Sail ports across Asia in style and comfort when you join us aboard Holland America’s stylish ms Westerdam.


  Day Date Port Arrive Depart
  Mon Dec 10 Hong Kong, China 11:00 PM
  Tue Dec 11 At Sea
  Wed Dec 12 At Sea
  Thu Dec 13 Naha, Japan 8:00 AM 5:00 PM
  Fri Dec 14 Ishigaki Island, Japan 8:00 AM 5:00 PM
  Sat Dec 15 Keelung (Taipei), Taiwan 8:00 AM 6:00 PM
  Sun Dec 16 Kaohsiung, Taiwan 8:00 AM 6:00 PM
  Mon Dec 17 At Sea
  Tues Dec 18 Manila, Philippines 8:00 AM 6:00 PM
  Wed Dec 19 At Sea
  Thu Dec 20 Hong Kong, China 7:00 AM


The Chinese government takes all health matters seriously. On February 13, 2017, the China AQSIQ (General Administration of Quality Supervision, Inspection and Quarantine) issued a notice requiring ALL PERSONS (9 months and older, regardless of nationality) who have entered and/or transited through a country with risk of Yellow Fever, including Brazil, and/or, Angola, and/or, Congo within the past 30 days, to obtain and present a yellow fever vaccination certificate to China health officials in order to enter China.

The yellow fever vaccine must be administered and dated a minimum of 10 days prior to arrival into China. The vaccination certificate must be fully completed, signed, dated and stamped by a medical practitioner.

For further information contact CDC Traveler's Health Website:

If a Yellow Fever vaccination is contraindicated (not medically possible), an exemption letter must be issued by your medical practitioner and must be brought with you to China. Local health officials will then decide if a vaccination waiver may be issued. The
exemption letter must be written on your medical provider’s letterhead, signed and dated by the clinician and include the practice’s stamp.

Guests without the correct documentation may be denied boarding by local health officials.

Monday, December 10 – Hong Kong, China

ghaiRide a ferry in Kowloon Bay or take a tram up to Victoria Peak to take in Hong Kong’s shining skyline. Once home to community gatherings and civil examinations, the Man Mo Temple gives glimpses into life in Imperial China.

Lovely specimens of bonsai and ornamental rocks can be found at the Nan Lian Garden, with peaceful Chi Lin Nunnery just next door. For the adventurous, the Sheung Wan Dried Food and Herbal Market offers authentic Chinese cooking and medicinal ingredients.

Still looking for the perfect trip souvenir? Harbour City Shopping Mall is an enormous collection of high-end and bargain retailers perfect for any budget. When it’s time to dine, Causeway Bay is host to a multitude of great eateries, bustling markets, shops, and more.

Tuesday, December 11 – At Sea

Wednesday, December 12 – At Sea

Thursday – December 13 – Naha, Japan – Day Open

ghaiThe reconstructed Shurijo Castle is not to be missed during a visit to Naha, Japan. Attend a tea tasting with Chinsuko, the traditional Ryukyu royal dessert and take scenic in views from the battlements. History aficianados will enjoy the Okinawa Prefectural Museum and Art Museum which features an excellent overview of Okinawa history, natural history, and art. Naminoue-gu Shrine offers visitors a tranquil moment for reflection and insight into traditional prayer rituals.

Friday – December 14 – Ishigaki Island, Japan – Day Open

ghaiTake a glass-bottomed boat out on beautiful Kabira Bay Preserve or get a bird’s-eye view from the viewpoint at Tamatorizaki Observatory.

Swim and snorkel the coral reefs at Yonehara Beach. Travelling with children? Banna Park has you covered with a variety of fun play areas including giant slides and climbing toys.

For an authentic Japanese cultural experience, tour Ishigaki Yaima Village and its collection of traditional homes, taiko drum ceremonies, and lively squirrel monkeys. Houses here are furnished with traditional furniture and represent the homes of fisherman, farmer, and merchant families.

Saturday – December 15 – Keelung (Taipei), Taiwan – Day Open

ghaiSail into the lively port of Keelung, where you’ll have access to fresh local seafood and great people watching. In nearby Taipei, you can ride the glass-bottomed cars of the Maokong Gondola to the Taipei Zoo; enjoy tea and delicacies in a teahouse at the terminus.

A vigorous hike up Elephant Mountain (aka Nangang District Hiking Trail) also allows for stunning views of the city. Visit a traditional Buddhist and Taoist temple, Longshan Temple, to see the detailed architecture and enjoy a bubble-tea afterwards in the nearby shopping district.

Art enthusiasts will enjoy the National Palace Museum which houses calligraphy, antique pottery, historical war weaponry, and ceramic masterpieces.

Sunday – December 16 – Kaohsiung, Taiwan – Day Open

ghaiClimb the steps to the top of Fo Guang Shan Buddha Museum where you can enjoy sprawling grounds with Buddhist art, architecture, and even Buddha’s tooth!

Catch a ferry to Cijin Island for great deals on local seafood. Rent bikes and ride along the coast or stop for souvenirs. Back on the mainland, monkeys freely roam through the canopies at Caishan Natural Park where you can arrange for a walking tour to meet these curious creatures.

If you like shopping, you’ll find retail heaven at Dream Mall, which is accessible via bus or light rail.

Monday – December 17 – At Sea

Tuesday – December 18 – Manila, Philippines – Day Open

ghai Set on Manila Bay in the South China Sea, and bisected by the Pasig River, the capital of the Philippines is historic and modern.

Visit Intramuros, the Spanish colonial capital, featuring dungeons and gunpowder rooms, art galleries, and theaters. Manila itself is filled with museums, shops, parks, and churches.

Get a lesson in wartime occupation at Fort Santiago or find peaceful respite in the architecture, statues, and stained glass of Manila Cathedral. The Cultural Center of the Philippines is the place for cultural and musical theater performances, ballet, orchestra, and travelling acts.

Wednesday – December 19 – At Sea

Thursday – December 20 – Hong Kong, China – Disembark

Depart or extend your stay to explore this exotic city.

The Ship: ms Westerdam

westerdamThe ms Westerdam is the third in Holland America Line’s series of Vista-class ships. Defining the future of cruising, the ms Westerdam offers guests more of everything they desire on a cruise ship: more staterooms with private verandahs, more dining choices from formal dinners to casual pool side dining, and the very best in cruise activities and cruise entertainment. As with all Vista-class ships, she embraces the latest industry and environmental technologies such as her use of a full-scale diesel-electric power plant for optimal energy efficiency and an Azipod propulsion system that maximizes maneuverability. The theme of the ms Westerdam’s art collection is Dutch heritage in the New World. Artwork includes paintings of historic Dutch ships, such as Henry Hudson’s Half Moon, as well as impressive sculptures and statues. Contemporary pieces include an original Andy Warhol portrait and signature sculptures by Sedona artist Susanna Holt.

Signature features of the ms Westerdam include:

The Digital Workshop: Guests will be able to show and tell their vacation memories, Learning how to share all their digital memories through email, 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 our own 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.

Vista Dining Room: Features impeccable service and an extensive wine list. Five-course menus include continental cuisine, vegetarian, and low-carb options.

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.

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.

Explorations Café, powered by The New York Times: A comfortable, coffee house environment where you can browse through an extensive library, surf the Internet, and check email, or simply read the morning paper.

Vista Show Lounge: Features talented vocalists, dancers, illusionists, comedians, and variety acts.

Penthouse Verandah Suite

Bedroom with 1 king-size bed, oversize whirlpool bath and shower and additional shower stall, living room, dining room, dressing room, private verandah with whirlpool,pantry, 1 sofa bed for 2 persons, microwave,refrigerator, guest toilet, private stereo system,DVD player, floor-to-ceiling windows

Deluxe Verandah Suite

2 lower beds convertible to 1 king-size bed, bathroom with dual sink vanity, full-size whirlpool bath, shower and additional shower stall, large sitting area, dressing room, private verandah, 1 sofa bed for 2 persons, floor-to-ceiling windows.

Superior Verandah Suite

2 lower beds convertible to 1 queen-size bed, bathroom with dual sink vanity, full-size whirlpool bath, shower and additional shower stall, large sitting area, private verandah, 1 sofa bed for 1 person, floor-to-ceiling windows.

Deluxe Verandah Ocean-view Stateroom

2 lower beds convertible to 1 queen-size bed, bathtub, shower, sitting area, private verandah, floor-to-ceiling windows.

Large Ocean-view Stateroom

2 lower beds convertible to 1 queen-size bed, bathtub, shower.

Large or Standard Inside Stateroom

2 lower beds convertible to 1 queen-size bed, shower.

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 $1,200 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 Anesthesia
10-Day East Asia Cruise: Hong Kong, Japan, Taiwan, and the Philippines December 10-20, 2018

Monday, December 10 - Hong Kong, China - Embark

  2300 Ship sails (Subject to change)

Tuesday, December 11 - At Sea

  0845 Registration - Mandatory Sign-In
  0900 The Truth About Preoperative Fasting L.Pelinka  
  1000 Sugammadex: My Favorite Doughnut L.Pelinka  
  1100 NOAC Reversal Agents: A Dream Come True? L.Pelinka  
  1200 Lunch
  1300 Arrhythmias: The Tachycardias S.Lowson  
  1400 Arrhythmias: The Bradycardias and Others S.Lowson  
  1500 Steroids and Surgery S.Lowson  
  1600 Adjourn
4.6 Pharmacology Hours

Wednesday, December 12 - 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
  1300 Traumatic Shock: The Anesthesia Provider's and the Intensivist's Point of View L.Pelinka  
  1400 Treating Traumatic Shock: What's New? L.Pelinka  
  1500 What Went Wrong? Trauma Cases to Think About L.Pelinka  
  1600 Adjourn
4.0 Pharmacology Hours

Thursday, December 13 - Naha, Japan - Day Open


Friday, December 14 - Ishigaki Island, Japan - Day Open


Saturday, December 15 - Keelung (Taipei), Taiwan - Day Open


Sunday, December 16 - Kaohsiung, Taiwan - Day Open


Monday, December 17 - At Sea

  0845 Registration - Mandatory Sign-In
  0900 Blast Injuries: Are You Ready? L.Pelinka  
  1000 Is There a Medical Professional on Board This Aircraft? L.Pelinka  
  1100 Challenges at 35,000 ft: Case Discussions L.Pelinka  
  1200 Lunch
  1300 The Darkside of Opiates for Perioperative Pain Control S.Lowson  
  1400 Multimodal Pain Therapy: Ofirmev and the NSAIDs S.Lowson  
  1500 Multimodal Pain Therapy: Ketamine, Lidocaine, and Others S.Lowson  
  1600 Adjourn
3.9 Pharmacology Hours

Tuesday, December 18 - Manila, Philippines - Day Open


Wednesday, December 19 - 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 Drug-Related Errors and How to Avoid Them L.Pelinka  
  1400 Forever Young: Anesthesia in the Elderly L.Pelinka  
  1500 Issues With the Elderly: Case Discussions L.Pelinka  
  1600 Adjourn
4.2 Pharmacology Hours



24 CME

24 Class A CEC

16.7 Pharmacology Hours†


Thursday, December 20 - Hong Kong, China - Disembark

Depart for home or stay over to enjoy this exotic city.


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

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 #1035935; Expiration Date 12/19/2018.

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 October 11, 2018 and November 10, 2018. No refund after November 10, 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:


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.