Cincinnati, Ohio

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Summer is a great time to discover Cincinnati! Enjoy a plethora of summer festivals where you can enjoy food and drinks, music, historical celebrations, arts and theater, or sports. Grab a chili dog and take in a Cincinnati Reds baseball game at Great American Ball Park. Or climb 49 stories to stand atop the Art Deco Carew Tower observation deck for breathtaking 360-degree views of the city.

Roam the Findlay Market, an old-fashioned public market serving local foods, handmade goods, entertainment and more to locals and visitors alike since 1855. For a taste of culture, visit the Cincinnati Art Museum, one of the most prestigious art museums in the US, featuring exhibits on 19th-century European and American paintings, pottery, and a total of 100,000 works of art.

Families will find no shortage of adventures in Cincinnati. Nearby Kings Island offers thrills and entertainment for the whole family. Kings Island is the largest amusement park and waterpark combo in the Midwest, hosting Banshee, the world’s longest inverted roller coaster, and Mystic Timbers, a 3,200-foot-long wooden coaster that boasts 16 hills. If you love animals, the Cincinnati Zoo is home to over 18 popular species including giraffes, gorillas, elephants, lions, and more. Next, kids can pet sharks and stingrays, and discover the secrets of seahorses at the Newport Aquarium.

Don’t forget Smale Riverfront Park, where families can explore gardens, play giant chess and checkers, enjoy swings and play equipment, or perform songs on a giant foot-controlled piano!

Hyatt Regency Cincinnati

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Once dubbed “The Queen City” by Longfellow, Cincinnati offers visitors a glimpse into our nation’s rich history. The Hyatt Regency Cincinnati has completed phase two of a $32 million renovation. Located just steps from the Duke Energy Convention Center, our Hyatt Regency Cincinnati hotel in the vibrant downtown district puts you in the heart of the action.  You’ll find the ideal spaces to relax, work, and play. If you are a sports enthusiast, this is the closest hotel to Paul Brown Stadium and within walking distance to the Great American Ballpark. Guests can also enjoy easy access to shopping at Saks Fifth Avenue with entrances located on the first and second floor of the hotel.

Work out in the 24-hour StayFit™ Gym and get refreshed in the indoor heated, saltwater pool with an outdoor sundeck and lounge chairs. Experience their tempting restaurants, from farm-to-table cuisine at Red Roost Tavern to a 24/7 on-the-go market. Stay mobile and productive during your stay with free Wi-Fi and full-service business center. Newly transformed contemporary guestrooms feature 1 king or 2 queen plush Hyatt Grand Beds®, flat-screen TVs, iHome alarm clock radio and free guest room Wi-Fi access.

The Hyatt Regency Cincinnati is centered on the majestic Ohio River just across from Kentucky and approximately 13 miles from the Cincinnati/Northern Kentucky International Airport (CVG). The Hyatt Regency Cincinnati offers valet parking only for overnight guests at a rate of $30 per night with in and out privileges. Parking garage height clearance is 6’8”. Parking rates are subject to change without notice.

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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.

Clinical Update in Anesthesia
Cincinnati, Ohio
June 19–22, 2019

Wednesday, June 19

  0700 Registration - Mandatory Sign In - Continental Breakfast
  0725 Welcome NWAS Staff  
  0730 Cardiac Risk Optimization A.Friedrich  
  0830 Alternatives in Hemodynamic Monitoring A.Friedrich  
  0930 Break
  0945 The ICU Patient in the OR D.Silver  
  1045 When Anesthesia Equipment Fails R.Smith-Steinert  
  1145 The Shared Airway: Anesthesia Implications R.Smith-Steinert  
  1245 Adjourn
0.2 Pharmacology Hours

Thursday, June 20

  0700 Registration - Mandatory Sign In - Continental Breakfast
  0730 TEE Basics for the Anesthesia Provider D.Silver  
  0830 Perioperative Management of the LVAD Patient D.Silver  
  0930 Break
  0945 Management of One Lung Anesthesia A.Friedrich  
  1045 Qualitative Improvement Science for Clinicians A.Friedrich  
  1145 The Opioid Epidemic: Making a Difference Beyond the OR B.Clayton  
  1245 Adjourn
0.3 Pharmacology Hours
  1355 Optional PALS Workshop*

Friday, June 21

  0700 Registration - Mandatory Sign In - Continental Breakfast
  0730 The Pain Pathway: A Review for Clinicians B.Clayton  
  0830 Eating During Labor: Revising Current NPO Guidelines A.Girnius  
  0930 Break
  0945 Bleeding Disorders and Neuraxial Anesthesia A.Girnius  
  1045 Non-Obstetric Surgery During Pregnancy A.Girnius  
  1145 Analysis of Closed Claims: Implications to Practice B.Clayton  
  1245 Adjourn
1.4 Pharmacology Hours
  1355 Optional ACLS Workshop*

Saturday, June 22

  0700 Registration - Mandatory Sign In - Continental Breakfast
  0730 Update on Acute Pain Management J.Furstein  
  0830 Pregnancy and Heart Disease A.Girnius  
  0930 Break
  0945 From Diapers to Diplomas: Emerging Concepts in Pediatric Anesthesia J.Furstein  
  1045 Simulation in Clinical Education M.Sikora  
  1145 Anesthesia for Pediatric Scoliosis Repair M.Sikora  
  1245 Adjourn
1.7 Pharmacology Hours

20 CME

20 Class A CEC

3.6 Pharmacology Hours†

  Refreshments served at the meeting are for registered attendees only.  


Beth Ann Clayton, DNP, MS, CRNA
Associate Professor, College of Nursing, University of Cincinnati
Program Director, Nurse Anesthesia Major
University of Cincinnati Medical Center
Cincinnati, Ohio
Program Coordinator

Andrew Friedrich, MD
Professor of Anesthesia
University of Cincinnati, College of Medicine
Chair, Department of Anesthesia
University of Cincinnati Medical Center
Cincinnati, Ohio

James Furstein, PhD, DNAP, CRNA
Associate Professor
University of Cincinnati, College of Nursing
Associate CRNA Director, Lead CRNA Liberty Campus
Cincinnati Children’s Hospital Medical Center
Cincinnati, Ohio

Andrea Girnius, MD
Assistant Professor of Anesthesiology, University of Cincinnati
University of Cincinnati Medical Center
Cincinnati, Ohio

Michael Sikora, MD, MEd
Assistant Professor of Anesthesiology
University of Cincinnati
Associate Perioperative Clinical Director
Cincinnati Children’s Hospital Liberty Campus
Cincinnati, Ohio

David Silver, MD
Instructor Professor of Anesthesia
Harvard University
Brigham and Women’s Hospital
Boston, Massachusetts

Rachel Smith-Steinert, DNP, CRNA
Assistant Professor
University of Cincinnati, College of Nursing
Assistant Program Director-Nurse Anesthesia Major
University of Cincinnati Medical Center
Cincinnati, Ohio


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 #107564; Expiration Date 6/22/19.

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 April 20, 2019 to May 20, 2019. No refund after May 20, 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.