This cruise features ports of call in Denmark, Norway, Scotland, and Iceland. Depart from Copenhagen, Denmark and enjoy stops in Bergen, Norway; Alesund, Norway; Akureyri, Iceland; Isafjordur, Iceland; Reykjavik, Iceland; Djupivogur, Iceland; Invergordon (Inverness), Scotland; and South Queensferry (Edinburgh), Scotland all while crusing aboard Holland America’s beautiful ms Zuiderdam.


  Day Date Port Arrive Depart
Jul 16
Copenhagen, Denmark 4:00 PM
Jul 17
At Sea
Jul 18
Bergen, Norway 8:00 AM 5:00 PM
Jul 19
Alesund, Norway 7:00 AM 4:00 PM
Jul 20
At Sea
Jul 21
Akureyri, Iceland 10:00 AM 6:00 PM
Jul 22
Isafjordur, Iceland 8:00 AM 4:00 PM
Jul 22
Scenic Cruising Isafjardurdjur
Jul 23
Reykjavik, Iceland (Overnight) 8:00 AM
Jul 24
Reykjavik, Iceland 4:00 PM
Jul 25
Djupivogur, Iceland 12:00 PM 6:00 PM
Jul 26
At Sea
Jul 27
Invergordon (Inverness), Scotland, United Kingdom 7:00 AM 4:00 PM
Jul 28
South Queensferry (Edinburgh), Scotland, United Kingdom 8:00 AM 4:00 PM
Jul 29
At Sea
Jul 30
Copenhagen, Denmark 7:00 AM

Sunday, July 16 – Copenhagen, Denmark

shipDenmark’s capital city is sophisticated, spirited, and friendly. Stroll the beautiful grounds of Tivoli Gardens to take in bright lights and castles that inspire visions of fairytales. See the city’s 200-year-old Royal Palace and the lively Old Harbor where Hans Christian Andersen once lived. Salute the Little Mermaid, symbol of this light-hearted city. Stop for lunch in Nyhavn, where colorful historic buildings are in modern use as pubs, cafes, and restaurants, then take a tour of one of many Copenhagen museums including Ny Carlsberg Glyptotek where pieces by Rodin, Van Gogh, Gaugin, and Degas are displayed.

Monday, July 17 – At Sea

Tuesday, July 18 – Bergen, Norway – Day Open

shipBergen is historic and grand, yet full of charm and atmosphere. Wander along the city’s narrow paths and alleyways, taste the fresh seafood at the Fish Market and hear Edvard Griegs’s music performed at his home, Trollhaugen. Take the Fløibanen, the only cable car of its kind in Scandinavia, to enjoy a bird’s eye view of the islands and fjords surrounding Bergen. Enjoy the views or go hiking. Other musts include the old wharf area Bryggen, the Aquarium, the city’s art treasures, Old Bergen or you may partake in one of the many festivals.

Wednesday, July 19 – Alesund, Norway – Day Open

shipThis picturesque fishing port at the mouth of Stor Fjord spans two islands and features delightful architecture, stone towers, spires, and medieval facades. After a devastating fire in 1904, the city was rebuilt in curvaceous Jugendstil (art nouveau) style and today remains Scandinavia’s most complete and harmonious example of the era. Go fishing or sightseeing on a chartered boat tour. Rent a kayak or paddleboard to get a more personal glimpse of the natural scenery.

Thursday, July 20 – At Sea

Friday, July 21 – Akureyri, Iceland – Day Open

shipAkureyri rests at the head of Iceland’s longest fjord among snowcapped mountains. A statue of Helgi the Lean and Thorunn Hyrna, the first settlers of the area from the year 890, greets visitors on Brekkugata street. Walk the Arctic Botanical Gardens (Lystigardurinn) to learn more about arctic botany and indigenous Icelandic flora. One of Akureyri’s gems, it was founded in 1912, and it contains nearly every plant found in Iceland ca. 450 and nearly 7,000 foreign plants. Akureyri has many museums, galleries, and exhibits that offer insight into the diversity of the Icelandic culture. Don’t forget to explore Iceland’s early history with a tour of nearby Laufas, a former vicarage full of turf houses made of sod and timbers originally dating around 1000 AD.

Saturday, July 22 – Isafjordur, Iceland – Day Open

shipIsafjordur is the largest town in the Westfjords peninsula, with a population of only 2,600. It was once an ancient church site and trading post in the 16th century, but a town grew here thanks to salt fish production and a fishing industry. For visitors, Isafjordur has a range of restaurants and recreation for all budgets and tastes. A golf course, hiking and biking trails, horse riding, bird watching, skiing, and kayaking are all within an easy reach. Ferries to Hornstrandir Nature Reserve depart from Isafjordur daily during the summer months. A multitude of festivals are hosted here including sports and music.

Sunday-Monday, July 23-24 – Reykjavik, Iceland – Day Open

shipReykjavík is the gateway to Iceland. A young-at-heart city with a long history, encircled by mountains and sea, it lies just minutes away from unspoiled landscapes shaped by the energy of the earth. Enjoy an adventurous playground of boiling mud pools, spurting geysers, glaciers, and waterfalls. Salmon fishing, golf, sailing, climbing, glacier trekking, horseback riding, and whale watching are all within easy reach of the capital and can easily fit into a day trip. A buzzing art scene offers a diverse range of cultural happenings and dynamic grassroots activities.

Thursday, May 19 - At Sea

Tuesday, July 25 – Djupivogur, Iceland – Day Open

shipDjúpivogur is a small Icelandic fishing village on the east coast of Iceland with around 400 inhabitants. Here, Bulandstindur mountain rises majestically above the fjord. Statuesque stone eggs dot the harbor at Eggin i Gledivik, an art installation representing the native bird species of Iceland. Birdwatchers will enjoy a boat tour to Papey Island where you can spot puffins. Grab a coffee at a local cafe before touring the museums and handicraft shops.

Wednesday, July 26 – At Sea

Thursday, July 27 – Invergordon (Inverness) Scotland

shipSet on mysterious Loch Ness, Inverness has much to offer. Some of the buildings in its historical area at the end of Church Street date to the 16th century. It also has a clock tower, Culloden Battlefield, and a prehistoric graveyard. The two Loch Ness Monster Museums (one in town and one at the loch) detail sightings and proof of Nessie. Take a trip down one of the beautiful and rugged roads in Scotland, such as the road from Strathpeffer to Loch Carron.

Friday, July 28 – South Queensferry (Edinburgh) Scotland – Day Open

shipEdinburgh is the vibrant and beautiful capital city of Scotland. See the T-Rex at the National Museum of Scotland, the Concorde at the National Museum of Flight and Steiff Bears at the world’s only dedicated Museum of Childhood. In Edinburgh city center, head to Charlotte Square in the New Town and visit the Georgian House reflecting the lifestyle of 1796. Not far away is Linlithgow Palace, the birthplace of three monarchs including Mary Queen of Scots in 1542.

Saturday, July 29 – At Sea

Sunday, July 30 – Copenhagen, Denmark

Depart as scheduled or stay and enjoy this charming city!

The Ship: ms Zuiderdam

The first ship in Holland America’s Vista-class series, the ms Zuiderdam embraces the latest industry and environmental technologies such as a diesel-electric power plant for optimal energy efficiency and an Azipod propulsion system. Suspended in a three-story atrium, a Waterford Crystal Seahorse sets the mood for exquisite pieces of art to be seen throughout this elegant ship. Other notable pieces include a painting of Queen Beatrix by pop culture icon, Andy Warhol, medallions by Frank Lloyd Wright, cast aluminum elevator doors inspired by the art deco work of the New York Chrysler Building, and a massive floral painting by Charles Ben. You will also discover a large collection of antiques and centuries-old paintings throughout the ship.


Signature features of the ms Zuiderdam include:

• The Digital Workshop: Guests will be able to show and tell their vacation memories, learning how to share all their digital memories through email, blogging and social networking so friends and family can see where they’ve been cruising even before they return home.

• The Culinary Arts Center: State-of-the-art demonstration kitchen offering interactive gourmet cooking lessons taught by our own Master Chefs or culinary guests.

• Greenhouse Spa & Salon: Features heavenly beauty and wellness rituals. Enjoy a facial, hot stone massage, steam in a thermal suite and have your hair and nails done for a special evening.

• Vista Dining Room: Features impeccable service and an extensive wine list. Five-course menus include continental cuisine, vegetarian and low-carb options

• Pinnacle Grill: This intimate reservations-only venue offers an elegant, sophisticated dining experience. Featuring premium Double R Ranch Beef, inspired seafood dishes and many select wines rated “Excellent” by Wine Spectator as well as distinctive Bvlgari® china, Riedel® stemware and Frette® linens.

• Canaletto Restaurant: Named for a famous 18th-century Venetian artist, Canaletto is your destination onboard for an intimate Italian dinner. The evening begins with the chef’s selection of antipasti with a taste of the delicious fare and personal, polished service to follow.

• Lido Restaurant: Offers a relaxed ambiance for all three meals and features a variety of fresh, cooked-to-order specialties.

• Explorations Café, powered by The New York Times: A comfortable, coffee house environment where you can browse through an extensive library, surf the Internet, and check email or simply read the morning paper.

• Vista Show Lounge: Features talented vocalists, dancers, illusionists, comedians and variety acts.

• Crow’s Nest: Offers sweeping 270° views during the day, and a hip, fashionable nightclub each evening.

• Club HAL®: A dedicated youth facility with activities for kids ages 3 through 12; activities are supervised and age appropriate.

• The Loft: Designed exclusively for teens 13 to 17 to have fun, socialize, and hang out with people their own age.

Pinnacle Suites

Bedroom with 1 king bed, oversize whirlpool bath, shower, and shower stall. Living room, dining room, dressing room, private Verandah with whirlpool, pantry, 1 sofa bed for 2 persons, microwave, refrigerator, guest toilet, private stereo system, DVD player, and floor-to-ceiling windows.

Neptune Suites

2 lower beds convertible to 1 king bed, bathroom with dual sink vanity, full-size whirlpool bath, shower, and shower stall, large sitting area, dressing room, private Verandah, 1 sofa bed for 2 persons, DVD player, and floor-to-ceiling windows.

Signature Suites

2 lower beds convertible to 1 queen-size bed, bathroom with dual sink vanity, whirlpool bath, shower and shower stall, sitting area, verandah, 1 sofa bed for 1 person, floor-to-ceiling windows. Approximately 372–384 sq. ft. including verandah.

Verandah Staterooms

2 lower beds convertible to 1 queen-size bed, bathtub, shower, sitting area, private verandah, floor-to-ceiling windows. Approximately 212–359 sq. ft. including verandah.

Ocean View Staterooms

Available in both large and standard, includes 2 lower beds convertible to 1 queen-size bed, bathtub, and shower. Approximately 174–180 sq. ft.

Interior Staterooms

Available in both large and standard, includes 2 lower beds convertible to 1 queen-size bed and shower. Approximately 151–233 sq. ft.

We have a block of cabins for seminar participants.
Once this block is sold, cabins are on availability only and may be at a higher rate.
Cruises sell out early

Travel Arrangements

To receive these discounted cruise fares you must book your cruise through NWAS. We have all of the information regarding the cruise and seminar and can make your cruise reservations.


Reservations will be secured and cabins assigned upon receipt of passenger deposit of $1,200 per cabin. Final payment as instructed by our travel agent. Due to the number of details needed to complete cruise cabin booking accurately, a cabin will not be booked for you until you have spoken with one of our cruise agents via phone or via direct email correspondence. Please contact our office at 1-800-222-6927 or 1-509-547-7065 to complete your cruise reservation.

Discounted Fares

We have been able to negotiate a GREAT DISCOUNT for you on this luxurious cruise! See reservation form for details. ALWAYS CALL US BEFORE BOOKING ANYWHERE ELSE: (800) 222-6927


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
14-Day Northern Isles & Iceland Cruise July 16–30, 2017

Sunday, July 16 Copenhagen, Denmark

  1600 Ship Sails (subject to change)

Monday, July 17 At Sea

  0630 Registration - Mandatory Sign In
  0655 Welcome NWAS Staff  
  0700 Cleared for Surgery J.Kryc  
  0800 Breakfast Break
  0915 Statins and Noncardiac Surgery: Can We Reduce Perioperative Risk? J.Kryc  
  1015 Office-Based Anesthesia: The Wild, Wild West of Healthcare J.Kryc  
  1115 Herbal Stuff: It's All Safe, Right? E.Frost  
  1215 Lunch Break
  1330 ASA 1-2 Patient: Surgeon Wants Total Preop Testing: Is That Ok? E.Frost  
  1430 Case Discussion: The PACU Nurse Calls: The Patient Is Very Sleepy E.Frost  
  1530 Adjourn
2.9 Pharmacology

Tuesday, July 18 Bergen, Norway - Day Open

Wednesday, July 19 Alesund, Norway - Day Open

Thursday, July 20 At Sea

  0645 Registration - Mandatory Sign In
  0700 Update on Care of the Patient With Head Trauma E.Frost  
  0800 Breakfast Break
  0915 Spinal Cord Injury and Its Surgery: From Stem to Stern E.Frost  
  1015 Monitoring the Central Nervous System: New Gadgets—Do They Really Help? E.Frost  
  1115 Cardiac Disease in Pregnancy J.Kryc  
  1215 Lunch Break
  1330 Preeclampsia: What the Nonobstetric Anesthetist Needs to Know J.Kryc  
  1430 Substance Abuse During Pregnancy J.Kryc  
  1530 Adjourn
2.7 Pharmacology

Friday, July 21 - Akureyri, Iceland - Day Open

Saturday, July 22 - Isafjordur, Iceland - Day Open

Sunday, July 23 - Reykjavik, Iceland - Day Open

Monday, July 24 - Reykjavik, Iceland - Day Open

Tuesday, July 25 - Djupivogur, Iceland - Day Open

Wednesday, July 26 - At Sea

  0645 Registration - Mandatory Sign In
  0700 What Does It Take to Make the Perfect Clot? J.Kryc  
  0800 Breakfast Break
  0915 Triggers, Targets, and Antithrombotics J.Kryc  
  1015 Neuraxial Anesthesia and Anticoagulation: Is This a Good Idea? J.Kryc  
  1115 Do You Really Need Two Large Bore IVs? E.Frost  
  1215 Lunch Break
  1330 What If You Are Sued? Avoiding and Managing the Medicolegal System E.Frost  
  1430 Our Historical Background: Where Did It Start? Where Are We Now? E.Frost  
  1530 Adjourn
2.9 Pharmacology

Thursday, July 27 - Invergordon (Inverness), Scotland - Day Open

Friday, July 28 - South Queensferry (Edinburgh), Scotland - Day Open

Saturday, July 29 - At Sea

  0645 Registration - Mandatory Sign In
  0700 Introduction to Nanotechnology: Honey I Shrunk the Kids J.Kryc  
  0800 Breakfast Break
  0915 Nanomedicine: The Cyborg Era Begins J.Kryc  
  1015 Postoperative Pain Management: The Good, the Bad, and the Ugly J.Kryc  
  1115 So What's the Scoop? What Do Our Parent Organizations Say We Should Do? E.Frost  
  1215 Lunch Break
  1330 Ethical Issues and Anesthesia: How Can They Be Handled? E.Frost  
  1430 PBLD: The Pregnant Teenager Who Just Took Cocaine E.Frost  
  1530 Adjourn
2.8 Pharmacology

24 CME I

24 Class A CEC

11.3 Pharmacology Hours†


Sunday, July 30 - Copenhagen, Denmark - Disembark

Departure as scheduled or stay over and explore this unique treasure!


Elizabeth Frost, MD
Clinical Professor of Anesthesia
Icahn Medical Center at Mount Sinai
New York, New York

Joseph J. Kryc, MD, MBA
Adjunct Clinical Associate Professor of Anesthesiology
Banner University Hospital
Tucson, Arizona


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 #1033634; Expiration Date 7/29/2017.

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 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.


$100 between May 17, 2017 and June 16, 2017. No refund after June 16, 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.


Penalties apply for cancellation of the cruise for any reason. We strongly recommend purchase of the cancellation insurance. Ask us for details. Please be aware that premiums paid for insurance are non-refundable.


We reserve the right to cancel a course for any reason. In such case, a minimum of 60 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 cruise fare, airfare, hotel, or other liabilities you may incur. We highly recommend purchase of travel insurance. Travel at your own risk.

FAP (Frequent Attendee Points)

FAP lets you accumulate points based on dollars spent with NWAS including net cruise, 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! FAP is an especially valuable bonus when you book your cruises through NWAS. Not only do you receive the lowest fare, but you get a 1.5% of net cruise fare credit toward future tuition! 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. Contact Kellee Kilmer: Phone number: (858) 456-7887 - 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.