Punta Cana, Dominican Republic

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.

Iberostar Grand Hotel Bávaro

Iberostar Grand Hotel Bávaro is located in the mythical Bávaro de Punta Cana Beach. Winner of the World's Top Ten Travelers' Choice® Awards, Iberostar Grand Hotel Bávaro is a spectacular 5-star, all-inclusive and adults-only resort. The Grand Collection line was created with the concepts of splendor, attentiveness, relaxation, and comfort in mind.

Relax in comfortable accommodations with full board, including savory meals and refreshing beverages (including prestigious brand name liquors and sodas) at the à la carte restaurants and buffets. Caribbean breezes cool the white sands of the famous Punta Cana beaches as palms frame the natural beauty of their surroundings. Enjoy three pools, complete gym with scheduled activities (tai-chi, spinning, target shooting, archery, beach volleyball, dance classes, darts, aerobics, ping-pong, tennis and water polo). When it comes to water sports, hotel guests can enjoy catamarans, snorkeling and sailing lessons or diving lessons in the pool, boat trips, parasailing, water skiing and windsurfing (fees apply for some activities). And, of course, if you want to unwind after any of those activities, the Spa is available to help you relax with two levels and different ambiances, located at the edge of the Dominican Caribbean Sea. The Spa offers couples treatments in luxurious suites, beach-side massages, and relaxing Turkish baths or hammams and jacuzzis (fees apply for treatments).

Golfers will enjoy the 18 holes at the Iberostar Bávaro Golf Club, created by the designer P.B. Dye. The course stands out with its challenging hills and crosswinds. Guests can enjoy one complimentary round of golf per person for stays of 3+ nights (club rental fees apply).

Since Iberostar applies an all-inclusive concept at its super luxury hotels, exceptional cuisine choices are a part of it. With four à la carte restaurants, another on the beachfront, and an international buffet, the chefs on the hotel grounds offer a menu that lets you select from the most elaborate Japanese, Italian, French, or American cuisines. You can also sample a selection of the finest wines, beers, and liquors. And if you'd like to enjoy a bit of live music with your drinks, there are five bars at the Grand Hotel Bávaro, plus an authentic Spanish galleon that will have you reliving dreams, adventures, legends, and history.

Lake View suites offer one King or 2 Double beds (based on hotel availability) plus a private balcony with a view of the lake, fine European bed linens, pillow menu, bathrobes and slippers, marble bathrooms with double vanity sink, shower and separate whirlpool tub. Other amenities include concierge service, butler service and nightly turndown with aromatherapy, customizeable minibar stocked daily with premium liquors, international and domestic beer, soft drinks, bottled water and snacks, complimentary Wi-Fi access, flat-screen TV, alarm clock, docking station, DVD and CD player, digital safe, coffee maker, iron/board, hair dryer and more.

The Iberostar Grand Hotel Bávaro is located approximately 20 minutes away from Punta Cana International Airport (PUJ).

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 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.

Relevant Topics in Anesthesia
Punta Cana, Dominican Republic
February 9-14, 2020

Sunday, February 9

  0800 Registration - Mandatory Sign In
  0825 Welcome NWAS Staff  
  0830 Folklore, Fairy Tales, and Fantasy: Examining Dogmas in Anesthesiology R.Isaak  
  0930 Anesthetic Considerations for Endovascular Surgery: EVARs, TEVARs, and FEVARs R.Isaak  
  1030 Break
  1045 Social Media, Vigilance and Professionalism in Anesthesia: Can They Coexist? E.Martin  
  1145 Hyperglycemia in the Perioperative Period R.Lenhardt  
  1245 Adjourn 0.7 Pharmacology Hours  

Monday, February 10

  0800 Registration - Mandatory Sign In
  0815 Perioperative Arrhythmia: Part I R.Lenhardt  
  0915 Perioperative Arrhythmia: Part II R.Lenhardt  
  1015 Break
  1030 Inhalation Anesthetics: A Review E.Martin  
  1130 Emotional Intelligence E.Martin  
  1230 Adjourn 1.2 Pharmacology Hours  

Tuesday, February 11

  0800 Registration - Mandatory Sign In
  0815 Anesthetic Considerations for Patients With Rheumatologic Conditions E.Martin  
  0915 Maternal Physiologic Changes of Pregnancy: How Do We Compensate? E.Martin  
  1015 Break
  1030 Anticoagulants and Reversal Before Surgery R.Lenhardt  
  1130 Hyperglycemia in the Perioperative Period R.Lenhardt  
  1230 Adjourn 1.5 Pharmacology Hours  

Wednesday, February 12 - Day Open

Thursday, February 13

  0800 Registration - Mandatory Sign In
  0815 Advances in the Practice of Anesthesiology: Gameshow Style! R.Isaak  
  0915 Goal-Directed Fluid Therapy: Using Dynamic Indices of Fluid Management R.Isaak  
  1015 Break
  1030 Myths and Facts Regarding Perioperative Anaphylaxis and Anaphylactoid Reactions R.Isaak  
  1130 Anesthesia for Abdominal Robotic Surgery R.Lenhardt  
  1230 Adjourn 0.6 Pharmacology Hours  

Friday, February 14

  0800 Registration - Mandatory Sign In
  0815 Anesthesia for the Morbidly Obese Patient R.Lenhardt  
  0915 Modern Fasting Guidelines R.Lenhardt  
  1015 Break
  1030 Perioperative Point-of-Care Ultrasound R.Isaak  
  1130 Perioperative Pulmonary Embolism Management R.Isaak  
  1230 Adjourn 0.5 Pharmacology Hours  

20 CME

20 Class A CE

4.5 Pharmacology Hours†

Refreshments served at the meeting are for registered attendees only.


Robert Isaak, DO
Associate Professor
Department of Anesthesiology, Liver Transplant Division
The University of North Carolina at Chapel Hill
Assistant Residency Program Director
Assistant Director, Enhanced Recovery Program
Durham, North Carolina

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

Erin E. Martin, CRNA, DNP
Department of Anesthesiology
Associate Program Director
Doctor of Nurse Anesthesia Practice Program
Assistant Professor of Anesthesiology
Mayo Clinic
Rochester, Minnesota


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 1037408; Expiration Date 2/14/20.

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 December 11, 2019 to January 10, 2020. No refund after January 10, 2020; 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: 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.