Budapest, Hungary

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With the wide Danube river winding through its center, Budapest is one of Europe's most stunning skylines, boasting its share of old-world charm and fabulous architecture along both the Buda and Pest sides of the river. Budapest can justly claim to be one of Europe's most attractive urban destinations. Roman, Gothic and Turkish styles make this antique city an architectural dream.

Check out Fisherman’s Bastion, a castle wall with the best views of the city. It consists of seven towers, representing the seven clan leaders who brought the Hungarian people to settle in their new homeland. Next, visit the gorgeous St. Stephen's Basilica, adorned inside and out with stone ornamentation, gilded arches, marble, frescos and more. The fascinating neo-gothic Hungarian Parliament on the bank of the Danube River is inarguably one of the most beautiful parliamentary buildings in Europe.

Foodies rejoice! Budapest's food history spans centuries and includes a long tradition of amazing farmers markets full of fruits, veggies, and pastries. Take a break to enjoy a local delicacy, kurtos kalacs (or Chimney Cakes), a once seasonal treat turned everyday market favorite. Over 100 years old, The Great Market Hall is the biggest market in Budapest. Frequented by tourists and locals alike, you’ll find nearly anything you want on its three impressive levels.

The Ritz-Carlton, Budapest

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Brimming in culture, history, and breathtaking architecture, Budapest embodies the European ideal. Set within its city center, this luxury hotel offers some palatial retreat moments from iconic landmarks and within walking distance of attractions including the River Danube, St. Stephen's Basilica and shopping on Andrássy Street. The Ritz-Carlton, Budapest is a place where guests can indulge in modern luxuries amid a space that blends traditional elegance with bold, contemporary design. The hotel's 5-star amenities aim to address the needs and desires of every guest.

Guest can indulge at The Ritz-Carlton Spa with treatments and products from the renowned ESPA, a 24-hour fitness center and a striking indoor pool set beneath a glass roof. When it's time to dine, options include Hungarian-inspired dishes crafted with local ingredients at Deák St. Kitchen, Kupola Bar and Kupola Lounge, set beneath a stained-glass cupola. Guest rooms offering spacious, residential-inspired layouts and contemporary design. Superior and Deluxe guest rooms offer amenities such as comfortable seating area, flat screen TV, Nespresso Coffee Machine, fully stocked honor bar, full marble bathrooms with separate tub/shower, rainforest shower head, Asprey bath amenities, hair dryer, plush terry robes and slippers, iron/board, complimentary bottled water daily and more.

Superior rooms are approximately 365 sq. feet and feature 1 King or 2 Twin beds. Deluxe rooms are approximately 390 square feet and feature 1 King or 2 Double beds. The Ritz-Carlton, Budapest is located in the center of Budapest and is easily accessible arriving by plane, train or car. Liszt Ferenc International Airport (BUD) is about 16 km from Budapest city center. If you arriving via train, there are three main train stations in Budapest and international trains mostly arriving to and departing from two of them, either Keleti Pu (the eastern railway station) or the Déli Pu (the southern railway station). Keleti Railyways station is about a 5-10 minute drive from The Ritz-Carlton, Budapest and the hotel is also easily accessible by public transportation. Arriving at the Déli station, you can either reach the hotel by car in a 10-15 minute drive or by public transportation. In addition, the main junction of the 3 metro lines (red, blue and yellow lines) is located only a few steps from the hotel called Deák Ferenc tér metro station.

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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.

Current Topics in Anesthesia
Budapest, Hungary
September 9-13, 2019

Monday, September 9

  0700 Registration - Mandatory Sign In - Continental Breakfast
  0725 Welcome NWAS Staff  
  0730 Traumatic Shock: The Anesthesia Provider's and the Intensivist's Point of View L.Pelinka  
  0830 Anesthesia in the Drug Abuser: Pitfalls and Possibilities L.Pelinka  
  0930 Break
  0945 Substance Abuse During Pregnancy J.Kryc  
  1045 Amniotic Fluid Embolism: Can We Affect the Outcomes? J.Kryc  
  1145 Recognition and Management of Perioperative Electrolyte Emergencies J.Szalados  
  1245 Adjourn
3.3 Pharmacology Hours

Tuesday, September 10

  0700 Registration - Mandatory Sign In - Continental Breakfast
  0730 Implications of Common Chronic Neurologic Diseases on the Anesthesia Plan J.Szalados  
  0830 Management of the Acutely Septic Patient J.Szalados  
  0930 Break
  0945 Is There a Medical Professional on Board This Aircraft? Challenges at 35,000 Ft L.Pelinka  
  1045 Is There a Medical Professional on Board: Case Discussions L.Pelinka  
  1145 Cleared for Surgery J.Kryc  
  1245 Adjourn
1.9 Pharmacology Hours

Wednesday, September 11 - Day Open


Thursday, September 12

  0700 Registration - Mandatory Sign In - Continental Breakfast
  0730 From Symptoms to Biomarkers: A Change of Paradigms J.Kryc  
  0830 Statins and Noncardiac Surgery: Can We Reduce Perioperative Risk? J.Kryc  
  0930 Break
  0945 Avoiding and Managing Postoperative Delirium, Cognitive Dysfunction, and Confusion J.Szalados  
  1045 Perioperative Glucose Management: What Is the Best Evidence? J.Szalados  
  1145 Problems in the PACU: Is It Serotonin Syndrome? L.Pelinka  
  1245 Adjourn
3.0 Pharmacology Hours

Friday, September 13

  0700 Registration - Mandatory Sign In - Continental Breakfast
  0730 Murphy's Law: Minimizing the Risk of Anesthesia L.Pelinka  
  0830 Drug-Related Errors and How to Avoid Them L.Pelinka  
  0930 Break
  0945 Four Legal Developments of This Year You Must Know About J.Szalados  
  1045 Avoiding, Recognizing, and Managing Burnout J.Szalados  
  1145 Postoperative Pain Management J.Kryc  
  1245 Adjourn 1.6 Pharmacology Hours  

20 CME

20 Class A CEC

9.8 Pharmacology Hours†

  Refreshments served at the meeting are for registered attendees only.  


Joseph J. Kryc, MD, MBA
Adjunct Clinical Associate Professor of Anesthesiology
Banner University Hospital
Tucson, Arizona

Linda E. Pelinka, MD, PhD
Professor of Anesthesiology and
Critical Care Medicine
University of Vienna and
Ludwig Boltzmann Institute of
Experimental and Clinical Traumatology
Vienna, Austria, European Union

James Emery Szalados, MD, JD, MBA, MHA,
Attorney and Counselor at Law
The Szalados Law Firm, Hilton, New York
Director, Surgical Critical Care and Surgical / Trauma Intensive Care Unit
Director, Neurocritical Care Program and Neurocritical Care Unit
Director, Telemedicine Critical Care Medicine Outreach Program
Adjunct Clinical Professor, Rochester Institute of Technology
Rochester General Hospital at Rochester Regional Health System
Rochester, New York


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 20 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 20 Class A CEC; AANA Code #1036581; Expiration Date 9/13/2019.

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 20 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 20 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 July 11, 2019 to August 10, 2019. No refund after August 10, 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.