Punta Cana, Dominican Republic

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Punta Cana is located at the south-eastern tip of the Dominican Republic. Some of the best beaches in the world can be found here, with dazzlingly white sand, turquoise waters, and coconut palms growing right down to the sea’s edge. A wide variety of water sports are available here: windsurfing, sailing, kayaks, pedaloes, bodyboarding, and snorkeling. Without doubt the best place for diving in the country is the Parque Nacional del Este, 37 miles south of Arena Gorda, including cave diving in the Padre Nuestro cave.

Discover Punta Cana Ecological Park, a protected area covering over 2,000 acres and containing 80 species of birds, 160 species of insects, 500 plant varieties, and a maritime area that includes four miles of coral reef. The park organizes guided tours that enable you to explore this wonderful natural zone. Particularly outstanding is the area known as Ojos Indígenas, because of its 11 freshwater lagoons.

Excursions on horseback in the interior of the park or along the coast are also available. In Del Este National Park, a natural sanctuary formed mainly by semi-humid forests and the island of Isla Saona, see one of 400 caves, many with cave paintings by the Tainos, inhabitants of the island until the Spanish settlers arrived. Take a glass bottom boat with the whole family to the Marinarium, a few miles from Arena Gorda.

Hard Rock Hotel & Casino - Punta Cana

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Enjoy this all-inclusive experience featuring 15 pools, 9 restaurants, a Nicklaus designed golf course, and an astonishing Spa all lovingly cradled by the most pristine beaches in the Caribbean. Enjoy daily activities on the beach and by the pool, including volleyball and water aerobics or the onsite shopping. Kids can enjoy the kids club, mini-golf, an arcade center, or the rock climbing wall. Daily and nightly entertainment, includes theme parties, shows, contests, concerts and live performances to add to your all-inclusive fun.

Rock Spa® is an expansive 60,000 square foot oasis featuring the Caribbean’s most complete hydrotherapy center with lagoons, two whirlpools, color therapy steam rooms, a clay steam room, sauna, food creek pathway, hydro-reflexology, sensory expertise pool, and a cutting edge ice room. Keep fit with state-of-the-art equipment and fitness classes or stop in for a mani, pedi, hair styling or even a haircut at Posh Beauty Salon.

Caribbean Suites are approximately 781 sq. ft. (including balcony) and feature modern decor with 1 king bed or 2 double beds (based on availability at time of check-in), tropical garden views, double hydro spa tub, and bathroom with double showers, liquor dispenser,
minibar with soda, bottled water, and domestic beer, LCD TV with satellite (IPTV), purified water, Rock Spa® bath amenities, bathrobes, slippers, laptop safe, individually controlled A/C, coffee maker, bluetooth-enabled wireless alarm clock radio, hairdryer, iron/board,
free wireless internet, 24-hour room service, turn down service and more. Max occupancy for room with double beds: Four guests, plus one infant under age of four in a crib. Max occupancy for room with king bed: two guests, plus one child (0-12 years) in a crib or rollaway.

Please be aware that Hard Rock Hotel & Casino is an all-inclusive resort. If you choose to stay elsewhere, you will be charged approximately $106 per person per day for entry into the resort, even if you are only attending the seminar. This is a firm resort policy. This fee is subject to change without notice at the discretion of resort management.

Email us at info@nwas.com 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.

Relevant Topics in Anesthesia
Punta Cana, Dominican Republic
February 19-24, 2017

Sunday, February 19

  0730 Registration - Mandatory Sign In - Breakfast
  0755 Welcome NWAS Staff  
  0800 Managing the Patient with Cardiac Disease: What Does Cardiac Clearance Really Mean? M.Murphy  
  0900 Management, Monitoring, and Medications for Noncardiac Surgery M.Murphy  
  1000 Break
  1015 Perioperative Considerations of the Obstructive Sleep Apnea Patient C.Canlas  
  1115 Four Legal Developments of 2016 You Must Know About J.Szalados  
  1215 Adjourn
1.3 Pharmacology

Monday, February 20

  0730 Registration - Mandatory Sign In - Breakfast
  0800 Whoops—Medical Error!: Prevention, Mitigation, and Response J.Szalados  
  0900 Why Do Patients Sue Their Anesthesia Provider J.Szalados  
  1000 Break
  1015 The Procedure Went Well, but the Patient Is Blind!: Postoperative Vision Loss M.Murphy  
  1115 Ultrasound Guided Regional Anesthesia: Do I Need This Skill? C.Canlas  
  1215 Adjourn
0.4 Pharmacology

Tuesday, February 21

  0730 Registration - Mandatory Sign In - Breakfast
  0800 Complications Associated with Regional Anesthesia: Maybe General Anesthesia Is Better? C.Canlas  
  0900 Multimodal Anesthesia: There Are Other (Better?) Options C.Canlas  
  1000 Break
  1015 Risky Citizenship: When Your Non-OR Obligations to the Hospital Pose Legal Risk J.Szalados  
  1115 A Routine Case, Then Anaphylaxis M.Murphy  
  1215 Adjourn
1.8 Pharmacology

Wednesday, February 22 - Open Day

Thursday, February 23

  0730 Registration - Mandatory Sign In - Breakfast
  0800 Herbs, Supplements, and Other Substances Your Patients Are Not Reporting M.Murphy  
  0900 Case Discussions: Everyday Cases, Everyday Landmines M.Murphy  
  1000 Break
  1015 DNR in the Perioperative Period J.Szalados  
  1115 Non-OR Anesthesia: Venturing Beyond the Operating Room C.Canlas  
  1215 Adjourn
1.3 Pharmacology

Friday, February 24

  0730 Registration - Mandatory Sign In - Breakfast
  0800 PACU / Emergence Complications C.Canlas  
  0900 How Low Is Too Low: Perioperative Transfusion Guidelines and Common Sense J.Szalados  
  1000 Break
  1015 Care of the Morbidly Obese Patient: Not Just About Big People J.Szalados  
  1115 How Federal Regulations Affect Anesthesia Practice AKA, ACA, P4P, SCIP, PQRS: Alphabet Soup M.Murphy  
  1215 Adjourn
0.9 Pharmacology

20 CME I

20 Class A CEC

5.7 Pharmacology Hours†


Christopher L. Canlas, MD
Assistant Professor of Anesthesiology 
Vanderbilt University Medical Center
Nashville, Tennessee

Mark T. Murphy, MD
MSN Education, LLC
Austin, Texas
Medical Director
Northwest Anesthesia Seminars
Pasco, Washington

James Emery Szalados, MD, JD, MBA, BSc, MHA, FCCP, FCCM, FCLM
The Szalados Law Firm
Principal, Attorney and Counselor at Law
Director, Surgical Critical Care
Director, Surgical Intensive Care Unit
Director, Neurocritical Care Unit
Director, Telemedicine Critical Care Medicine Outreach Program
ViaHealth System at Rochester General Hospital
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 AANA for 20 CEC; AANA Code #1033543; Expiration date 2/24/17.

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: 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, Austin, Texas, and 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 December 21, 2016 to January 20, 2017. No refund after January 20, 2017; 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 on a CD 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: kellee@universaltravel1.com


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.