleets. Mazatlán is also a base for nearby freshwater bass fishing tours. Excellent Dove, Duck, and Quail hunting is readily available in the outlying areas. Mazatlecos welcome tourists with open arms and warm hospitality, eager to practice their English and introduce you to their wonderful city on the Gold Coast.
Wednesday, November 12 - Puerto Vallarta, Mexico
This beautiful city by the bay has a population of over 300,000 friendly residents and covers more than 1,200 square kilometers. This is a city with modern infrastructure and conveniences that has somehow managed to maintain its unique Old Mexico charm - donkeys are still used for delivery in many parts of this unique city. Many of the crafts available here are made by local Indians who have been producing their wares using the same methods for hundreds of years. Puerto Vallarta has something special for everyone. There are exciting day trips to the jungle, relaxing days at the beach, and countless romantic hideaways. Puerto Vallarta offers big-time sport fishing, golf, motorcycling, whale watching, art, diving, hot air balloons, culture, and surfing. Puerto Vallarta is completely different from any other destination in Mexico due to its geographic diversity, boasting mountains, jungles, beaches, rivers, waterfalls, and much more. Puerto Vallarta is yours to savor and is, without a doubt, one of the friendliest and cleanest beach resorts in all of Mexico.
Thursday & Friday, November 13 & 14 - At Sea
Saturday, November 15 - Wake up in San Diego, California
Prepare to disembark while planning your next trip with Northwest Anesthesia Seminars, Inc.
The Ship	ms Oosterdam
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, 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 Oosterdam is a creative blend of charm and modern amenities, affording all guests the comfort and convenience they expect on board a Holland America ship. As on all Vista-class ships, the ms Oosterdam embraces the latest industry and environmental technologies such as her use of a full-scale diesel-electric power plant for optimal energy efficiency and an Azipod propulsion system that maximizes maneuverability. Symbolic of Holland America Line's more than 130-year history of circumnavigating the globe, the centerpiece of the ms Oosterdam is a magnificent Waterford crystal globe, prominently displayed in a three-story atrium. First-time cruisers aboard this ship will quickly recognize the traditional touches that make Holland America cruisers regulars; a warm palette of colors accentuating an extensive use of crystal, marble, inlaid woods and brass, lovely flower arrangements, priceless artwork and antiques, and a full wraparound teak promenade deck with padded deck chairs. See Holland America's videos: Vista Visions The Holland America Line Experience Explore: VIRTUAL TOURS Deck Plans Staterooms
Features of the ms Oosterdam include:
• 85 percent of all staterooms have ocean views and 67 percent of all staterooms have verandahs
• The two-tier Vista Dining Room features impeccable service, an extensive wine list, and offers five-course menus, from continental cuisine to vegetarian and low-carb options
• The intimate reservations-only Pinnacle Grill offers an elegant, sophisticated dining experience and features premium hand-selected cuts of 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
• The 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, is the setting for gourmet cooking demonstrations and interactive classes
• The Greenhouse Spa & Salon features thermal suites, a hydrotherapy and thalassotherapy pool, heated ceramic lounges, and more
• The Vista Show Lounge features Las Vegas-style productions, talented vocalists, illusionists, comedians, and variety acts
• The Crow's 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 live bands
• Club HAL, dedicated youth facilities and activities for kids ages 3 to 12
• The Loft, designed exclusively for teens to 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 $350 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, 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, 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.

FACULTY
Robert Akins, CRNA, RRT, BSEE
Anesthesia Associates of Dayton
Technical Director
Department of Anesthesia
Miami Valley Hospital
Dayton, Ohio

Sanjay Datta, MD
Professor of Anesthesiology
Harvard University Medical Center
Brigham & Women’s Hospital
Boston, Massachusetts

John C. Drummond, MD, FRCPC
Professor, Department of Anesthesiology
University of California, San Diego
Staff Anesthesiologist, VA Medical Center
San Diego, California

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 #30748 EXP DATE 11/14/2008

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 lecture notes 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 printed lecture notes after returning home, we will be happy to provide one to you for a nominal fee.

Click Here For Course and Cruise Registration