Click below for location information and concurrent meetings.
Date Location Hotel Room Rate
October 2, 2013 Gatlinburg, TN Park Vista Doubletree Run of House Room: $125 Please call 1-800-222-6927 for hotel availablity
November 6, 2013 Key West, FL Westin Run of House Room: $320 HOTEL SOLD OUT
November 18, 2013 Las Vegas, NV - Course Full & Closed for Registration Paris Run of House Room:

Sun – Thur $80 Fri & Sat - $165



Other courses are being presented in these same locations either
immediately after or before this workshop.


EARLY REGISTRATION A MUST - Limited number of slots aavailble. Registration subject to close without notice. Don't delay, register today!


Call toll-free (800) 222-6927 - Outside U.S (509) 547-7065


This course is designed for physicians, certified registered nurse anesthetists, registered nurses, physician assistants and other medical care providers who already process knowledge and skills in regional anesthesia or vascular cannulation.


The success of real-time, ultrasound-guided insertion of needles for regional anesthetic administration and peripheral and central vascular line insertion over all other methods of identifying/verifying the anatomical target prior to cannulation and/or injection has been documented repeatedly through recent years. Ultrasound offers a non-invasive, low risk safety factor whose benefits to quality of care, reduction in complications (both realized and expected), and the relative improvement in patient confidence and satisfaction with the techniques has heralded the techniques as standard-of-care for the future, especially in challenging patients in the hands of inexperienced or infrequent users. In fact, it has been suggested that morbidity resulting from insertion may be legally indefensible in the absence of the use of these devices. This workshop is intended for the practitioner already possessing skill and experience with regional anesthetic administration and/or peripheral and central vascular cannulation who wish instruction and the opportunity to handle the equipment for these procedures and instructor - assisted practice identifying anatomy and procuring the ergonomic skill of managing the equipment while performing the techniques.


At the conclusion of this program, the participant will be able to:

• List the benefits of using real time, ultrasound guidance for regional anesthesia administration and vascular access

• Apply pertinent aspects of ultrasound scanning in identifying specific target anatomy for needle placement including principles of physics important in positioning the patient, the scanner, visualizing the needle point and verifying the anatomy as the needle is advanced

• Differentiate the ultrasound images of vessels, peripheral nerves, tendons, layers of fascia, nerve plexus and the dura and discuss methods of improving and altering the ultrasound image to reap the best benefit from the technique

• Under instruction, establish a technique to handle the ultrasound equipment while performing needle placement in a sterile field, try different ultrasound equipment available at the work stations at the course, identify and differentiate anatomic structures imaged with ultrasound on both living and anatomical models

Ultrasound Guided Regional Anesthesia
and Vascular Access Workshop

  0730 Registration - Mandatory Sign-In - Continental Breakfast
  0750 Welcome

NWAS Staff

  0800 Principles of Clinical Ultrasound Use for Regional and Vascular Access
Appreciate the benefits of using ultrasound for the administration of regional anesthetics and vascular access
Review the current data regarding ultrasound guided procedures
Consider the patient safety concerns when performing ultrasound guided regional anesthesia
Understand the physics of ultrasound and ultrasound knobology as they relate to different image planes and image optimization
Realize the different appearances of anatomical structures under ultrasound, including nerve plexi, terminal peripheral nerves, vasculature, fascia, and muscle
Identify different needle approaches to ultrasound guided regional anesthesia and appreciate its effect on needle tip visualization
  0930 Break
  0945 Ultrasound Anatomy of Neck and Upper Extremity
With ideal ultrasound machine settings and location, identify the pertinent brachial plexus neuroanatomy and vasculature of the neck and upper extremity
Learn different needle approaches for successful blockade of the brachial plexus in the interscalene, supraclavicular, infraclavicular and axillary regions, as well as blockade of terminal nerves
  1045 Ultrasound Anatomy of the Lower Extremity
With ideal ultrasound machine settings and location, identify the pertinent femoral and sciatic neuroanatomy and vasculature of the inguinal region
Learn different needle approaches for successful blockade of the femoral nerve in the inguinal area, the sciatic nerve in the gluteal area and popliteal fossa and the saphenous nerve in the lower leg
  1145 Billing for Ultrasound Guided Blocks
Utilize proper CPT codes to maximize revenue from this procedure
  1200 Lunch (on your own)
  1320 Mandatory Sign-In
  1330 Hands-On Demonstration and Practice Sessions with Various Ultrasound Machines as Provided by Vendors *
Practice the proper technique with the assistance of an instructor until facile with the equipment and appropriate sequencing for successful ultrasound technique
Locate and identify major neuronal and vascular structures on a live model
Perform simulated nerve block on a phantom model using ultrasound machine
Practice and demonstrate the proper technique for vascular access under ultrasound guidance on aphantom model
  1800 Adjourn

8 CME I / 8 CEC



Consists of one listed below or others who may be added

Arthur Atchabahian, MD
Associate Professor of Clinical Anesthesiology
NYU School of Medicine
Attending Anesthesiologist
NYU Hospital for Joint Disease
New York, New York

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

Steven R. Clendenen, MD
Chair, Division of Regional Anesthesia
Vice-Chair Practice, Department of Anesthesiology
Assistant Professor of Anesthesiology
Mayo Clinic
Jacksonville, Florida

Jeff C. Gadsden, MD, FRCPC, FANZCA
Assistant Professor of Clinical Anesthesiology
Director, Regional Anesthesia Fellowship Program
Department of Anesthesiology
St. Lukes-Roosevelt Hospital Center
New York, New York

Kishor Gandhi, MD, MPH
Assistant Professor of Anesthesiology
Director, Regional Anesthesia
Thomas Jefferson University
Jefferson Medical College
Philadelphia, Pennsylvania

David H. Gleason, CRNA, BHS
Coordinator Regional Anesthesia
Department of Anesthesiology
Duke University Medical Center
Durham, North Carolina

Steven R. Hanling, MD
Staff Anesthesiologist
Staff Pain Medicine Department
Naval Medical Center San Diego
San Diego, California

Kerry John Hollenbeck, MD, LCDR/MC/USN
Staff Anesthesiologist
Naval Medical Center
San Diego, California

Randall J. Malchow, MD
Associate Professor
Department of Anesthesiology
Director, Regional Anesthesia and Acute Pain Fellowship
Vanderbilt University School of Medicine
Nashville, Tennessee

Hugo Adoc Nova, MD
Assistant Professor
Department of Anesthesiology
University of Florida
Staff Anesthesiologist
MRVA Medical Center
Gainesville, Florida

Ron E. Samet, MD
Assistant Professor and Director
Division of Regional Anesthesiology
University of Maryland School of Medicine
R Adams Cowley Shock Trauma Center
Baltimore, Maryland

Matthew Robert Tulis, MD, LCDR/MC/USN
Department of Anesthesiology
Naval Medical Center
San Diego, California

Paul H. Willoughby, MD
Associate Professor
Ambulatory Surgery Division
Department of Anesthesiology
Stony Brook University Medical Center
Stony Brook, New York

Alexandru Visan, MD
Assistant Professor of Anesthesiology
University of Miami
Leonard Miller School of Medicine
Miami, Florida


The A. Webb Roberts Center for Continuing Medical Education of Baylor Health Care System, Dallas designates this live activity for a maximum of 8 AMA PRA Category 1 Credits™. Physicians should claim only the credits 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 certificates of participation for educational activities certified for AMA PRA Category 1 Credit™ from organizations accredited by ACCME or a recognized state medical society. Physician assistants may receive a maximum of 8 hours of Category 1 credit for completing this program.

Canadian Physicians: The Royal College of Physicians and Surgeons of Canada lists The A. Webb Roberts Center for Continuing Medical Education of Baylor Health Care System, Dallas, as an approved ACCME accredited provider. The AMA PRA Category 1 Credits™ awarded may be submitted by the participant to the RCPSC for equivalent MOC Section 1 Credits.

Certified Registered Nurse Anesthetists: This program has been prior approved by the AANA for 8 CEC; AANA Code #1027265; Exp date 12/31/2013.

Registered Nurses: Provider approved by the California Board of Nursing, Provider Number 04833 and Florida and Washington, DC Boards of Nursing, Provider Number 50-7480. This program offers 8 contact hours. Meets the requirements of the PA BRN, Rules and Regulations §21.133.


Mark T. Murphy, MD, MSN Education, Austin, Texas, and Medical Director, Northwest Anesthesia Seminars, Pasco, Washington.


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.


We reserve the right to cancel a course for any reason. In such case, a minimum of 30 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 airfare, hotel, or other liabilities you may incur. We highly recommend purchase of travel insurance.


If canceled between 45 and 30 days prior to course $100 will be retained. No refund if canceled inside 30 days; however, 50% of tuition paid may be applied toward the next NWAS seminar you attend in the next 12 months. Cancellation must be in writing.

FAP (Frequent Attendee Points)

FAP lets you accumulate points based on dollars spent with NWAS including net hotel and tuition booked through NWAS (but not air). Once you have enough points to cover a full tuition they can be redeemed for tuition (no cash value). A great program to reward you for supporting NWAS! Click here for more information.

We gratefully acknowledge in-kind support for this activity from GE Healthcare.

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.


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.