Experience the best cruising has to offer onboard the beautiful Celebrity Silhouette SM. Conveniently cruising roundtrip from Ft. Lauderdale, you have the opportunity to explore the ports of St. Croix, U.S. Virgin Islands; Philipsburg, St. Maarten; Castries, St. Lucia; St. Georges, Grenada; Bridgetown, Barbados; Roseau, Dominica; Basseterre, St. Kitts and Nevis.


  Day Date Port Arrive Depart
  Sun Nov 18 Fort Lauderdale, Florida 4:00 PM
  Mon Nov 19 At Sea
  Tue Nov 20 At Sea
  Wed Nov 21 St. Croix, U.S.V.I 8:00 AM 6:00 PM
  Thu Nov 22 Philipsburg, St. Maarten 8:00 AM 5:00 PM
  Fri Nov 23 Castries, St. Lucia 9:00 AM 6:00 PM
  Sat Nov 24 St. George’s, Grenada 8:00 AM 6:00 PM
  Sun Nov 25 Bridgetown, Barbados 8:00 AM 6:00 PM
  Mon Nov 26 Roseau, Dominica 8:00 AM 5:00 PM
  Tue Nov 27 Basseterre, St. Kitts & Nevis 7:00 AM 4:00 PM
  Wed Nov 28 At Sea
  Thu Nov 29 At Sea
  Fri Nov 30 Fort Lauderdale, Florida 7:00 AM

Sunday, November 18 - Board ship in Ft. Lauderdale, Florida

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.

Monday, November 19 - At Sea

Tuesday, November 20 - At Sea

Wednesday, November 21 - St. Croix, U.S.V.I.

This is one of the most beautiful regions in the world. Charlotte Amalie is the capital and major passenger port of the island of St. Thomas, which together with St. Croix and St. John form the principal islands of the United States Virgin Islands. Charlotte Amalie has always attracted large mercantile ships, even before the arrival of the transatlantic passenger cruisers, and tourism has been the major maritime activity for the last few years. Discover duty-free shops, historical buildings, and stunning waterfront views. Small boutiques offer high fashions and cozy bistros serve delectable cuisine. Why not ferry to nearby St. John where you can take a scenic tour of this gorgeous island including the beautiful Virgin Islands National Park that covers over half of the island of St. John.

Thursday, November 22 - 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.

Friday, November 23 - Castries, St. Lucia

Spend the day on a catamaran sailing the west coast. Relax between visits to the island’s iconic Pitons, two jungle-clad lava outcrops, located 40 minutes south of the capital at Soufriere. Or take time for a dip in the cobalt waters of Castries’s Marigot Bay. Just steps from the cruise ship terminal, the Castries Market offers a local shopping experience where farmers sell fresh produce and a selection of Caribbean spices six days a week. An adjacent craft market is a good place to pick up souvenirs.

Saturday, November 24 - St. George's, Grenada

From the moment you set your eyes on St. George’s, you’ll see why it’s considered one of the most picturesque ports in the Caribbean. Lush vegetation, mountainous terrain and colorful colonial architecture make up the landscape. And if the sights don’t wow your senses, the aroma will. Grenada is also filled with spice trees and is a leading source of many different spices, including nutmeg, cloves, ginger, cinnamon and cocoa.

Sunday, November 25 - Bridgetown, Barbados

For the ultimate day of fun-in-the-sun Barbados-style, cruise on the MV Harbour to a spectacular sandy beach. Snorkel on reefs teeming with tropical fish. Enjoy the rope swing, sun tanning or walking on the beach. Cruise back along the scenic coast while dancing the calypso or limbo, or just relax on deck.

Monday, November 26 - Roseau, Dominica

Access the largely untouched interior of Dominica via an extensive network of nature and hiking trails, which will take you on an odyssey through the lush landscape past waterfalls, clear-running streams, and bubbling hot springs. If you’d prefer swimming to hiking, try the world-class scuba diving.

Tuesday, November 27 - Basseterre, St. Kitts and Nevis

Basseterre has a long history of colonial struggle that is reflected in its architecture and cultural monuments. The National Museum, St. George’s, the Circus, and Independence Square all give glimpses into this city’s past. But most travelers come to Basseterre for the beaches, resorts and marinas, offering ample snorkeling, windsurfing, diving, sunbathing and golfing opportunities.

Wednesday, November 28 - At Sea

Thursday, November 29 - At Sea

Friday, November 30 - Disembark in Fort Lauderdale, Florida

The Ship: Celebrity Silhouette®

Impressive 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

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

Inside Stateroom

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

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 $900 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.

Clinical Concerns in Anesthesia 12-Night Southern Caribbean Cruise November 18-30, 2018

Sunday, November 18 - Fort Lauderdale, Florida - Embarkation

  1600 Ship sails (Subject to change)

Monday, November 19 - At Sea

  0830 Registration - Mandatory Sign In
  0845 Welcome NWAS Staff  
  0900 The Truth About Preoperative Fasting L.Pelinka  
  1000 Drug-Related Errors and How to Avoid Them L.Pelinka  
  1100 Preoperative Assessment of the Patient With Cardiovascular Disease J.Kaplan  
  1200 Cardiovascular Pharmacology I: Ischemic Heart Disease J.Kaplan  
  1300 Lunch Break
  1400 Cardiovascular Pharmacology II: Heart Failure J.Kaplan  
  1500 Case Discussion: Anesthetic Management of Patients With Uncommon Cardiac Diseases J.Kaplan  
  1600 Adjourn

Tuesday, November 20 - At Sea

  0845 Registration - Mandatory Sign In
  0900 Forever Young: Anesthesia in the Elderly L.Pelinka  
  1000 Case Discussions: Issues With the Elderly L.Pelinka  
  1100 Anesthetic Management of Patients With Coronary Stents J.Kaplan  
  1200 Case Discussion: Congenital Heart Disease in Adults for Noncardiac Surgery J.Kaplan  
  1300 Lunch Break
  1400 NOAC Reversal Agents: A Dream Come True? L.Pelinka  
  1500 Experience Is the Sum of All Our Errors L.Pelinka  
  1600 Break

Wednesday, November 21 - St. Croix, U.S.V.I. - Day Open


Thursday, November 22 - Philipsburg, St. Maarten - Day Open


Friday, November 23 - Castries, St. Lucia - Day Open


Saturday, November 24 - St. George's, Grenada - Day Open


Sunday, November 25 - Bridgetown, Barbados - Day Open


Monday, November 26 - Roseau, Dominica - Day Open


Tuesday, November 27 - Basseterre, St Kitts and Nevis - Day Open


Wednesday, November 28 - At Sea

  0845 Registration - Mandatory Sign In
  0900 Anesthesia for Patients Undergoing CABG or Minimally Invasive Cardiac Surgery J.Kaplan  
  1000 Redo-Operations, Rebleeds, and Other Bloody Cases J.Kaplan  
  1100 Is There a Medical Professional on Board This Aircraft? L.Pelinka  
  1200 Challenges at 35,000 feet: Case Discussions L.Pelinka  
  1300 Lunch Break
  1400 Noncardiac Surgery in Patients With CIEDs, VADs, or Transplants J.Kaplan  
  1500 Goal-Directed Fluid Therapy During Surgery: How to Improve Outcomes J.Kaplan  
  1600 Adjourn

Thursday, November 29 - At Sea

  0845 Registration - Mandatory Sign In
  0900 Fast Track Management and Outcomes J.Kaplan  
  1000 Anesthesia for VATS and Other Thoracic Surgical Procedures J.Kaplan  
  1100 Murphy's Law: Minimizing the Risk of Anesthesia L.Pelinka  
  1200 Don't Take Your Organs to Heaven: Heaven Knows, We Need Them Here L.Pelinka  
  1300 Lunch Break
  1400 Sugammadex: My Favorite Doughnut L.Pelinka  
  1500 What Went Wrong? Case Discussions L.Pelinka  
  1600 Adjourn

24 CME

24 Class A CEC

Pharmacology Hours TBD†


Friday, November 30 - Fort Lauderdale, Florida - Disembark

Refreshments served at the meeting are for registered attendees only.


Joel A. Kaplan, MD, CPE
Journal of Cardiothoracic and Vascular Anesthesia
Professor of Clinical Anesthesiology
University of California at San Diego and University of Louisville
Dean Emeritus, School of Medicine
University of Louisville
Louisville, Kentucky

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 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 20 Class A CEC; AANA Code #1035880; Expiration Date 11/29/2018.

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 September 19, 2018 and October 19, 2018. No refund after October 19, 2018; 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 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.

Click here for course and cruise registration (CANCELLED)