Cle Elum (Suncadia Resort), Washington

Tucked into the dense forests of the Cascade Mountains you will find the charming town of Cle Elum. Known for its proximity to many popular outdoor leisure activities, Cle Elum offers visitors an authentic look into the backcountry of the Evergreen State. Hike, bike, raft, and horseback ride your way across the many paths and trails that cut through the scenic forested landscape.

For stunning 180-degree views of the Cle Elum Valley and the Stuart Range, climb atop a 2,000-foot cliff at Peoh Point. Your high-adrenaline adventure starts at The Rat Pack Trail, a popular 4-mile downhill mountain bikes only track located above Cle Elum. Experience the Cle Elum River via river raft or kayak or go try your hand at fly fishing. Next, discover downtown Cle Elum and its collection of small boutiques and shops for the perfect souvenir including handmade jewelry, local wines, outdoor sports outfitters, and Native American handicrafts. If you're hungry, you'll find dishes for every palate including steaks, Asian cuisine, Mexican favorites, pub fare, and sweet treats from a hundred-years-old bakery.

Not far from Cle Elum, there are other fun small towns to explore. Be sure not to miss the quaint town of Roslyn, just 10 minutes away from our host hotel, the Suncadia Resort. Roslyn's dining and shopping choices include the well known Roslyn Cafe, and The Brick from the TV show "Northern Exposure." If you are up for adventure, take a 30 minute drive to the diverse university town of Ellensburg or revel in a scenic 1 hour drive to enjoy the festive Bavarian town of Leavenworth, filled with art, restaurants, shopping and music.

Suncadia Resort

Located just 80 miles from Seattle and offering more than 6,000 acres of forested mountain landscape, Suncadia's wealth of year round activities make for a perfect Pacific Northwest escape. This picturesque resort offers 40 plus miles of hiking and biking trails, three championship golf courses, delicious food and drink, and world-class spa treatments. Inspired by the grand lodges of Washington's National Parks, The Lodge's classic gabled presence captures the spirit of Washington State with magnificent architecture and craftsmanship, while honoring the beauty of its natural surroundings.

Glade Spring Spa focuses on providing an environment that takes you on a personalized journey to relaxation, rejuvenation, and renewal. Golf is available for beginning and advanced players, with stunning views and incredible course designs, all surrounded by the rolling pine forest and towering granite peaks of the sunny, eastern slopes of the Cascades. The Suncadia Club Swim & Fitness Center is a 20,000 square foot complex with state-of-the art fitness equipment, group yoga and fitness classes, indoor and outdoor pools, and much more. Guests can also enjoy the outdoor Nelson Farm Pool featuring a zero-entry leisure pool, an interactive splash pad, and a small-scale lazy river and whirlpool.

When it's time to dine, guests will enjoy a diverse array of options. Portals Dining Room in the Lodge at Suncadia offers flavors from an organic garden combined with Pacific Northwest cuisine. Other choices include the Fifty-6 Degrees Lounge, The Kitchen Food Truck, Gas Lamp Grille at the Inn, and Nellie's Farm Café. The Swiftwater Cellars Winery is a working winery located within the Suncadia neighborhood. Choose from tastings at the bar or a full meal.

Lodge 2 Queen Rooms are approximately 450 square feet and feature 2 Queen-sized beds. (Please note that rooms with 2 Queen beds do NOT have a mini-fridge.) Lodge Studio King Guest Rooms are approximately 450 square feet and feature 1 King bed plus Queen sofa sleeper, resort style kitchen with utensils, and more. Lodge One Bedroom Suites are approximately 870 square feet and feature a bedroom with 1 King bed, living area with Queen sofa sleeper, formal dining area, gas fireplace, full kitchen with stainless steel European-style appliances, stack washer/dryer, and more. All rooms have a Keurig™ single-cup coffee maker, flat screen TV, and more.

Suncadia Resort is located 80 miles east of the Seattle-Tacoma International Airport (SEA).

Email us at or call us (800) 222-6927 • (509) 547-7065


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.


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
Cle Elum (Suncadia Resort), Washington
July 26-30, 2021

Monday, July 26

  0700 Registration - Mandatory Sign In - Continental Breakfast
  0725 Welcome NWAS Staff  
  0730 Recognition and Management of Perioperative Electrolyte Emergencies J.Szalados  
  0830 Implications of Common Chronic Neurologic Diseases on the Anesthesia Plan J.Szalados  
  0930 Break
  0945 Preventing Perioperative Neurological Injury K.Domino  
  1045 Communicating With Patients: What Matters K.Domino  
  1145 Point-of-Care Applications of Ultrasound (PoCUS): Improving Perioperative Management J.Ortiz  
  1245 Adjourn
1.1 Pharmacology Hours

Tuesday, July 27

  0700 Registration - Mandatory Sign In - Continental Breakfast
  0730 Operating Room Management: Can We Deliver Efficiency and Patient Safety? J.Ortiz  
  0830 Healthcare Law, Government Regulation and Anesthesia: An Update J.Ortiz  
  0930 Break
  0945 Life in the Digital Age: Risks to You and Your Family in Everyday Technology J.Szalados  
  1045 Aspiration Pneumonia and Pneumonitis: Legal and Clinical Analysis of Risk, Response, and Litigation J.Szalados  
  1145 Avoiding Burnout and Finding Joy in the Workplace K.Domino  
  1245 Adjourn
0.3 Pharmacology Hours

Wednesday, July 28 - Open Day

Thursday, July 29

  0700 Registration - Mandatory Sign In - Continental Breakfast
  0730 Brain Function Monitoring and Prevention of Awareness During Anesthesia K.Domino  
  0830 Perioperative Delirium: Etiology, Prevention, and Treatment K.Domino  
  0930 Break
  0945 Multimodal Analgesia: Management of Acute Pain in a Patient With Chronic Pain J.Ortiz  
  1045 Ultrasound-Guided Truncal Blocks and Neuraxial Techniques J.Ortiz  
  1145 How Lawyers See the Airway: Legal Pitfalls in Airway Management J.Szalados  
  1245 Adjourn
1.6 Pharmacology Hours

Friday, July 30

  0700 Registration - Mandatory Sign In - Continental Breakfast
  0730 Four Legal Developments of This Year You Must Know About J.Szalados  
  0830 Whoops - Medical Error! Prevention, Mitigation, and Response J.Szalados  
  0930 Break
  0945 Regional Anesthesia for the Trauma Patient J.Ortiz  
  1045 Anesthesia Closed Claims Project: Lessons Learned and Current Trends K.Domino  
  1145 Case Discussions From the Closed Claims Project K.Domino  
  1245 Adjourn
1 Pharmacology Hours

20 CME

20 Class A CEC

4 Pharmacology Hours†

Refreshments served at the meeting are for registered attendees only.
Rev. 2/26/21


Karen B. Domino, MD, MPH
Professor of Anesthesiology and Pain Medicine
Adjunct Professor of Neurological Surgery
University of Washington School of Medicine
Vice Chair for Clinical Research
Department of Anesthesiology and Pain Medicine
University of Washington
Staff Anesthesiologist
Harborview Medical Center and University of Washington School of Medicine
Seattle, Washington

Jaime Ortiz, MD, MBA, FASA
Associate Professor of Anesthesiology
Deputy Chief of Anesthesiology
Director of Regional Anesthesia
Co-Director Acute Pain Management Service
Ben Taub General Hospital
Baylor College of Medicine
Houston, Texas

James Emery Szalados, MD, JD, MBA, MHA,
Attorney and Counselor at Law
The Szalados Law Firm, Hilton, New York
Director, Surgical Critical Care and Surgical / Trauma Intensive Care Unit
Director, Neurocritical Care Program and Neurocritical Care Unit
Director, Telemedicine Critical Care Medicine Outreach Program
Adjunct Clinical Professor, Rochester Institute of Technology
Rochester General Hospital at Rochester Regional Health System
Rochester, New York


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 American Association of Nurse Anesthetists for 20 Class A CE credits; Code Number 1040086; Expiration Date 7/30/2021.

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 May 27, 2021 to June 26, 2021. No refund after June 26, 2021; 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 Going Places. 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.