Cozumel, Mexico

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For beauty, beaches, and Mexican sunshine, there’s nowhere like Cozumel. Brilliant emerald water, white sand beaches, spectacular scuba diving and fishing - plus bargain prices, ancient ruins, and friendly hosts - all in a relaxed, no hustle atmosphere. Cozumel is famous as a diver’s resort, but its laid-back pace, barefoot charm, and magnificent beaches hold something for everyone.

Cozumel is rated as one of the top ten sportfishing “hotspots” in the world. Cozumel offers the best shopping in the Yucatan for craft items, leather, hammocks, clothing, and jewelry items. You will enjoy the hassle-free shops and boutiques. For the diver, or those wishing to take up this fascinating sport, Cozumel offers the ultimate in Caribbean diving. There is an unmatched assortment of spectacular reefs, tunnels, cliffs, coral of every description, and sea life beyond compare. Where else can you pet a 200 pound grouper or huge Moray eel?

March is the ideal time to visit Cozumel. The water is calm and the visibility is almost unlimited. Water temperature will be 80+ degrees making a wetsuit unnecessary.

Please note: This location is not an all-inclusive package. Please see registration page for details.

Cozumel Dive Packages:

• $475 Package (12 tank, boat dives)

Rental Equipment can be rented directly through the dive shop and resort. This would be charged to your room on-site at $37.00 per day, per person. No credit will be given for any unused dives.


Presidente InterContinental Cozumel Resort and Spa

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With breathtaking views of the crystalline Caribbean, this luxury hotel and spa is ideally situated on half a mile of white sandy beach. Here you can swim, snorkel or scuba dive the clear waters of the world’s second-largest coral reef, where indigenous colourful fish abound.

If relaxation is your aim, enjoy two outdoor pools, experience signature spa treatments in oceanfront huts or savor the menu and beach views at El Cabeño open-air restaurant. The Fitness Center offers the perfect balance between fun and a healthy vacation and offers state-of-the art equipment for you to enjoy. There are also two lighted tennis courts, a ping pong table, ceramics painting, putting green, dive center, board games, and other activities available. Children can enjoy the “Chiqui Club” while helping feed and care for the iguanas on the property, painting ceramic figures, and while learning about native plants in the resort’s plant nursery.

All guest rooms feature 1 King or 2 Double Beds (based on availability), Egyptian cotton duvets, wireless internet access, flat screen tv, safe, coffeemaker, mini bar, free bottled water, hair dryer, bathrobes, alarm clock radio with mp3 port, and more. Pool View rooms are approximately 452 to 580 sq. ft and feature a private balcony or terrace overlooking the Sayab Pool and gardens. Ocean View rooms are approximately 535 to 645 sq. ft and offer a front view of the ocean. Beachfront rooms are approximately 670 to 755 sq. feet in size and feature private terrace with direct access to the beach.

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.

Giant Strides in Anesthesia
Cozumel, Mexico
March 24-29, 2019

Sunday, March 24

  0730 Registration - Mandatory Sign In - Continental Breakfast
  0755 Welcome NWAS Staff  
  0800 The Patient With Cardiac Disease 1: Preop Clearance Is Not So Clear M.Murphy  
  0900 The Patient With Cardiac Disease 2: Stents and CIEDs in the Perioperative Period M.Murphy  
  1000 Break
  1015 Anesthesia for TBI J.Hecker  
  1115 Modern Fasting Guidelines R.Lenhardt  
  1215 Adjourn 1.2 Pharmacology Hours  
  1330 Boats depart for two dives (optional dive package)

Monday, March 25

  0730 Registration - Mandatory Sign In - Continental Breakfast
  0800 Perioperative Arrhythmia: Part I R.Lenhardt  
  0900 Perioperative Arrhythmia: Part II R.Lenhardt  
  1000 Break
  1015 If My Surgery Went Well, Why Am I Blind? POVL M.Murphy  
  1115 Awake Topicalized Intubations J.Hecker  
  1215 Adjourn 1.1 Pharmacology Hours  
  1330 Boats depart for two dives (optional dive package)

Tuesday, March 26

  0730 Registration - Mandatory Sign In - Continental Breakfast
  0800 Dexmedetomidine in the OR and ICU J.Hecker  
  0900 The Polytrauma Patient J.Hecker  
  1000 Break
  1015 Anesthesia for Abdominal Robotic Surgery R.Lenhardt  
  1115 The Patient With OSA: Hidden Dangers for Everyone M.Murphy  
  1215 Adjourn 1.3 Pharmacology Hours  
  1330 Boats depart for two dives (optional dive package)

Wednesday, March 27 - Day Open

  0800 Boats depart for two dives (optional dive package)

Thursday, March 28

  0730 Registration - Mandatory Sign In - Continental Breakfast
  0800 Chemical and Biological Warfare Agents: How They Affect the Anesthesia Service M.Murphy  
  0900 Risk Management: The Minefields Where You Walk and Work M.Murphy  
  1000 Break
  1015 Sepsis Guidelines R.Lenhardt  
  1115 Review of DVT Prophylaxis and Anticoagulants J.Hecker  
  1215 Adjourn 2.4 Pharmacology Hours  
  1330 Boats depart for two dives (optional dive package)

Friday, March 29

  0830 Boats depart for two dives (optional dive package)
  1345 Registration - Mandatory Sign In
  1400 The Surgeon Wants TXA J.Hecker  
  1500 Changing Practice Patterns in the US J.Hecker  
  1600 Break
  1615 Hemorrhagic Shock and Trauma R.Lenhardt  
  1715 Review of the Recent Literature M.Murphy  
  1815 Adjourn 0.9 Pharmacology Hours  

20 CME

20 Class A CEC

6.9 Pharmacology Hours TBD†

Refreshments served at the meeting are for registered attendees only.


James G. Hecker, PhD, MD
Associate Professor of Anesthesiology and Pain Medicine
Harborview Medical Center
Associate Professor, Anesthesiology and Pain Medicine: Neuroanesthesia
Adjunct Associate Professor, Neurological Surgery
University of Washington
Seattle, Washington

Rainer Lenhardt, MD, MBA
Professor and Vice-Chair for Clinical Affairs
Department of Anesthesiology and Preoperative Medicine
University of Louisville
Louisville, Kentucky

Mark T. Murphy, MD
MSN Education, LLC
Treasure Island, Florida
Medical Director
Northwest Anesthesia Seminars
Pasco, Washington


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 #1036357; Expiration Date 3/29/2019.

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 23, 2019 to February 22, 2019. No refund after February 22, 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 Kilmer: 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.