Experience the best cruising has to offer onboard Holland America’s beautiful ms Veendam. Visit ports across the Caribbean including an extended docking in Cuba.


  Day Date Port Arrive Depart
  Sat Mar 17 Fort Lauderdale, Florida 4:00 PM
  Sun Mar 18 Key West, Florida 8:00 AM 5:00 PM
  Mon Mar 19 At Sea    
  Tue Mar 20 Cozumel, Mexico 8:00 AM 11:30 PM
  Wed Mar 21
At Sea    
  Thu Mar 22
Havana (La Habana), Cuba 8:00 AM  
  Fri Mar 23
Havana (La Habana), Cuba - At Sea   2:00 AM
  Sat Mar 24
Cienfuegos, Cuba 8:00 AM 5:00 PM
  Sun Mar 25 Montego Bay, Jamaica 9:00 AM 6:00 PM
  Mon Mar 26 Georgetown, Grand Cayman 8:00 AM 5:00 PM
  Tue Mar 27 At Sea    
  Wed Mar 28 Fort Lauderdale, Florida 7:00 AM  

Saturday, March 17 - Board ship in Fort Lauderdale, Florida

ftlauderdaleGo 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 18 - Key West, Florida

keywestKey West has something for everyone, from dynamic Duval Street to the splendid Victorian architecture of Old Town to the azure waters. Aficionados of fine art will find Key West teeming with museums, art galleries, and an active theatrical community. Be sure to visit Ernest Hemingway’s home and the Tennessee Williams Fine Art Center.

Water lovers can enjoy unmatched Key West water sports. Just beneath the breathtaking aqua and deep turquoise waters are intricate coral reefs that protect tiny Key West from the Atlantic Ocean. Snorkeling and diving enthusiasts can enjoy exploring the only living coral reef in the continental U.S. For those who seek excitement above the water, Key West is truly a fisherman’s paradise.

On land, Key West offers charming lanes to meander, quaint shops to explore, and fabulous old “Conch Homes” with wide verandas and lush tropical landscaping. Shopping is a delight with treasures found nowhere else. Dining options are abundant and diverse, whether you’re barefoot or ready for china and silver. The Key West Golf Club, designed by golf legend Rees Jones, offers lush tropical landscaping and is suited to players of all abilities. There’s something for every visitor, luring all to fall in love with this fun-loving island city that celebrates the sunset every night with a variety of special activities.

Monday, March 19 - At Sea

Tuesday, March 20 - Cozumel, Mexico

cozumelFor beauty, beaches, and Mexican sunshine, there’s nowhere like Cozumel. Brilliant emerald water, white sand beaches, spectacular scuba diving and fishing—plus bargain prices, ancient ruins, and friendly hosts—all in a relaxed, no hustle atmosphere. Cozumel is famous as a diver’s resort, but its laid-back pace, barefoot charm, and magnificent beaches hold something for everyone.

Cozumel is rated as one of the top ten sportfishing “hotspots” in the world. Cozumel offers the best shopping in the Yucatan for craft items, leather, hammocks, clothing, and jewelry items. You will enjoy the hassle-free shops and boutiques. For the diver, or those wishing to take up this fascinating sport, Cozumel offers the ultimate in Caribbean diving. There is an unmatched assortment of spectacular reefs, tunnels, cliffs, coral of every description, and sea life beyond compare.

Wednesday, March 21 - At Sea

Thursday, March 22 - Havana (La Habana), Cuba

Friday, March 23 - Havana (La Habana), Cuba

cubaDrive through the once fashionable residential area of Miramar, which retains its pre-revolution air of exclusivity. The beautiful houses are now used for embassies, commercial offices, and tourist development. Drive through Revolution Square, the administrative and political center of Cuba. Take a walking tour around the historic center of Old Havana, a UNESCO World Heritage site.

Visit Plaza de San Francisco de Asis and the 16th-century Convento de San Francisco de Asis, one of the finest buildings from the colonial period. The basilica and the monastery of San Francisco de Asis (Saint Francis of Assisi) were built in Havana at the end of sixteenth century (1580–91) as the home of the Franciscan community, and were altered in the Baroque style in 1730.

See Plaza Vieja and its surrounding art galleries or visit the Palacio de los Capitanes Generales at Plaza de Armas, where the city originated. Built in 1776, this stately palace remains as a testament to Cuba’s importance as Spain’s principal port of the Americas during the 18th century. At Plaza de la Cathedral, the most prominent building is the Cathedral of the Virgin Mary of the Immaculate Conception. The cathedral is dedicated to Saint Christopher and is also known as Cathedral of Saint Christopher. The construction of the cathedral was started by Jesuits in 1748 on the site of an earlier church and finished by Havana City in 1777.

Stop for pictures outside El Capitolio Nacional. Built in 1929 as the Senate and House of Representatives, the colossal building is recognizable by its dome, which dominates the city’s skyline. Inside stands the third largest indoor statue in the world, La Estatua de la República. Today the Capitolio is home to the Cuban Academy of Sciences and the Museo Nacional de Historia Natural, with the largest natural history collection in the country. (The building is currently under renovation and may not allow visitors inside.) End the visit to Old Havana at the outdoor handicraft market. Next, visit the Museum of Old Cars or the Havana Club Museum of Rum.

Saturday, March 24 - Cienfuegos, Cuba

cubaBegin your explorations of Cienfuegos in Plaza Jose Marti. Here, French architecture surrounds the vibrant tree-lined square bustling with activity. Duck into an art gallery, purchase produce from local vendors, or photograph the historic buildings nearby. The Catedral de la Purisima Conception's asymmetric towers, the Government Palace's huge dome, or the Teatro de Tomas Tera are all perfect snapshot opportunities.

Wine and dine atop the Palacio de Valle, a building of Moorish design which boasts amazing views from its rooftop bar and restuarant. Earn a cool swim in natural pools when you hike the paths to El Nicho Waterfalls. Swim and snorkel the waters of Rancho Luna Beach or visit the quaint 17th century-era Jagua Castle.

Sunday, March 25 - Montego Bay, Jamaica

montego In ‘MoBay’, you’ll enjoy one of the most beautiful places in the Caribbean. Get back to nature in the magic of rainforests, which seem to be as alive as any of the tropical animals that live there.

Take your loved ones to hike the Blue Mountains and look at the world through new eyes. Tour a coffee factory, visit a rum distillery, or sample fresh fruit at a local plantation. Meet friendly people, try unique food and watch the sunset over the Caribbean Sea to the sound of slow reggae rhythms and good times.

There is also plenty of history to explore, including historical houses. One of these is the infamous Rose Hall Estate. Dead more than a century, Annie Palmer still stirs memories of her reign as the mistress of the Rose Hall Great House. The Great House is but one of many attractions on the 6,600-acre Rose Hall Plantation.

Here, visitors can experience the complete spectrum of island living-mountain villages, cane fields, and miles of beautiful beaches and well-maintained golf courses.

Monday, March 26 - Georgetown, Grand Cayman

caymanIn Georgetown, retail therapy is value for the money with duty-free bargains on crystal, perfume, and jewelry fashioned of silver and prized pink coral. Name your game and you’ll find it here: snorkeling, swimming, sailing, windsurfing, submarining, sightseeing, or shopping.

At 28 miles long, Grand Cayman is the largest of the Cayman Islands, lying between Cuba and Jamaica. Its warm climate, low rainfall and tranquil waters make it an ideal destination for sun-seekers and divers. The flora and fauna of the Cayman Islands are surprisingly diverse and include the spectacular Cayman blue iguana. The premier attraction on Grand Cayman is Seven Mile Beach, white as snow and soft as talc.

Tuesday, March 27 - At Sea

Wednesday, March 28 - Fort Lauderdale, Florida - Disembark

Depart for home or stay over to enjoy this sun-kissed city.

The Ship: ms Veendam

ship Grandly proportioned and recently enhanced, ms Veendam offers an onboard experience defined by spacious comfort and the latest amenities. Guests aboard Veendam enjoy a multi-million dollar art and antique collection, wide teak decks, elegant dining rooms, and spacious staterooms — many with private verandahs. While on-board, choose from an array of onboard activities that allow you to pursue new interests or relax and rejuvenate.





Signature features:

Canaletto Restaurant: Named for a famous 18th-century Venetian artist, Canaletto is your destination onboard for an intimate Italian dinner. The evening begins with the chef’s selection of antipasti with a taste of the delicious fare and personal, polished service to follow.

The Digital Workshop: Guests will be able to show and tell their vacation memories by learning how to share all their digital memories through e-mail, blogging, and social networking, so friends and family can see where they’ve been cruising even before they return home.

The Culinary Arts Center: State-of-the-art demonstration kitchen offering interactive gourmet cooking lessons taught by Master Chefs or culinary guests.

Greenhouse Spa & Salon: Features heavenly beauty and wellness rituals. Enjoy a facial, hot stone massage, steam in a thermal suite and have your hair and nails done for a special evening.

Pinnacle Grill: This intimate reservations-only venue offers an elegant, sophisticated dining experience. Featuring premium Double R Ranch Beef, inspired seafood dishes and many select wines rated “Excellent” by Wine Spectator, as well as distinctive Bvlgari® china, Riedel® stemware and Frette® linens.

Billboard Onboard: Showcases the talents of live musicians performing dynamic shows centered on the interesting facts and figures of the music industry.

B.B. King’s Blues Club: Direct from Beale Street, the B.B. King’s All-Stars Band brings the best of Memphis music to sea. From funky and fast to soulful and smooth, this eight-piece band performs nightly in the Queen’s Lounge.

Lincoln Center Stage: In an exclusive partnership with the world’s leading center for the performing arts, Lincoln Center Stage showcases outstanding live chamber music performances.

Crow’s Nest: Offers sweeping 270° views during the day, and a hip, fashionable nightclub each evening.

Casino: From perennially popular slot machines and blackjack tables to the latest in sophisticated gaming, the onboard casino is well-equipped and staffed with professionals eager to help guests learn new skills.

Movies on Board: Complimentary films and popcorn are waiting for you in your ship’s movie theatre. Movies can also be enjoyed from the comfort of your own stateroom or suite. On ms Koningsdam, step out on the Lido Deck to enjoy a movie on the giant LED screen.

World Stage: A flexible space that can have multiple stage configurations, ranging from in-the-round to the more conventional proscenium staging, featuring an exciting array of performances and productions enhanced by state-of-the-art lighting, projection, and sound systems.

Main Stage Show Lounge: Concerts and an exciting variety of performances on the Main Stage.


Signature Suites


2 lower beds convertible to 1 queen-size bed, bathroom with dual sink vanity, whirlpool bath, shower and shower stall, sitting area, verandah, 1 sofa bed for 1 person, floor-to-ceiling windows. Approximately 372–384 sq. ft. including verandah.

Balcony Staterooms


2 lower beds convertible to 1 queen-size bed, bathtub, shower, sitting area, private verandah, floor-to-ceiling windows. Approximately 212–359 sq. ft. including verandah.

Ocean View Staterooms


Available in both large and standard, includes 2 lower beds convertible to 1 queen-size bed, bathtub, and shower. Approximately 174–180 sq. ft.

Interior Staterooms


Available in both large and standard, includes 2 lower beds convertible to 1 queen-size bed and shower. Approximately 151–233 sq. ft.

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.

Topics in Anesthesia11-Night Cuba and Western Caribbean Cruise March 17-28, 2018

Saturday, March 17 - Fort Lauderdale, Florida

  1600 Ship Sails

Sunday, March 18 - Key West, Florida - Day Open


Monday, March 19 - At Sea

  0845 Registration - Mandatory Sign-In
  0855 Welcome NWAS Staff  
  0900 Preoperative Evaluation of the Ambulatory Patient J.Kryc  
  1000 Cleared for Surgery J.Kryc  
  1100 Statins and Noncardiac Surgery: Can We Reduce Perioperative Risk? J.Kryc  
  1200 Lunch Break
  1300 Arrhythmias: The Tachycardias S.Lowson  
  1400 Arrhythmias: The Bradycardias and Others S.Lowson  
  1500 Steroids and Surgery S.Lowson  
  1600 Adjourn

Tuesday, March 20 - Cozumel, Mexico - Day Open

Wednesday, March 21 - At Sea

  0845 Registration - Mandatory Sign-In
  0900 How Do We Assess Volume in the Perioperative Period? S.Lowson  
  1000 Goal-Directed Perioperative Fluid Management S.Lowson  
  1100 Crystalloids and Colloids: The Ongoing Debate S.Lowson  
  1200 Lunch Break
  1300 Cardiac Disease in Pregnancy J.Kryc  
  1400 Preeclampsia: What the Non-Obstetric Anesthetist Needs to Know J.Kryc  
  1500 Obstetric Emergencies J.Kryc  
  1600 Adjourn

Thursday, March 22 - Havana (La Habana), Cuba - Day Open

Friday, March 23 - Havana (La Habana), Cuba - At Sea

  0945 Registration - Mandatory Sign-In
  1000 What Does It Take to Make the Perfect Clot? J.Kryc  
  1100 Triggers, Targets, and Antithrombotics J.Kryc  
  1200 Neuraxial Anesthesia and Anticoagulation: Is This a Good Idea? J.Kryc  
  1300 Lunch Break
  1400 The Dark Side of Opiates for Perioperative Pain Control S.Lowson  
  1500 Multimodal Pain Therapy: Ofirmev and the NSAIDs S.Lowson  
  1600 Multimodal Pain Therapy: Ketamine, Lidocaine, and Others S.Lowson  
  1700 Adjourn

Saturday, March 24 - Cienfuegos, Cuba

Sunday, March 25 - Montego Bay, Jamaica

Monday, March 26 - Georgetown Grand Cayman

Tuesday, March 27 - At Sea

  0845 Registration - Mandatory Sign-In
  0900 Perioperative Glucose Control S.Lowson  
  1000 Electrolyte Emergencies S.Lowson  
  1100 Case Studies in Trauma S.Lowson  
  1200 Lunch
  1300 Maternal Mortality: Who, When, Where, and Why J.Kryc  
  1400 Introduction to Nanotechnology: Honey I Shrunk the Kids J.Kryc  
  1500 Nanomedicine: The Cyborg Era Begins J.Kryc  
  1600 Adjourn    

24 CME

24 CEC

Pharmacology Hours TBD†


Wednesday, March 28 - Fort Lauderdale, Florida - Disembark

Departure as scheduled
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

Stuart Lowson, MD, BSc, MBBs, MRCP, FRCA
Associate Professor of Anesthesiology
Department of Anesthesiology
Director, Surgical/Trauma ICU
University of Virginia Health System
Charlottesville, Virginia


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 CEC; AANA Code #1035176; Expiration date 3/27/18.

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 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 January 16, 2018 to February 15, 2018. No refund after February 15, 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: kellee@universaltravel1.com


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.