Boston, Massachusetts

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Steeped in American revolutionary history, Boston is a hotspot for history buffs, foodies, culture seekers, and sports fans.

Catch a Red Sox game at Fenway Park, and sit down with a brew from the Bleacher Bar. Browse the collections of the Museum of Fine Arts including Impressionist paintings, Asian and Egyptian collections, and early American art. Grab tickets to the Boston Pops Orchestra for an evening of world-class musicianship. Or if you’re in the mood for a stroll, you can walk the Freedom Trail that leads from the Boston Common, America’s oldest public park, and ends at the famed Bunker Hill Monument. This 2.5-mile self-guided tour of sixteen American Revolution sites is incredibly informative for Americans and visitors alike. When night falls, nightlife in Boston lights up with Jazz music, comedians, cozy pubs, and pizza shops.

While in North End, visit Paul Revere’s house, appreciate the architecture along cobblestone streets, or stop by a local Italian restaurant for lunch. The Old North Church, where Revere lit his two famous laterns, offers tours that take you from the crypts below to the bell tower above. Everyone loves a good old-fashioned farmer’s market. Stop in to the Boston Public Market for authentic New England produced crafts, produce, prepared food, flowers and more. Shoppers will enjoy a trip to Copley Place and its 75 fabulous stores full of high-end brands and other popular chain stores.

Royal Sonesta Boston

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Take in one of the most spectacular views along the Charles River from one of the finest Boston Massachusetts hotels. Cambridge is the spirited, slightly mischievous side of Boston, located just a bridge away on the “left bank” of the Charles River. Packed with international flair and a youthful vitality, Cambridge is a city where counter-culture still lives, classic culture thrives, and "multicultural" is a way of life. Home to Harvard and MIT, Cambridge is a heady mix of students, scholars, and visitors from around the world. It’s a cosmopolitan college town with an eclectic array of bookstores, coffee houses, blues clubs, street musicians, repertory theaters, and mouthwatering ethnic restaurants.

Freshly renovated with stylish updates and first-class amenities, the Royal Sonesta Boston hotel couples modern design with chic comforts and is one of the premiere hotels in Boston, Mass to earn AAA’s coveted Four Diamond Award. Treat yourself to a sophisticated, casual meal at ArtBar or Dante — two highly acclaimed restaurants for area hotels in downtown Boston. Start your morning at the Studio coffee shop with a house made pastry. For those feeling active, the fitness facilities and indoor atrium-style pool overlooking the Charles river are sure to inspire you.

Guests can also take advantage of the complimentary AM/PM weekday SUV service to select destinations in Cambridge to help make touring the city a breeze. Run of House Guest Rooms feature luxurious bedding and a host of amenities such as flat screen TV, complimentary wired and wireless high-speed internet access in guest room, safe, iron/board, clock radio, and more.

The Royal Sonesta Boston is located just 3 miles from the Boston Logan International Airport (BOS).  Overnight self-parking for hotel guests is approximately $42 per night; Valet overnight parking for hotel guests is $45. Parking rates subject to change without notice.

Email us at or call us (800) 222-6927 • (509) 547-7065


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
Boston, Massachusetts
August 21-24, 2019

Wednesday, August 21

  0630 Registration - Mandatory Sign In - Continental Breakfast
  0650 Introduction NWAS Staff  
  0700 Challenges in Perioperative Optimization A.Minokadeh  
  0800 Obstructive Sleep Apnea and Sleep Disordered Breathing in the Hospital Perioperative A.Minokadeh  
  0900 Anesthetic Considerations for Patients With Rheumatologic Conditions E.Martin  
  1000 Break
  1015 Maternal Physiologic Changes of Pregnancy: How Do We Compensate? E.Martin  
  1115 Perioperative Pain Management: Not Just More Opioids?!?! J.Leslie  
  1215 Anesthetic Considerations in the Geriatric Patient J.Leslie  
  1315 Adjourn
2.1 Pharmacology Hours

Thursday, August 22

  0630 Registration - Mandatory Sign In - Continental Breakfast
  0700 Anesthesia Management of the Cardiac Patient for Noncardiac Surgery J.Leslie  
  0800 Enhanced Recovery After Surgery (ERAS): Anesthesia Optimization J.Leslie  
  0900 Latest in Resuscitation Science A.Minokadeh  
  1000 Break
  1015 Endpoints of Resuscitation for Trauma and Large Blood Loss Operations A.Minokadeh  
  1115 Awareness Under Anesthesia E.Martin  
  1215 Inhalation Anesthetics: A Review E.Martin  
  1315 Adjourn
2.3 Pharmacology Hours

Friday, August 23

  0630 Registration - Mandatory Sign In - Continental Breakfast
  0700 Generational Influences In the Workplace E.Martin  
  0800 Social Media, Vigilance, and Professionalism in Anesthesia: Can They Co-Exist? E.Martin  
  0900 Ketamine: Perhaps It Deserves Another Injection? J.Leslie  
  1000 Break
  1015 Neuromuscular Blocker Reversal: Do We Really Need Sugammadex J.Leslie?  
  1215 Airway Management Considerations in the Morbidly Obese Patient A.Minokadeh  
  1215 Perioperative Positive Airway Pressure (PAP) for the Surgical Patient A.Minokadeht  
  1315 Adjourn
2.0 Pharmacology Hours

Saturday August 24

  0630 Registration - Mandatory Sign In - Continental Breakfast
  0700 Emotional Intelligence: What's All the Fuss About? E.Martin  
  0800 Allergy and Anaphylaxis A.Minokadeh  
  0900 Neuro-Critical Care Neurologic Implications of Intubation and Mechanical Ventilation A.Minokadeh  
  1000 Break
  1015 Anesthesia Journals Update: Key Articles for All Anesthesia Practitioners J.Leslie  
  1115 Checklists for Anesthesia Practitioners: No Brainers? J.Leslie  
  1215 Problem Based Anesthesia: 20+ Cases When I Learned Something New! J.Leslie  
  1315 Adjourn 2.6 Pharmacology Hours  

24 CME

24 Class A CE

9.0 Pharmacology Hours†

  Refreshments served at the meeting are for registered attendees only.  


John B. Leslie, MD, MBA
Professor of Anesthesiology
Mayo Clinic College of Medicine
Phoenix, Arizona

Erin E. Martin, CRNA, DNP
Department of Anesthesiology
Associate Program Director
Nurse Anesthesia Graduate Programs
Assistant Professor of Anesthesiology
Mayo Clinic
Rochester, Minnesota

Anushrivan Minokadeh, MD
Clinical Professor of Anesthesiology
Division Chief, Critical Care Medicine
University of California San Diego, School of Medicine
San Diego, California


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 AANA for 24 Class A CE; AANA Code #1036621; Expiration Date 8/21/2019.

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.


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 NWWT will not be responsible for any non-refundable airfare, hotel, or other liabilities you may incur. We highly recommend purchase of travel insurance. Travel at your own risk.


$100 June 25, 2019 to July 25, 2019. No refund after July 25, 2019; 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.

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.

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 (booking fees may apply.) 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.