Durham, North Carolina

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A unique mix of rich history, pioneering achievements, and diverse culture makes Durham the kind of place that is always engaging. The national accolades it has earned as a place to live, work, and play only prove what anyone who’s been here has already experienced.

More than nine million people visit Durham each year, where they find a wealth of things to see and do. Whether you’re looking for award-winning arts, stimulating nightlife, one-of-a-kind shopping, or scenic natural experiences, Durham has you covered. The city is an incubator for vibrant arts and film communities and a historical charmer with architecture and festivals at every turn. History buffs will enjoy visiting Historic Stagville, a site dedicated to preserving African-American plantation culture, or Bennett Place, where southern armies surrendered, marking the end of the Civil War.

Durham is home to the world-class Durham Performing Arts Center, the Durham Bulls Athletic Park, and a maze of hiking and biking trails including the American Tobacco Trail and Eno River State Park. Listen to Blues music with burgers and brews or sip a variety of wine with tapas. Durham was also named the Tastiest Town in the South by Southern Living magazine, so there is no shortage of great independent local restaurants, food trucks, and bars.

See more at: http://www.durham-nc.com/things-to-do/

21c Museum Hotel Durham

Located in the heart of downtown Durham and occupying the historic Hill Building, 21c Museum Hotel Durham is a 125-room boutique hotel, contemporary art museum, cultural civic center, and home to Counting House restaurant. Just a hop, skip and a jump. 21c is in the middle of the downtown action, with a number of neighboring arts venues, museums, nightlife and businesses.

As North America’s first museum devoted solely to art of the 21st century, 21c Museum Hotel is committed to featuring a rotating program of thought-provoking solo and group exhibitions that reflect the global nature of art today, as well as site-specific, commissioned installations. Relax from your travels at the Spa at 21c—a traveler’s perfect pampering destination. The fitness center has your workout needs covered. Pump some iron or hop on the cutting edge cardio equipment (complete with integrated video and internet).

Refuel at the Counting House, a showcase for high-quality seasonal ingredients, that celebrates North Carolina’s rich heritage of fresh seafood with menus that feature rotisserie and roasting techniques. The bar and lounge is a welcoming place to taste innovative house cocktails, sip aperitifs, sample local craft brews, and explore broad bourbon and wine lists.

Designed by Deborah Berke Partners, guestrooms are spacious with high ceilings, contemporary furnishings, original terrazzo floors and large windows. Deluxe rooms feature 1 king or 2 queen beds (based on availability), 42” HDTV flat screen televisions, complimentary Wi-Fi, Nespresso coffee machine, alarm clock/docking station, safe, luxurious bedding, Malin + Goetz bath amenities, plush robes and more.

The hotel is located approximately 15 miles from the Raleigh-Durham International Airport (RDU).

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.

Topics in Anesthesia
Durham, North Carolina
May 22–25, 2017

Monday, May 22

  0630 Registration - Mandatory Sign In - Continental Breakfast
  0655 Welcome NWAS Staff  
  0700 Role of NSAIDS in Pain Management S.Pyati  
  0800 Non-Operating Room Anesthesia S.Pyati  
  0900 Acute Pain Management of Opioid Tolerant Patient S.Pyati  
  1000 Break
  1015 Preoperative Testing: When Should You Order HCG, BNP, INR, or HbA1c? R.Roy  
  1115 Chronic Medications: Continue or Discontinue Preoperatively? R.Roy  
  1215 Anesthesia Administration: Ten Current Controversies R.Roy  
  1315 Adjourn

Tuesday, May 23

  0630 Registration - Mandatory Sign In - Continental Breakfast
  0700 Ketamine: An Old Friend With Surprising Effects on Outcomes D.Gleason  
  0800 GA vs. Regional D.Gleason  
  0900 PONV: The Latest Methods to Deal With the Most Commonly Cited Problem in Anesthesia D.Gleason  
  1000 Break
  1015 Perioperative Management of Pacemakers and AICDs T.Miller  
  1115 Anesthesia for Pheochromocytoma T.Miller  
  1215 Inotropes and Vasopressors T.Miller  
  1315 Adjourn

Wednesday, May 24

  0630 Registration - Mandatory Sign In - Continental Breakfast
  0700 Blood Glucose: Intraoperative Management: "How Sweet Is It"? R.Roy  
  0800 Geriatric Anesthesia: Betcha You're Overdosing Your Elderly Patients R.Roy  
  0900 Postoperative Respiratory Arrest: How to Avoid R.Roy  
  1000 Break
  1015 Anaphylaxis and Allergic Reactions in the Operating Room J.Gadsden  
  1115 Perioperative Management of the Burn Patient J.Gadsden  
  1215 Pulmonary Aspiration: Prevention and Management J.Gadsden  
  1315 Adjourn

Thursday, May 25

  0630 Registration - Mandatory Sign In - Continental Breakfast
  0700 Oxygen: How Much Should We Be Giving During Anesthesia? R.Roy  
  0800 Substance Abuse: Anesthetizing Patients Taking Naltrexone, Naloxone, Methadone, or Buprenorphine for Treatment R.Roy  
  0900 Anesthesia and Restless Legs Syndrome: A Case Discussion R.Roy  
  1000 Break
  1015 Thoracic Anesthesia Tips for Success: Double Lumen Tubes, Bronchial Blockers and Chest Tubes A.Barbeito  
  1115 Preventing Myocardial Ischemia in 2017 A.Barbeito  
  1215 Quality Improvement: The Big Picture A.Barbeito  
  1315 Adjourn    

24 CME I

24 Class A CEC

Pharmacology Hours TBD†


Atilio Barbeito, MD
Associate Professor
Department of Anesthesiology
Duke University Medical Center
Durham, North Carolina

Jeff C. Gadsden, MD, FRCPC, FANZCA
Associate Professor
Department of Anesthesiology
Associate Director, Regional/ASC Fellowship Program
Duke University Medical Center
Durham, North Carolina

David H. Gleason, CRNA, BHS
Regional and Orthopedic Anesthesia Team
Duke University Medical Center
Durham, North Carolina

Timothy Ellis Miller, MB, ChB, FRCA
Assistant Professor of Anesthesiology
Division of General, Vascular, and Transplant Anesthesiology
Duke University Medical Center
Durham, North Carolina

Srinivas (Srini) Pyati MD, DA, MRCA, FCARCS
Assistant Professor
Duke University Medical Center
Durham, North Carolina

Raymond Clyde Roy, PhD, MD
Department of Anesthesiology
Wake Forest University School of Medicine
Winston-Salem, North Carolina


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 24 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 24 Class A CEC; AANA Code #1034058; Expiration Date 5/25/17.

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 24 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 24 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 March 23, 2017 to April 22, 2017. No refund after April 22, 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.