Visit popular ports of South America on your way to Antarctica. Cruise in style and comfort when you join us aboard the glamorous Celebrity Silhouette®.


  Day Date Port Arrive Depart
  Sun Jan 31 Buenos Aires, Argentina - Embark 05:00 PM
  Mon Feb 1 At Sea - Cruising    
  Tue Feb 2 At Sea - Cruising    
  Wed Feb 3
At Sea - Cruising    
  Thu Feb 4
Ushuaia, Argentina 9:00AM 9:00PM
  Fri Feb 5
Cape Horn, Chile - Cruising 6:00AM 8:00AM
  Sat Feb 6
Schollart Channel, Antarctica - Cruising 11:00AM 1:00PM
  Sat Feb 6 Paradise Bay, Antarctica - Cruising 2:00PM 4:00PM
  Sat Feb 6 Gerlache Strait - Cruising 5:00PM 7:00PM
  Sun Feb 7 Elephant Island, Antarctica - Cruising 2:00PM 6:00PM
  Mon Feb 8 At Sea - Cruising    
  Tue Feb 9 Port Stanley, Falkland Island 8:00AM 5:00PM
  Wed Feb 10 At Sea - Cruising    
  Thu Feb 11 Puerto Madryn, Argentina 7:00AM 4:30PM
  Fri Feb 12 At Sea - Cruising    
  Sat Feb 13 Montevideo, Uruguay 9:00AM 5:00 PM
  Sun Feb 14 Buenos Aires, Argentina - Disembark 5:00 AM  

Sunday, January 31 - Board ship in Buenos Aires, Argentina

ArgentinaMix together a beautiful European-like city with attractive residents, gourmet cuisine, awesome shopping, a frenzied nightlife, and top-self activities. You also you get Buenos Aires, a cosmopolitan metropolis with both slick neighborhoods and equally downtrodden areas—all part of the appeal. It’s an elegant, seductive place with a ragged edge, laced with old-world languor, yet full of contemporary attitude. In between cutting-edge designer boutiques, ritzy neighborhoods, and grand parks are unkempt streets full of spewing buses and bustling fervor. Seek out classic Buenos Aires: the old-world cafes, colonial architecture, fun outdoor markets, and diverse communities.

Monday, February 1 - At Sea - Cruising

Tuesday, February 2 - At Sea - Cruising

Wednesday, February 3 - At Sea - Cruising

Thursday, February 4 - Ushuaia, Argentina

ArgentinaThe southernmost town in the world sits perched on the edge of Tierra del Fuego. Surrounded by a countryside of snow-capped mountains, dense forests, rivers, and waterfalls, the town of Ushuaia has a rugged, frontier spirit. Nearby Tierra del Fuego National Park is a wildlife sanctuary, home to white cauquenes, black eyebrowed albatross, steam duck, and the diving petrel. Domineering peaks loom on three sides, the fourth opening to the Beagle Channel where sea lions bellow and mountains drop straight down into the sea.

Friday, February 5 - Cape Horn, Chile - Cruising

ocho riosCape Horn marks the southernmost point of South America and extends into Drake Passage, the antarctic strait connecting the South Atlantic and South Pacific oceans. The rocky terrain of the cape rises to a height of 424 meters (1,391 feet). Magellan’s fleet was first to circle this treacherous rock at continent’s end, and until the Panama Canal was constructed, this was the main shipping route from the Atlantic to the Pacific. Storms, strong currents, and icebergs made passage extremely hazardous during the time of sailing ships. Hundreds of vessels were wrecked while “rounding the horn.” But today’s sailors will enjoy a leisurely cruise and beautiful scenery while navigating these captivating waters.

Saturday, February 6 - Schollart Channel, Antarctica - Cruising

Saturday, February 6 - Paradise Bay, Antarctica - Cruising

Saturday, February 6 - Gerlache Strait - Cruising

Sunday, February 7 - Elephant Island, Antarctica - Cruising

This tiny island in the Weddell Sea, named for the elephant seals who live on its shores, played a big role in one of seafaring history’s most legendary exploits. When the ship Endurance, led by intrepid explorer Sir Ernest Shackleton, was trapped in the ice during a 1914 polar expedition, her crew took refuge on this island. Knowing rescue would never come, Shackleton sought help via lifeboat. After three failed attempts to return for his crew due to ice, Shackleton was finally successful with the help of Captain Luis Pardo. His bust can be found at Point Wild’s Endurance Memorial Site.

Monday, February 8 - At Sea - Cruising

Tuesday, February 9 - Port Stanley, Falkland Island

Stanley, the capital of the Falklands, is a colorful seaside town nestled around the waters of Stanley Harbor. The town boasts many reminders of its British heritage, such as red phone boxes and eight distinctly English pubs. Brightly colored corrugated iron roofs and painted decorative woodwork are characteristic of older houses in the Falklands. The original Colonists’ Cottages can be seen on Pioneer Row and Drury Street. Christ Church Cathedral and the neighboring Whalebone Arch are two of Stanley’s most iconic attractions. Beautifully crafted goods are available from gift shops in Stanley ranging from delicately produced felt items to robust leather goods. Jewelry features the local semi-precious opaque pebbles, woollen garments are knitted from soft Falkland’s wool to suit a variety of tastes, wooden souvenirs are crafted from salvaged shipwrecks and driftwood, and local artwork depicts land and seascapes, wildlife, and historical attractions.

Wednesday, February 10 - At Sea - Cruising

Thursday, February 11 - Puerto Madryn, Argentina

Situated in rugged Argentine Patagonia, Puerto Madryn was founded by Welsh immigrants in 1865. Enjoy a famous Welsh “tea” in the village of Gaiman; journey back in time 300 million years at the Paleontology Museum of Egidio Feruglio in Trelew; and see colonies of sea elephants, sea lions and seals at Punta Norte. Puerto Madryn is also the gateway to many other attractions in Argentina. Top among them is Valdes Peninsula Nature Reserve, a UNESCO heritage site since 1999.

Friday, February 12 - At Sea - Cruising

Saturday, February 13 - Montevideo, Uruguay

Unsung jewel of the South Atlantic Montevideo, on the northern shore of the mighty River Plate, teems with an intoxicating mix of European tradition and colorful South American culture. With its shady downtown plazas to historic camps, forts, farms, and missions that speak so eloquently of the dramas, hardships, and battles of pioneering days. Home to almost 50% of the nation’s population, Montevideo is a modern metropolis with a historical old town dating back to colonial times. Surrounding the whole city lies an uninterrupted stretch of white sandy beach. Highlights include Ciudad Vieja (Old Town) with its 18th century buildings, the vibrant Mercado del Puerto, and the bustling commercial activity of Avenida 18 de Julio and its cultural offerings (theatres, museums, and art galleries).

Sunday, February 14 - Buenos Aires, Argentina

Disembark and discover this colorful city.

The Ship: Celebrity Silhouette®

1Impressive with all the best-loved Solstice® Class features—and some new ones. Chic changes to Celebrity’s iconic Lawn Club provide more opportunities to relax, eat, drink and socialize in the fresh air. Take a painting class with a Master Artist from the ArtCenter/South Florida in The Art Studio. Celebrate the flavorful joys of outdoor grilling in the new, interactive Lawn Club Grill. Unwind in your own cabana-styled haven, The Alcoves. Inside, go on a culinary adventure in Qsine® where you order food and wine from an iPad® menu. Excitement brews with up to 50 international craft beers in the enhanced Michael’s Club. On this beautiful ship, sweeping veranda views enhance 85% of the staterooms.

Signature features of Celebrity Silhouette® include:

Lawn Club Grill:

Fire up your culinary passion. The bright and modern Lawn Club Grill celebrates the flavorful joys of outdoor grilling. The highlight of dining at the Lawn Club Grill is the opportunity to serve as your party’s “Grill Master,” by being paired with a Celebrity chef to assist in preparing the menu for your table over custom-built, ventilated grills.

Qsine® is a uniquely extraordinary experience with elements of surprise and delight. Our concept behind Qsine was to give you something you’ve never experienced before on land or sea. Leave any preconceived notions behind. Dig in and try new things. It’s time your palate got a wake-up call. The iPad® menus are fun, interactive, and full of surprises.

The Alcoves:
Eight chic, cabana-style settings comfortably accommodate up to four guests each. Designed for secluded relaxation, they’re just steps away from the lively vibe of The Lawn Club. Enjoy stunning views of the lawn and sea; ambient mood lighting for cozy, romantic evenings; complimentary fresh fruit plate, hand-held fans, chilled towels, four bottles of water, and all-day use of an iPad® loaded with music, movies, games and magazines. Fresh, themed picnic baskets from our specialty restaurants, as well as a la carte beverages, are available for an additional charge, via your dedicated Alcove Attendant. Wine and cheese evenings under the stars also can be arranged, along with special spa services, once onboard. The Alcoves are even equipped with Wi-Fi (fee applies).

The Art Studio:
Get creative. The Art Studio, our new venue on The Lawn Club, is home to two Master Artists from The ArtCenter/South Florida. They’ll host interactive classes and hands-on demonstrations in jewelry making, beading, sketching, painting, even drink mixology, culinary lessons, taste tests, and chef-prepared dinners.

Murano Restaurant:
Impeccable service, classic design, world-class cuisine and comfortable sophistication are celebrated to the utmost in Murano. Experience tableside lobster presentation, an expansive selection of artisan cheeses from around the world, or the extensive American and French wine list. Charming and timeless, Murano transports you to a modern and sophisticated level of dining.

Shopping Onboard:
Luxurious, new Bulgari and Michael Kors boutiques join an already superb assortment of shops for watches, jewelry, fashions, cosmetics, and fragrances onboard Celebrity SilhouetteSM. Find Omega, Tag Heuer, Longines, John Hardy, Tommy Bahama, Nautica, eco-friendly Mad Bags, Calvin Klein, Armani, Versace, D & G by Dolce and Gabbana, and many more exclusive brands. And, did we mention it’s all tax and duty-free?

Balcony Stateroom

veranda stateroomveranda stateroom

Spacious staterooms located throughout the ship—each with its own private veranda. Flat-screen television system.

Inside Stateroom

inside stateroominside stateroom

Staterooms with ample living space, including a sitting area and flat-screen television.

Photos and renderings of guestrooms are representative of the general design and view of the rooms.
The exact layout and view in any of the guestroom photos are not guaranteed.

We have 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 NWAS. We have all of the information regarding the cruise and seminar and can make your cruise reservations.


Reservations will be secured and cabins assigned upon receipt of passenger deposit of $700 per cabin. Final payment as instructed by our travel agent. Due to the number of details needed to complete cruise cabin booking accurately, a cabin will not be booked for you until you have spoken with one of our cruise agents via phone or via direct email correspondence. Please contact our office at 1-800-222-6927 or 1-509-547-7065 to complete your cruise reservation.

Discounted Fares

We have been able to negotiate a GREAT DISCOUNT for you on this luxurious cruise! See reservation form for details. ALWAYS CALL US BEFORE BOOKING ANYWHERE ELSE: (800) 222-6927


This course is designed for physicians, certified registered nurse anesthetists, physician assistants, nurse practitioners, registered nurses and other medical care providers who must maintain state-of-the-art knowledge of the anesthesia specialty or are impacted by it.


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 healthcare provider in reviewing, updating, and/or expanding knowledge and abilities in one or more of these areas vital to the practicing professional.


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

Apply 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.

Apply 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.

Incorporate 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.

Apply the new techniques in the clinical setting of the participant.

Anesthesia Update
14-Night Argentina & Antarctica Cruise
January 31 - February 14, 2021

Sunday, January 31 - Buenos Aires, Argentina - Embark

  1700 Ship Sails (subject to change)

Monday, February 1 - At Sea

  0830 Registration - Mandatory Sign In
  0845 Airway Management: A Yearly Update on Risk, Assessment, and Plans L.Guzzi  
  0945 Review and Update on Coagulopathy: DVT and Perioperative Risk and Treatment L.Guzzi  
  1045 Break
  1100 I've Got Them Intubated: Now How Do I Get This Tube Out? L.Clark  
  1200 Cardiac Arrest Situations in the Perioperative Period L.Clark  
  1300 Adjourn

Tuesday, February 2 - At Sea

  0830 Registration - Mandatory Sign In
  0845 The Diabetic Patient: Oral Hypoglycemic Agents and the New Insulins L.Clark  
  0945 Hypotension: Are We Ready to Raise the Bar? L.Clark  
  1045 Break
  1100 Acid-Base Disturbances L.Guzzi  
  1200 Acid-Base Management: Case Studies L.Guzzi  
  1300 Adjourn

Wednesday, February 3 - At Sea

  0830 Registration - Mandatory Sign In
  0845 Intraoperative Cardiac Arrhythmias Recognition and Management L.Guzzi  
  0945 Anaphylaxis: The Sting Can Come From Anywhere - An Anesthesia Review L.Guzzi  
  1045 Break
  1100 What Antibiotic When? A Review of Antibiotics and Anesthetic Implications L.Clark  
  1200 Some Things We Do Anesthesia for Really No Reason: Why Do We Continue To Do This? L.Clark  
  1300 Adjourn

Thursday, February 4 - Ushuaia, Argentina - Day Open

Friday, February 5 - Cape Horn, Chile - Day Open

Saturday, February 6 - Schollart Channel, Paradise Bay, Gerlache Strait, Antarctica - Day Open

Sunday, February 7 - Elephant Island, Antarctica - Day Open


Monday, February 8 - At Sea

  0830 Registration - Mandatory Sign In
  0845 Anesthesia for the Patient Who Is Addicted or Recovering: Methadone and Opioid Agonists and Antagonists L.Clark  
  0945 Is There Really Opioid-Free Anesthesia? L.Clark  
  1045 Break
  1100 Biological and Chemical Bioterrorism: An Update for The Anesthesia Provider - Are You Ready? L.Guzzi  
  1200 Blast Injuries and Acute Lung Injury: An Anesthesia and Critical Care Review L.Guzzi  
  1300 Adjourn

Tuesday, February 9 - Port Stanley, Falkland Islands - Day Open

Wednesday, February 10 - At Sea

  0830 Registration - Mandatory Sign In
  0845 Intracranial Hemorrhage: Update and Perioperative Review and Management L.Guzzi  
  0945 Infectious Disease and Risk for the Anesthesia Provider: Hepatitis, HIV, MRSA, The New Threats L.Guzzi  
  1045 Break
  1100 Fire in the OR: A Hot Topic L.Clark  
  1200 I'm in the Basement: Anesthesia for Interventional Radiology and Endoscopy L.Clark  
  1300 Adjourn

Thursday, February 11 - Puerto Madryn, Argentina - Day Open

Friday, February 12 - At Sea

  0830 Registration - Mandatory Sign In
  0845 The Ouptatient Spinal and Transient Neurological Syndrome L.Clark  
  0945 Case Scenarios: Regional Anesthesia Approaches for Surgery L.Clark  
  1045 Break
  1100 The Anesthesia Record: Documentation and Clarity L.Guzzi  
  1200 A Perioperative Event Has Occurred: Defense and Litigation L.Guzzi  
  1300 Adjourn    

24 CME

24 Class A CE

Pharmacology Hours TBD†

Saturday, February 13 - Montevideo, Uruguay - Day Open

Sunday, February 14 - Buenos Aires, Argentina - Disembark

Refreshments served at the meeting are for registered attendees only.


Laura D. Clark, MD
Professor of Anesthesiology
Chairman of the Institutional Review Board
Director of Acute Pain and Regional Anesthesia
Department of Anesthesiology and Perioperative Medicine
University of Louisville School of Medicine
Louisville, Kentucky

Louis Guzzi, MD
Attending in Anesthesia and CCM
Clinical Professor of Anesthesia and CCM
Florida State University School of Medicine
FHMG Medical Group
Orlando, Florida


This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of The A. Webb Roberts Center for Continuing Medical Education of Baylor Scott & White Health and Northwest Anesthesia Seminars. The A. Webb Roberts Center for Continuing Medical Education of Baylor Scott & White Health is accredited by the ACCME to provide continuing medical education for physicians.

The A. Webb Roberts Center for Continuing Medical Education of Baylor Scott & White Health designates this live activity for a maximum of 24 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

American Board of Anesthesiology: CME credit will be sent directly to The American Board of Anesthesiology to fulfill the Part 2 requirement for the Maintenance of Certification in Anesthesiology Program (MOCA®).

Canadian Physicians: This activity is eligible for Section 1 credits in the Royal College’s Maintenance of Certification (MOC) Program. Participants must log into MAINPORT to claim this activity.

Certified Registered Nurse Anesthetists: This program has been prior approved by the American Association of Nurse Anesthetists for 24 Class A CE credits; Code Number 1038978; Expiration Date 2/12/2021.

Nurse Practitioners: The American Academy of Nurse Practitioners Certification Program (AANPCP) and the American Nurses Credentialing Center (ANCC) accept CME from organizations accredited by the ACCME.

Osteopathic Physicians: This program is eligible for Category 2 credit with the American Osteopathic Association (AOA).

Physician Assistants: The American Academy of 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 24 hours of Category I credit for completing this program.

Registered Nurses: NWAS is an approved provider for the following state nursing boards: Arkansas State Board of Nursing (Provider Number 50-7480), California Board of Registered Nursing (Provider Number 4833), District of Columbia Board of Nursing (Provider Number 50-7480), Florida Board of Nursing (Provider Number 50-7480), Georgia Board of Nursing (Provider Number 50-7480), and the South Carolina Board of Nursing (Provider Number 50-7480). This program offers 24 contact hours.

†Pharmacology hours subject to change.


Mark T. Murphy, MD, MSN Education, LLC, Treasure Island, Florida, 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.


$100 between December 2, 2020 and January 1, 2021. No refund after January 1, 2021; however, 50% of tuition paid may be applied toward tuition for another NWAS program within the next 12 months. Cancellation must be made in writing.


Penalties apply for cancellation of the cruise for any reason. We strongly recommend purchase of the cancellation insurance. Ask us for details. Please be aware that premiums paid for insurance are non-refundable.


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 NWWT 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. Travel at your own risk.

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). 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! 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% of net cruise fare credit toward future tuition!. Click here for more information.

Lecture notes will be provided via download in PDF format.

You must sign-in every day you attend to receive credit.

While we strive for accuracy at all times with our published information, we cannot be responsible for typographical and other errors.

Please note that children and non-registered guests are not allowed to attend the lectures. The concierge can provide you with childcare information.

Travel at your own risk.

Airfare available through Universal Travel. Be sure to mention Northwest Anesthesia Seminars when booking. Contact Kellee Gray: Phone number: (858) 456-7962 - Email:


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.