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.

Hyatt Ziva Cap Cana

Hyatt Ziva Cap Cana is a contemporary and chic 40+ acre oceanfront resort. Conveniently located only 15 minutes from Punta Cana International Airport (PUJ), this beautiful all-inclusive resort overlooks a quarter mile of white sand powder beaches. Discover the ultimate escape at Hyatt Ziva Cap Cana. Dive into the clear waters of Juanillo Beach, lounge by a swim-up bar in one of the infinity pools, and dine in style at 12 restaurants and bars within the resort.

Lean back and float down the lazy river as the kids zoom down three big slides in the water park by the shore. Bring the family to see the dramatic Grotto Cascade or commandeer the water cannons by the play area. Explore the gated enclave of Cap Cana to find golf courses and deep-sea fishing excursions close by. Play a round of tennis or conquer your fitness goals on the newest cardio and strength equipment inside the resort's ultramodern fitness center. Dash through high-intensity intervals inside two large cardio areas, or attend classes in their Zumba or spinning rooms. Discover total relaxation through the massages, exfoliating treatments, and rejuvenating rituals of the serene two-story spa.

Sports enthusiasts can enjoy surfing, world-class golf or snorkeling and diving in the clear Caribbean Ocean or simply relaxing poolside or on the white sandy beach. The fun doesn’t end when the sun goes down—head to on-site venues at the resort for live concerts, theater, and performances by the beach. Ziva Resort View Jr. Suites are approximately 614 square feet and feature 1 King or 2 Queen Hyatt Grand beds, plus a Queen sofa sleeper, furnished balcony, flat screen TV, coffeemaker, minibar, iron/ironing board, laptop safe, hair dryer, bathrobe and slippers and more.

Please be aware that Hyatt Ziva is an all-inclusive resort. Day passes are currently unavailable due to Covid-19 restrictions. You are required to stay at this hotel to attend the meeting. 
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.

Current Topics in Anesthesia
Punta Cana, Dominican Republic
February 13-18, 2022

Sunday, February 13

  0730 Registration - Mandatory Sign In
  0755 Welcome NWAS Staff  
  0800 COPD: A Review and Implications G.Patel  
  0900 Management of Patients With LVADs in Noncardiac Surgery G.Patel  
  1000 Break
  1015 Key Issues for Safe Anesthesia in the Morbidly Obese A.Wadhwa  
  1115 Strategies of Postoperative Analgesia in Morbidly Obese A.Wadhwa  
  1215 Adjourn
1.3 Pharmacology Hours

Monday, February 14

  0730 Registration - Mandatory Sign In
  0800 Preop Cardiac Clearance Is Far From Clear M.Murphy  
  0900 What Do You Mean the Patient Had an MI? Troponins Are a Game Changer M.Murphy  
  1000 Break
  1015 Sugammadex: Do I Even Need a Twitch Monitor? G.Patel  
  1115 Positioning Injuries: Risk and Responsibility M.Murphy  
  1215 Adjourn
1.3 Pharmacology Hours

Tuesday, February 15

  0730 Registration - Mandatory Sign In
  0800 Sleep, Respiration and Pain: What Is the Connection? A.Wadhwa  
  0900 Postoperative Nausea and Vomiting in Bariatric Surgery: Prophylaxis and Treatment A.Wadhwa  
  1000 Break
  1015 Burnout in Healthcare: Beyond Time to Do Something M.Murphy  
  1115 Quadruple Aim: Keep the Healthcare Providers Healthy M.Murphy  
  1215 Adjourn
0.5 Pharmacology Hours

Wednesday, February 16 - Day Open

Thursday, February 17

  0730 Registration - Mandatory Sign In
  0800 Clinical Minefields Where You Work M.Murphy  
  0900 Ethical Challenges Where You Work M.Murphy  
  1000 Break
  1015 An Update on Transplant Anesthesia G.Patel  
  1115 Allergic Reactions: So Easy to Miss!! How to Handle? A.Wadhwa  
  1215 Adjourn
1.1 Pharmacology Hours

Friday, February 18

  0730 Registration - Mandatory Sign In
  0800 Supraglottic Airways (LMA): Success in Obese and Non-Obese Patients A.Wadhwa  
  0900 Enhanced Recovery After Surgery: Components, Benefits to Patients and Healthcare A.Wadhwa  
  1000 Break
  1015 Vasopressors: The Old and the New G.Patel  
  1115 Off-Site Anesthesia: We Hate It, but It's the Future G.Patel  
  1215 Adjourn
1.5 Pharmacology Hours

20 CME

20 Class A CE

5.7 Pharmacology Hours†

Refreshments served at the meeting are for registered attendees only.
Rev. 11/24/21


Mark T. Murphy, MD
Owner: MSN Education, LLC
St Petersburg, Florida
Medical Director
Northwest Anesthesia Seminars
Pasco, Washington

Gaurav P. Patel, MD, FASA
Division Chief
Surgical Specialties Anesthesia - EUH
Associate Professor of Anesthesiology
Department of Anesthesiology
Emory University School of Medicine
Atlanta, Georgia

Anu Wadhwa, MBBS, MSc, FASA
Clinical Professor of Anesthesiology
University of California San Diego
President Elect, International Society for the Perioperative Care of the Obese Patient (ISPCOP)
President, Kentucky and Indiana Society of Physicians of Indian Origin (KIAPI)
San Diego, California


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 Anesthesiology for 20 Class A CE credits; AANA Code #1040792; Expiration date 2/18/2022.

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 15, 2021 to January 14, 2022. No refund after January 14, 2022; 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: kellee@goingplacestravel.net


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.