Northwest Anesthesia Seminars, Inc.
Continuing Education for the Medical Professional
Presents
Anesthesia Update
10-Day Panama Canal Sunfarer Cruise
November 19-29, 2008

10-Day Panama Canal Sunfarer Cruise	Roundtrip Ft. Lauderdale, Florida
Don't wait any longer to experience the Panama Canal. This short, roundtrip cruise from Ft. Lauderdale brings you first to the three bright, sunny Caribbean islands of Aruba, Curacao, and Holland America's own Half Moon Cay. You'll then spend an entire day cruising the Panama Canal, marveling at the wondrous workings of the massive Gatun Locks and Gatun Lake. A stop in beautiful and diverse Costa Rica rounds out your trip. Ports of call: Ft. Lauderdale, Florida; Half Moon Cay, Bahamas; Oranjestad, Aruba; Willemstad, Curacao; scenic cruising Panama Canal, Gatun Lake, Limon Bay, and Manzanillo Bay; Colon, Panama; and Puerto Limon (San Jose), Costa Rica.	Click for Interactive Map
Wednesday, November 19 - Board ship in Ft. Lauderdale
If you arrive early, there are lots of fun things to do in this tropical city. Go fishing, take one of many sightseeing cruises (harbor, ocean, or wetlands), visit the Everglades, view some gators, tour a museum, scuba dive on a wreck, tour a butterfly farm, ride a roller coaster, shop upscale or flea market. Ft. Lauderdale is an entire destination in itself.
Thursday, November 20 - Half Moon Cay, Bahamas
The private island of Holland America Cruise Line, Half Moon Cay, allows you to enjoy your fantasy of a secluded Caribbean Island. Miles of white sand beach, crystal clear water for awesome snorkeling, Hobie cats, and kayaks are yours for exploring. Enjoy a beach party lunch, great island music, horseback riding, parasailing, deep sea or "flats" fishing, and scuba diving. It's all here on your private island!
Friday, November 21 - At Sea
On the way to Aruba enjoy the luxury of cruising today. Explore Dutch and Contemporary art, try your luck in the casino, buy a watch during the sale, shop duty-free for some of the best merchandise at better than shore prices. Whatever your taste in food, you can probably find it on board. Play tennis, work out in the fitness room, have a luxurious spa treatment, buy some art, enjoy a cocktail, read a book, and have fun!
Saturday, November 22 - Oranjestad, Aruba
Colorful floating markets, wondrous coral reefs, and landscapes dotted with curiously bent divi-divi trees await on this, the "A" of the Netherlands Antilles famous ABC islands (Bonaire and Curaçao round out the trio.) Possible shore excursions: Natural Wonders of Aruba; Spanish Lagoon Kayak Adventure; and Jolly Pirates, Sail, Snorkel, Swim, and Swing.
Sunday, November 23 - Willemstad, Curaçao
Amsterdam-like canals, gabled Dutch colonial buildings, and an exotic floating market. This bustling duty-free port has it all. Plus the world-famous Curaçao Liqueur Distillery and an intriguing coral reef teeming with parrot fish and queen angelfish. Possible shore excursions: Spanish Water Snorkel Expedition; Curaçao See & Sea Tour; Highlights of Curaçao with Folkloric Show; Canoe Safari; and Willemstad Trolley Train.
Monday, November 24 - At Sea
Tuesday, November 25 - Scenic Cruising Panama Canal, Gatun Lake, Limon Bay, and Manzanillo Bay - Colon, Panama
Nearly every hard-won mile carved through the jungle here carries a story - of rivers dammed, gigantic lakes dug - of malaria, misery, and miraculous powers of will. Construction of the canal was one of the largest and most difficult engineering projects ever undertaken. Although the concept of a canal near Panama dates back to the early 16th century, the first attempt to construct a canal began in 1880 under French leadership. After this attempt failed and saw 20,000 workers die, the project of building a canal was attempted and completed by the United States in Panama in the early 1900s, with the canal opening in 1914. The building of the 77 km (48 mi) canal was plagued by problems, including disease (particularly malaria and yellow fever) and landslides. As many as 27,500 workers are estimated to have died during construction of the canal. Since opening, the canal has been enormously successful, and continues to be a key conduit for international shipping. Each year more than 14,000 ships pass through the canal, carrying more than 203 million tons of cargo. You will also see Gatun Lake. At 23.5 miles long, this lake is one of the largest artificial lakes in the world and is essential to controlling the water level for the locks in the Panama Canal. It will take nearly 52 million gallons of fresh water from Gatun Lake to float your Holland America ship through the locks. Colon lies on the stunning Caribbean coast of Panama, where unparalleled beaches and lush tropical scenery are superb. In nearby Portobello, discover the ruins of Spanish forts, watch the colorful yachts sailing in the bay, or hunt for treasures in the local markets. Travel to the Gatun Locks for a bird's eye view of the immense ships passing through the Panama Canal.
Wednesday, November 26 - Puerto Limon (San Jose), Costa Rica
From Costa Rica's Caribbean coast go in search of iridescent blue morpho butterflies, sloths, turtle nesting grounds, and wise old shamans. Explore the capital city of San Jose, where museums beckon and markets burst with luscious local tastes - mangoes, bananas, pineapples, and papayas.
Thursday & Friday, November 27 & 28 - At Sea
On your way to Ft. Lauderdale enjoy a great night on board. Begin the evening with drinks and dancing in the Ocean Bar. Watch a recent-release movie or try your luck at the blackjack table. Catch an extravagant Las Vegas-style production in the state-of-the-art show lounge or visit one of the many lounges featuring live music and award-winning entertainment.
Saturday, November 29 - Disembark in Ft. Lauderdale, Florida
Prepare to disembark, while making plans for the next great trip with Northwest Anesthesia Seminars! Our great cruise has come to an end, but you can stay over and enjoy more sun and fun in Ft. Lauderdale! Remember, NW-WWT has the best fares for Holland America and others. See Holland America's Caribbean Video
The Ship	ms Zuiderdam
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. At the heart of the ms Zuiderdam, suspended in a three-story atrium, Waterford Crystal Seahorse sets the mood for exquisite pieces of art to be seen throughout this elegant ship. On board the ms Zuiderdam, marvelous nooks and crannies contain priceless works of art. Guests will find a recurring Venetian theme throughout the ship; the most dazzling features figures in the time of Carnival in Venice, created by Daniel Ogier. Guests can also expect signature Holland America touches, such as a gracious and unobtrusive staff, gourmet meals, spacious accommodations and the very best in entertainment and activities. The ms Zuiderdam completed all Signature of Excellence enhancements to her public rooms and staterooms in Fall 2005. See Holland America video Vista Visions The Holland America Line Experience SEE VIRTUAL TOURS STATEROOMS DECK PLANS
Signature features of the ms Zuiderdam include:
• The two-tier Vista Dining Room features impeccable service and 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. 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 $700 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.

FACULTY
Linda J. Mason, MD
Professor of Anesthesiology and Pediatrics
Loma Linda University Medical Center
Loma Linda, California

Linda Pelinka, MD
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 #30727 EXP DATE 11/28/2008

NWAS is an approved provider by the California and Florida State Boards of Nursing, Provider number #04833 and 50-7480 respectively. This program offers 25 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 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.

Click Here For Course and Cruise Registration