This 7-night cruise features Saturday departure round-trip from Fort Lauderdale, Florida, giving you the opportunity to experience this amazing city in depth if you so choose. Enjoy ports of call in Philipsburg, St. Maarten; San Juan, Puerto Rico; and Labadee, Haiti, all while cruising aboard Royal Caribbean's beautiful Harmony of the Seas.


Mar 24
Fort Lauderdale, Florida
4:30 PM
Mar 25
At Sea
Mar 26
At Sea
Mar 27
Philipsburg, St. Maarten
8:00 AM
5:00 PM
Mar 28
San Juan, Puerto Rico
7:00 AM
2:00 PM
Mar 29
Labadee, Haiti
9:30 AM
6:00 PM
Mar 30
At Sea
Mar 31
Fort Lauderdale, Florida
6:15 AM

Saturday, March 24 - Board ship in Fort Lauderdale, Florida

If you arrive early there are lots of fun things to do in this tropical city. Fort Lauderdale lies along the Atlantic Ocean at the mouth of the New River, 25 miles north of Miami. Its warm tropical weather attracts many people throughout the year. For sun-worshippers, the city has six miles of beaches.

Go fishing, take one of many sightseeing cruises of the harbor, ocean, or wetlands. Tour a museum, see a butterfly farm, or ride a roller coaster. Shop upscale boutiques or flea markets. Ft. Lauderdale is an entire destination in itself.

There are also many recreational waterways with extensive boating facilities, access to every conceivable watersport, a variety of fascinating museums and trendy restaurants, and an array of entertainment venues. Take a 30-minute airboat ride across the Everglades, one of the most breathtaking natural areas in America. Discover a variety of fish and birds that inhabit the area, and perhaps see the most famous Everglades inhabitant—the alligator. Fish is fresh and delicious in Florida. Grouper is probably the most popular choice and is served almost any way imaginable. A true Florida staple is a fresh grouper sandwich and fries eaten outside by the water.

Sunday, March 25 - At Sea

Monday, March 26 - At Sea

Tuesday, March 27 - Philipsburg, St. Maarten

When the Spanish closed their colonial fort on St. Maarten in 1648, a few Dutch and French soldiers hid on the island and decided to share it. Soon after, the Netherlands and France signed a formal agreement to split St. Maarten in half, as it is today. Philipsburg displays its Dutch heritage in its architecture and landscaping. The island offers endless stretches of beach, beautiful landscapes, and great shopping. Compete in an actual race on an America’s Cup shortened course. Grind a winch, trim a sail or just sit back and enjoy. Professional sailors will give you a quick lesson, then you’re off to compete on Stars and Stripes, one of the most famous sailboats in the world. Rendezvous at one of the newest and trendiest restaurants in French St. Maarten. Explore Orient Bay, the French Riviera of the Caribbean, with over 1.5 miles of white-sand beaches. Admire the delicate nature and dazzling colors of hundreds of butterflies as you tour St. Maarten’s popular Butterfly Farm.

Wednesday, March 28 - San Juan, Puerto Rico

Puerto Rico is an island offering so many vacation experiences that it calls itself "The Continent of Puerto Rico." Become captivated by the enchantment of the island's culture, its modern city amenities and entertainment, and the tropical beauty of a Caribbean destination. Puerto Rico is the largest and most populated island of an archipelago with fertile coasts and a rugged, fairly mountainous interior with lush rainforest.

Discover the historic treasures of majestic Old San Juan, the charming walled city with its imposing fortresses and colorful colonial architecture. Check out 'Plaza del Mercado' and 'La Placita', as it’s affectionately known, a thriving public market by day where vendors hawk their wares and some of the freshest produce from all over the island. And don’t forget to take some Puerto Rican rum and coffee home with you.

Thursday, March 29 - Labadee, Haiti

Our private beach resort features pristine beaches, coral reefs and lagoon-like bays surrounded by forested mountains. Relax and recharge or take advantage of an array of water sports and activities, including our famous zip-line.

Friday, March 30 - At Sea

Saturday, March 31 - Disembark in Fort Lauderdale, Florida

The Ship: Harmony of the Seas

Introducing the Harmony of the Seas - the newest addition to Royal Caribbean's award-winning Oasis Class fleet. The world's biggest ship with the world’s best features just got even better. There's no turning back once you take the plunge 10 stories into the mysteries of the deep on the tallest slide at sea, Ultimate Abyss, as well as the exhilarating multilevel Perfect Storm slides. As the kids explore Splashaway Bay, take a tree-lined stroll through Central Park, or find your own haven in any of the other seven iconic onboard neighborhoods. Sip a post-dinner cocktail crafted by a robot in our unique Bionic Bar, and share every moment with not just your family onboard, but friends back home with VOOM - the fastest Internet at sea. Discover the biggest, boldest family vacation ever on a ship unlike anything else on the ocean.

Signature features of Harmony of the Seas include:

Bionic Bar: Feature robot bartenders serving up one-of-a-kind crafted cocktails while dancing to fluid beat.

The Ultimate Abyss: There's no turning back once you take the plunge. Plummet 10 stories into the mysteries of the deep on the tallest slide at sea.

The Perfect Storm: This tremendous trio of water slides is our Perfect Storm. Typhoon, Cyclone and Supercell are their names, and they're here to take you on a wet, wild ride.

Ice Skating: Put your vacation on ice with a spin on the ice rink, an onboard feature exclusive to Royal Caribbean.

Wonderland: Harmony of the Seas' chefs twist their culinary kaleidoscopes to invent an elaborate dreamscape of never-before-seen fare. The story begins as you open the menu and find your element - Sun, Ice, Fire, Water, Earth and Dreams

Chops Grille: Royal Caribbean's popular signature steakhouse, featuring grade-A premium cuts of steak cooked to your specifications—plus fresh seafood, hearty side dishes and signature desserts in an upscale, contemporary setting.

Izumi: The traditional Asian dishes at Izumi will impress you with pure, delicate flavors, freshness of ingredients and impeccable presentation. Choose from sushi rolls, sashimi, hot rock (ishi-yaki) plates, and more. Menu items charged individually.

Sabor: Sabor - in Spanish, it means flavor. But here, it's that and so much more. A vibrant dance across the plate and palate. A long heritage of fresh, simple ingredients, reimagined in full bloom.

Signature Suites

Discover luxury accommodations that are more than just beautiful spaces. Royal Suite Class is a tiered suites program that redefines luxury with enhancements designed to elevate every aspect of your vacation. From exclusive experiences, like the suites-only Coastal Kitchen, to inclusive amenities, like VOOM the fastest internet at sea.

Balcony Staterooms

Imagine opening your balcony door to see a new and breathtaking part of the world each morning. A stateroom with a balcony is a great way to make your cruise adventure even more memorable and lets you truly take in all the wonder and excitement of your destination.

Ocean View Staterooms

You'll never miss a moment of the breathtaking scenery on your cruise vacation with an Ocean View stateroom. Spend the day exploring the world, then come back onboard and take in the spectacular sights and amazing views from the comfort of your stateroom.

Interior Staterooms

Relax in all the comfort of our spacious interior staterooms. Spend your days onboard by the pool or on our sports deck, then enjoy some quiet and private time. Our interior staterooms include a wide array of amenities for your whole family to enjoy.

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 $500 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 specialty or are impacted by it.


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:

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

Provide assistance with and support of other service providers, departments, institutions, and organizations dependent upon the professional expertise of the practitioner


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 Anesthesia Practice
7-Night Eastern Caribbean Cruise
March 24-31, 2018

Saturday, March 24 - Fort Lauderdale, Florida

  1630 Ship Sails (subject to change)

Sunday, March 25 - At Sea

  0900 Registration - Mandatory Sign In
  0915 Herbal Stuff: It's All Safe, Right? E.Frost  
  1015 Guidelines Update ASA/AANA E.Frost  
  1115 The Truth About Preoperative Fasting L.Pelinka  
  1215 Lunch Break
  1330 Drug Related Errors and How to Avoid Them L.Pelinka  
  1430 NOAC Reversal: Between a Rock and a Hard Place L.Pelinka  
  1530 Anesthetic Assessment of the Transgender Patient Presenting for Surgery E.Frost  
  1630 PBLD: The Healthy Patient for a Hernia Repair E.Frost  
  1730 Adjourn
3.1 Pharmacology Hours

Monday, March 26 - At Sea

  0900 Registration - Mandatory Sign In
  0915 Forever Young: Anesthesia in the Elderly L.Pelinka  
  1015 Case Discussions: Issues With the Elderly L.Pelinka  
  1115 Do You Really Need Two Large Bore IVs? E.Frost  
  1215 Lunch Break
  1330 Where Is the Basement Anyway? What Goes on in Interventional Radiology? E.Frost  
  1430 Sugammadex: My Favorite Doughnut L.Pelinka  
  1530 Is There a Medical Professional Aboard This Aircraft? L.Pelinka  
  1630 Challenges at 35,000 ft: Case Discussions L.Pelinka  
  1730 Adjourn
3.2 Pharmacology Hours

Tuesday, March 27 - Philipsburg, St. Maarten - Day Open

Wednesday, March 28 - San Juan, Puerto Rico - Day Open

Thursday, March 29 - Labadee, Haiti - Day Open

Friday, March 30 - At Sea

  0900 Registration - Mandatory Sign In
  0915 Pediatric Neuroanesthesia: Little People With Many Problems E.Frost  
  1015 Ethical Issues and Anesthesia: How Can They Be Handled? E.Frost  
  1115 Murphy's Law: Minimizing the Risk of Anesthesia L.Pelinka  
  1215 Lunch Break
  1315 Don't Take Your Organs to Heaven: Heaven Knows, We Need Them Here L.Pelinka  
  1415 The PACU Nurse Calls: The Patient Is Very Sleepy E.Frost  
  1515 PBLD: The Pregnant Teenager Who Just Took Cocaine E.Frost  
  1615 Adjourn
2 Pharmacology Hours

20 CME

20 CEC

8.2 Pharmacology Hours†

Saturday, March 31 - Fort Lauderdale, Florida - Disembark

Refreshements served at the meeting are for registered attendees only.


Elizabeth Frost, MD
Professor of Anesthesia
Icahn Medical Center at Mount Sinai
New York, New York

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


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 CEC; AANA Code #1035420; Expiration date 3/30/18.

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 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.


$100 between January 23, 2018 and February 22, 2018. No refund after February 22, 2018; however, 50% of tuition paid may be applied toward tuition for another NWAS program within the next 12 months. Cancellation must be 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 Kilmer: Phone number: (858) 456-7887 - 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.