Dublin, Ireland

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Dublin, the fair city, invites you to wander the streets trod by Joyce, Yeats, and Oscar Wilde. Drop in at pubs with mahogany bars and stained glass. In the Trinity College Library, feast your eyes on the illuminated 9th-century Book of Kells. Sample the stout at Guinness Brewery. Shopping is a dream - from a souvenir shillelagh to Waterford crystal. Sample shore excursions*: A Taste of Dublin: The Guinness Experience; Be Irish for a Day; Dublin Literary Pub Crawl; Irish Pub Dinner in the Old Barn; Powerscourt Gardens with Shopping; and The Fair City and Dublin Castle.

The Westbury Dublin

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Voted #1 Hotel in Ireland by Condé Nast Travel Readers' Choice Awards US, 2018. The Westbury's central location in the heart of Dublin offers unrivaled access to the pedestrian friendly social hub of Grafton Street, as well as the historic open spaces of Dublin's Trinity College and St Stephen's Green. Irish heritage abounds in the hotel too, from the flowers to the food, along with one of the country's foremost art collections, featuring original paintings by Sir John Lavery and Louis le Brocquy. But is it the warmth of welcome that is most vivid – a tangible service ethos that sets the seal on a haven of luxury.

Situated in the creative quarter, the city's top theaters, museums and art galleries including Temple Bar, Dublin Castle and the Gaiety Theatre are all within a 5-minute walk from the hotel. When it's time to dine, WILDE redefines traditional dining fusing 1930's elegance with an abundance of greenery, giving guests the sense of alfresco dining. Located on Balfe Street, where Grafton Street and the Creative Quarter meet, Balfes is a vibrant all-day bistro with an  intimate outdoor terrace and an open kitchen serving beautifully prepared dishes. For drinks, check out The Sidecar - offering a stylish, elegant and modern take on a 30's cocktail bar. Sink back into a sumptuous sofa and enjoy a Dublin institution: Afternoon Tea at The Westbury or enjoy a refreshing fresh made smoothy at The Juicery.

A feeling of understated luxury characterizes the Classic Guest Rooms with their restful palette and exquisite furnishings, providing the perfect retreat from the hustle and bustle of Dublin's city center. Light-filled and airy, 270 sq ft  Classic Rooms feature 1 King or 2 single beds sumptuous pillow-topped beds (based on hotel availability), plus flat screen LCD TV, dedicated work space, Nespresso coffee machine, air conditioning, luxurious marble bathrooms with heated floors, Aromatherapy Associates bathroom amenities, robes, slippers and more.

The Westbury Dublin is located approximately 8.5 miles from the Dublin Airport (DUB), and a short distance away from the Connolly and Heuston Railway Stations. Valet Parking is approximately €25 per car, per day. Parking rates subject to change without notice.

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.

Anesthesia Update
Dublin, Ireland
September 7-11, 2020

Monday, September 7

  0700 Registration - Mandatory Sign In
  0725 Welcome NWAS Staff  
  0730 The Patient With Cardiac Disease 1: Preop Clearance Is Not So Clear M.Murphy  
  0830 The Patient With Cardiac Disease 2: Management, Monitoring and Meds M.Murphy  
  0930 Break
  0945 Evaluation of the Difficult Pediatric Airway G.Crosland  
  1045 Management of the Difficult Pediatric Airway G.Crosland  
  1145 Anticoagulants and Reversal Before Surgery R.Lenhardt  
  1245 Adjourn
1.7 Pharmacology Hours

Tuesday, September 8

  0700 Registration - Mandatory Sign In
  0730 Perioperative Arrhythmia: Part I R.Lenhardt  
  0830 Perioperative Arrhythmia: Part II R.Lenhardt  
  0930 Break
  0945 The Patient With Cardiac Disease 3: Stents and CIEDs in the Perioperative Period M.Murphy  
  1045 A Routine Case, Then Anaphylaxis M.Murphy  
  1145 Houston, We Have a Problem (Case Discussion of an Unrecognized Difficult Airway and Limited Care Options) G.Crosland  
  1245 Adjourn
1.9 Pharmacology Hours

Wednesday, September 9 - Day Open

Thursday, September 10

  0700 Registration - Mandatory Sign In
  0730 Ketamine: Multiple Uses for an Old Friend G.Crosland  
  0830 Anesthesia for Laser Procedures G.Crosland  
  0930 Break
  0945 Multimodal Analgesia R.Lenhardt  
  1045 Sepsis Guidelines R.Lenhardt  
  1145 The Patient With OSA: Hidden Dangers for Everyone M.Murphy  
  1245 Adjourn
2.2 Pharmacology Hours

Friday, September 11

  0700 Registration - Mandatory Sign In
  0730 Anesthesia for Abdominal Robotic Surgery R.Lenhardt  
  0830 Risk Management Part I: Clinical Minefields Where You Work M.Murphy  
  0930 Break
  0945 Risk Management Part II: Ethical Minefields Where You Work M.Murphy  
  1045 Anesthesia for Care of Major Burns G.Crosland  
  1145 40 Tricks Not in the Book G.Crosland  
  1245 Adjourn
0.9 Pharmacology Hours

20 CME

20 CEC

6.7 Pharmacology Hours†

Refreshments served at the meeting are for registered attendees only.


J. Grady Crosland, MD, MAR
Adjunct Professor of Department of Anesthesiology
University of Arkansas for Medical Sciences
Arkansas Children's Hospital
Little Rock, Arkansas

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

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


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 1037997; Expiration Date 9/11/2020.

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 July 9, 2020 to August 8, 2020. No refund after August 8, 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.