Duck, North Carolina

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The Outer Banks of North Carolina are a 200 mile long strip of barrier islands. Beautifully natural, they were formed by centuries of wind, water, and sand blown from the Atlantic Ocean. From Duck down to Hatteras, each town and island along the banks offers a unique experience not soon forgotten. Determining the origin of many Outer Banks town names is a study of history and sometimes even pirate lore. As for Duck’s namesake, it’s exactly what you might expect.

Hunters and gatherers have been flocking to the area since the 1800’s for its abundant waterfowl. Incorporated in 2002, Duck is the Outer Bank’s newest town, but already owns an impressive reputation for great beaches, water sports, outdoor adventures, fine dining, and eclectic shopping. The beaches, many named among the top in the nation, are private and afford great shell collecting opportunities. Despite phenomenal growth in the past few years, Duck still feels like a charming resort town.

Be sure to spend some time on the popular walking/cycling trail that runs parallel to Highway 12, especially at sunrise or sunset. Cape Hatteras National Seashore and lighthouses are a part of the many other points of interest of the barrier islands.The Outer Banks is easily accessible from Norfolk International Airport (82 miles north), Newport News, Virginia (120 miles north), or Raleigh Durham International Airport (192 miles west). A rental car is highly suggested for this location.

The Sanderling

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Situated between the shores of the majestic Atlantic Ocean and the Currituck Sound, and close to Duck, North Carolina, The Sanderling Resort and Spa is the perfect Outer Banks retreat and the recipient of numerous awards and accolades. The Sanderling Resort offers access to the beautiful beaches and scenery as well as a luxurious spa, salon and fitness center. Enjoy the indoor and outdoor pools, as well as beach chairs and umbrellas. Concierge services are available to help with reservations for restaurants and activities. If you’d rather play a relaxing game of golf, The Currituck Club is only six miles north.

All guest rooms feature amenities such as furnished balcony, flat screen television, mini fridge, coffee maker, robes, beach towels, iron and clock/radio with CD and MP3 Player. The North Inn is adjacent to the Conference Center and rooms will enjoy a view of the protective dunes or a rock garden with a pond, 1 king bed or two queen sized beds (based on availability.)

Sunset/Ocean Side/Ocean View rooms will be located in the hotel’s choice of the North, South or Main Inn buildings and feature 1 king bed. The Main Inn houses the resort’s reception area. The Main Inn Ocean front rooms feature 1 King bed and provide views of the Atlantic Ocean over the scenic sand dunes from your balcony. Here you have the best opportunity to see porpoises at play or ships sail by.

Premium King rooms are larger, oversized rooms centrally located in the Beach House (no elevator access) providing hotel’s choice of views of landscaping and scenic dunes or the Currituck Sound. Rooms are spacious and appointed with a King bed and a sofa that pulls out to a Queen bed.

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 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.

Topics in Anesthesia
Duck, North Carolina
June 3-6, 2019

Monday, June 3

  0700 Registration - Mandatory Sign In - Continental Breakfast
  0725 Welcome NWAS Staff  
  0730 Preoperative Cardiac Evaluation for Noncardiac Surgery: What the Guidelines Do Not Tell Us E.Lobato  
  0830 Preoperative Pulmonary Evaluation: What Do I Need to Know? E.Lobato  
  0930 Break
  0945 Folklore, Fairy Tales, and Fantasy: Examining Dogmas in Anesthesiology R.Isaak  
  1045 Goal-Directed Fluid Therapy Using Dynamic Indices of Fluid Management R.Isaak  
  1145 Regional Anesthesia for Knee Arthroplasty: An Alternate View on Current Controversies R.Raw  
  1245 Adjourn
0.6 Pharmacology Hours

Tuesday, June 4

  0700 Registration - Mandatory Sign In - Continental Breakfast
  0730 Anesthesia and Elderly Patients: Clinical Pearls E.Lobato  
  0830 Anesthesia for the Advanced Geriatric Orthopedic Patient R.Raw  
  0930 Break
  0945 Anesthetic Considerations Endovascular Surgery EVARs, TEVARs, and FEVARs R.Isaak  
  1045 Perioperative Pulmonary Embolism Management R.Isaak  
  1145 Myths and Facts Regarding Perioperative Anaphylaxis and Anaphylactoid Reactions R.Isaak  
  1245 Adjourn
0.9 Pharmacology Hours

Wednesday, June 5

  0700 Registration - Mandatory Sign In - Continental Breakfast
  0730 Perioperative Multimodal Analgesia Therapies R.Isaak  
  0830 Perioperative Point-of-Care Ultrasound R.Isaak  
  0930 Break
  0945 Regional Anesthesia Options for Shoulder Surgery R.Raw  
  1045 Coronary Stents and Noncardiac Surgery: Challenges and Controversies E.Lobato  
  1145 Ambulatory Surgery and the Patient With Obstructive Sleep Apnea E.Lobato  
  1245 Adjourn
1.3 Pharmacology Hours

Thursday, June 6

  0700 Registration - Mandatory Sign In - Continental Breakfast
  0730 Regional Anesthesia Options for Breast Surgery R.Raw  
  0830 Regional Anesthesia and Severely Obese Patients R.Raw  
  0930 Break
  0945 PBLD: Management for Screaming Person in the PACU With Severe Pain R.Raw  
  1045 Perioperative Management of Cardiac Implantable Electronic Devices E.Lobato  
  1145 Cocaine and Elective Surgery: Delay or Press On? E.Lobato  
  1245 Adjourn
1.4 Pharmacology Hours

20 CME

20 Class A CEC

4.2 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

Emilio B. Lobato, MD
Anesthesiology Services
North Florida/South Georgia VAMC
Gainesville, Florida

Robert Maurice Raw, MBChB, MPraxMed, MFGP, DA, FCA
Retired, Clinical Professor of Anesthesiology
University of Iowa Carver College of Medicine
Director, Regional Anesthesia Study Center of Iowa, to 2016
Iowa City, Iowa


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 #1036382; Expiration Date 6/6/2019.

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 April 4, 2019 to May 4, 2019. No refund after May 4, 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 Gray: 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.