Playa Conchal, Costa Rica

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Here, the water of the sparkling Pacific is always at a comfortable temperature for swimming, snorkeling or surfing. North Guanacaste plays host to an abundance of stunning natural landscapes including semi-active volcanoes, savannahs and tropical dry forests. While at Playa Conchal, many of Costa Rica's wildlife refuges and national parks are within a few hours' reach. Playa Conchal's temperature averages 28°C /85°F year round. For more information on Guanacaste please visit The Costa Rica Tourism Board page,

In addition to swimming and snorkeling, visitors to Playa Conchal can enjoy deep sea fishing excursions and hiking trips to the nearby national parks or nature reserves. There are even a few areas along the beach where overnight camping is permitted, and what better way to end the day, than beneath a starry sky?

Indulge your adventurous side with a visit to the underground caves at Barra Honda National Park. Kayak tours through mangroves and estuaries allow for ideal nature watching. Take a float tour on the Corobicí River to view monkeys in the tree tops and iguanas on the riverbanks.

Westin Resort & Spa, Playa Conchal

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All-inclusive concept includes 7 nights accommodations, domestic and imported alcoholic beverages, all meals and snacks, mini-bar drinks, 24 hour room service, exercise facilities, unlimited leisure activities, non-motorized water sports, nightly entertainment, kids mini-club activities, government taxes/service charge and bellman/waitstaff gratuities at the resort.

The Westin Golf Resort & Spa, Playa Conchal is set on 2,400 acres and offers everything you need to revitalize and thrive. Nestled between lush forests and the sparkling azure waters of the Pacific Ocean, this hotel offers a lagoon-style pool, gardens, tennis courts, a championship golf course, the Westin Kids Club®, fine dining,  WestinWORKOUT® facilities, THE SPA and much more. Deuxe Junior Suites are approixmaetly 581 square feet and feature a living area, Westin Heavenly Bed®, sleek bathroom with Heavenly Bath® amenities, private terrace or balcony, plasma TV,  daily stocked minibar, coffeemaker, iron/board and more.

Ground transportation is available to and from both Daniel Oduber Quirós International Airport (LIR) and Juan Santamaría International Airport (SJO), with private transfers and shuttle service offered by different companies. Transfers are not included.

If you choose to stay elsewhere you will be charged approximately $85 per person for 8am-5pm entry into the resort, even if you are only attending the seminar. This is a firm resort policy. This fee is subject to change and limited day passes may be issued without notice at the discretion of the resort management.

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 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.

Anesthesia Topics
Playa Conchal, Costa Rica
March 11-16, 2018

Sunday, March 11

  0800 Registration - Mandatory Sign In*
  0825 Welcome NWAS Staff  
  0830 Nuclear, Biological and Chemical Bioterrorism: An Update for the Anesthesia Provider -- Are You Ready? L.Guzzi  
  0930 Blast Injuries and Acute Lung Injury: An Anesthesia and Critical Care Review L.Guzzi  
  1030 Break
  1045 Staying Alive: Are You Prepared for a Hospital Shooting? M.Malkin / M.Vadi  
  1145 Anesthesia for Trauma: The Basics L.Clark  
  1245 Adjourn

Monday, March 12

  0815 Registration - Mandatory Sign In*
  0830 Intraoperative Cardiac Arrhythmias Recognition and Management L.Guzzi  
  0930 Update on the Guidelines for Management of the Difficult Airway L.Clark  
  1030 Break
  1045 NPO 8 Hours or Not? L.Clark  
  1145 Mamas Causing Drama: Adventures in OB Anesthesia M.Vadi  
  1245 Adjourn
1.4 Pharmacology Hours

Tuesday, March 13

  0815 Registration - Mandatory Sign In*
  0830 Enhanced Recovery After Surgery: General Guidelines L.Guzzi  
  0930 Enhanced Recovery After Surgery: Anesthesia Implications L.Guzzi  
  1030 Break
  1045 Kids With Colds: Implication for Anesthesia M.Vadi  
  1145 Anesthetic Considerations During Robot-Assisted Surgery M.Malkin  
  1245 Adjourn
0.9 Pharmacology Hours

Wednesday, March 14 - Day Open


Thursday, March 15

  0815 Registration - Mandatory Sign In*
  0830 Surgical Fires: Prevention and Management M.Vadi  
  0930 Noncardiac Surgery in the Adult Congenital Heart Patient M.Vadi  
  1030 Break
  1045 Infectious Disease and Risk for the Anesthesia Provider: Hepatitis, HIV, MRSA, the New Threats L.Guzzi  
  1145 TAP Blocks and Exparel: The New Kids on the Block L.Clark  
  1245 Adjourn 1.4 Pharmacology Hours  

Friday, March 16

  0815 Registration - Mandatory Sign In*
  0830 Sugammadex: Let's Just Relax Everybody L.Clark  
  0930 Update on the Guidelines for PACU L.Clark  
  1030 Break
  1045 Anesthesia and Obesity: A Growing Problem L.Guzzi  
  1145 Neuraxial Blockade and Anticoagulant Therapy M.Malkin  
  1245 Adjourn 2.4 Pharmacology Hours  

20 CME

20 Class A CEC

6.4 Pharmacology Hours†

  Breakfast is not served at the meeting - plan on eating prior to the meeting.  


Laura D. Clark, MD
Professor of Anesthesiology
Residency Program Director
Director of Acute Pain and Regional Anesthesia
Department of Anesthesiology and Perioperative Medicine
University of Louisville School of Medicine
Louisville, Kentucky

Louis Guzzi, MD
Attending in Anesthesia and CCM
Clinical Professor of Anesthesia and CCM
Florida State University School of Medicine
FHMG Medical Group
Orlando, Florida

Mathew R. Malkin, MD
Health Sciences Associate Clinical Professor
Department of Anesthesiology and Pain Medicine
University of California Davis School of Medicine

Marissa G. Vadi, MD, MPH
Health Sciences Associate Clinical Professor
Department of Anesthesiology and Pain Medicine
University of California Davis School of Medicine


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 #1035177; Expiration Date 3/16/2018.

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 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 January 10, 2018 to February 9, 2018. No refund after February 9, 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.

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 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.