Experience the best cruising has to offer onboard the beautiful Celebrity Silhouette. Conveniently cruising roundtrip from Southampton, England, you have the opportunity to explore the ports of St. Peter Port; Cork, Ireland; Waterford, Ireland; Dublin, Ireland; Akureyri, Iceland; Reykjavik, Iceland; and Belfast, Northern Ireland.


Aug 18
Southampton, England - Embark
4:00 PM
Aug 19
St. Peter Port, Channel Isle
7:00 AM
5:00 PM
Aug 20
Cork (Cobh), Ireland
10:30 AM
7:00 PM
Aug 21
Waterford (Dunmore East), Ireland
7:00 AM
7:00 PM
Aug 22
Dublin, Ireland
11:30 AM
Aug 23
Dublin, Ireland
11:00 PM
Aug 24
At Sea
Aug 25
At Sea
Aug 26
Akureyri, Iceland
7:30 AM
4:00 PM
Aug 27
Reykjavik, Iceland
11:00 AM
Aug 28
Reykjavik, Iceland
3:00 PM
Aug 29
At Sea
Aug 30
Belfast, Northern Ireland
1:00 PM
11:00 PM
Aug 31
At Sea
Sep 1
Southampton, England - Disembark
6:00 AM

Saturday, August 18 - Board ship in Southampton, England

Southampton is a modern city rich in heritage from its time as a Roman seaport to today’s modern, bustling, vibrant, and cosmopolitan city. The city is home to some of the region’s best concert halls and venues, boasting three outstanding art galleries and two magnificent theatres.

At the northern edge of the city center is Southampton’s cultural quarter with the elegant art deco City Art Gallery, containing 3,500 works of art covering six centuries. Come and discover Southampton’s Old Town, one of the gems of England. This place has played an important part in the country’s history and, for diverse reasons, has attracted the interest of William The Conqueror, Henry V, William Shakespeare, the Pilgrim Fathers, Isaac Watts, and Jane Austen. Walk in their footsteps seeing buildings that span centuries, be captivated by the spell of very impressive medieval town walls that rival any to be found in England, and wonder at The Bargate, one of the country’s finest medieval town gates.

Within a short distance of the Old Town is the waterfront, once of vital importance for the D-Day landings. Solent Sky, with its wonderful display of historic aircraft, is nearby. When night falls, there are traditional and historic pubs, funky bars, and music venues. Just a short trip from the port of Southampton is London, a fascinating city and a sightseer’s dream. City tours visit the major attractions, including Big Ben and Parliament, Westminster Abbey, the Tower of London, St. Paul’s Cathedral, and the Strand.

Sunday, August 19 - St. Peter Port, Channel Isle

St. Peter Port on the rugged coast of Guernsey features colorful row houses, stone churches, monuments, and even a castle that sits atop a peninsula in the harbor. Take a walk along the coastline for scenic ocean views. Pastoral countryside scenes are home to prized Guernsey dairy cows, and German occupation during World War II has left remnants of underground military sites that can also be visited.

Monday, August 20 - Cork (Cobh), Ireland

Cork spans both banks of the River Lee, with watery channels running beneath many main streets. Experience Cork by foot, following the signposted walking tour past St. Finn Barre’s Cathedral and the riverside quadrangle of University College up the hill to red and white Shandon Church. North and south of St Patrick’s Street lie webs of narrow streets crammed with cozy pubs, cafes, restaurants, and shops.

Tuesday, August 21 - Waterford (Dunmore East), Ireland

Waterford, a seaport in southeast Ireland, is the country’s oldest city. It was founded by Vikings in 914 A.D. and parts of its ancient walled core remain. Within Reginald’s Tower, a circa-1003 fortification, the Waterford Museum of Treasures displays local archaeological finds. Famed glass manufacturer Waterford Crystal began here in 1783. Today the company’s facility near the historic district offers factory tours.

Wednesday, August 22 - Thursday, August 23 - Dublin, Ireland

Dublin is thought to be almost a thousand years old, but the city has transitioned well into the 21st century. Easily navigated by foot, the city’s 44 square miles and cobblestoned streets speak to its storied history of patriots and writers, the latter of which includes, Joyce, Yeats, Wilde, and Beckett. Must-sees include Trinity College, St. Stephen’s Green Park, Newgrange, Dublin Castle, the National Museum of Ireland and the James Joyce Cultural Centre. However, no visit to Dublin would be complete without a pint (or two) of Guinness and an afternoon-into-evening spent in one of the city’s many pubs.

Friday, August 24 - Saturday, August 25 - At Sea

Sunday, August 26 - Akureyri, Iceland

Akureyi, Iceland's second largest city—affectionately known as the Capital of North Iceland—is one of the country’s most important ports and fishing centers. Today, Akureyi is creating something of a buzz for its cool café scene, growing gourmet movement and bustling nightlife. But don’t let that fool you. The atmosphere here is always laidback. From a fabulous summer festival program (energized by the near 24-hour daylight), to some of the best winter skiing you could wish for, Akureyri is a great base for exploring Eyjafjörður, Iceland’s longest fjord, all year round.

Monday, August 27 - Tuesday, August 28 - Reykjavik, Iceland

Iceland's capital and largest city is located on the country's southwest coast at the head of Faxafloi Bay. Settled in 877 AD, Reykjavik has grown into an important seaport and center of government and education with theatres, museums and observatories. Interestingly, this modern city still chooses to use water from nearby hot springs to heat all of its buildings.

Wednesday, August 29 - At Sea

Thursday, August 30 - Belfast, Ireland

Belfast has undergone an enormous transformation in recent years, thanks to a focus on expansion and regeneration, the city is now experiencing a tourism renaissance. With new cultural quarters—the Cathedral Quarter, the Gaeltacht Quarter, the Queen's Quarter and the Titanic Quarter—the former linen and shipbuilding epicenter is a flourishing community that blends industry with culture. Here, where the Titanic was so carefully built, you can see beautifully restored Victorian architecture, indulge retail therapy at a fabulous shopping center, and enjoy the quintessentially Irish experience at the lively waterfront, which is a friendly hub of live music, overflowing pubs, and modern art.

Friday, August 31 - At Sea

Saturday, September 1 - Disembark in Southampton, England

The Ship: Celebrity Silhouette®

You have another outstanding option for cruising Europe with Celebrity Silhouette®. She's impressive, with all the best-loved Solstice® Class features—and some new ones. Chic changes to Celebrity's iconic Lawn Club provide more opportunities to relax, eat, drink and socialize in the fresh air.  Celebrate the flavorful joys of outdoor grilling in the new, interactive Lawn Club Grill. Unwind in your own cabana-styled haven, The Alcoves. Inside, go on a culinary adventure in Qsine® where you order food and wine from an iPad®menu. And sweeping veranda views enhance 85% of her staterooms.

Signature features of Celebrity Silhouette® include:

Canyon Ranch SpaClub

Relax and rejuvenate in our serene spa at sea. Experience the unique services of Canyon Ranch in a breathtaking setting—aboard Celebrity's modern luxury ships. Enhance your vacation with a complete wellness and lifestyle program that increases resilience, restores serenity, and helps you feel rejuvenated.

Lawn Club Grill

Fire up your culinary passion. The bright and modern Lawn Club Grill celebrates the flavorful joys of outdoor grilling. The highlight of dining at the Lawn Club Grill is the opportunity to serve as your party’s “Grill Master,” by being paired with a Celebrity chef to assist in preparing the menu for your table over custom-built, ventilated grills.


Qsine is a uniquely unordinary experience with elements of surprise and delight. The concept behind Qsine was to give you something you’ve never experienced before on land or sea. Leave any preconceived notions behind. Dig in and try new things. It’s time your palate got a wakeup call. iPad® menus are fun, interactive, and full of surprises.

The Alcoves

A cool, cabana-style private retreat on The Lawn Club for two to four guests. By day, filtered sunlight and breathtaking ocean views. By night, ambient lighting for drama and star status. A la carte foods and beverages arrive in picnic baskets. Alcoves are even equipped with Wi-Fi. Rental fee applies.

Sushi on Five

Our modern luxury take on traditional sushi and Japanese favorites, paired with imported sakes and beers. The extensive menu is created by our Master Sushi Chef, Yoshikazu Okada, a fourth-generation sushi chef.

Murano Restaurant

Impeccable service, classic design, world-class cuisine and comfortable sophistication are celebrated to the utmost in Murano. Experience tableside lobster presentation, an expansive selection of artisanal cheeses from around the world, or the extensive American and French wine list. Charming and timeless, Murano transports you to a modern and sophisticated level of dining.

Balcony Stateroom

Enjoy both indoor and outdoor spaces with a Balcony Stateroom. Relax in the spacious sitting area or step outside to linger over morning coffee or marvel at evening sunsets.

Oceanview Stateroom

Staterooms with large windows and a sitting area where you can kick back and relax after a day that has been as busy or relaxing as you want it.

Inside Stateroom

Thoughtfully-designed and well-appointed staterooms with ample living space, sofa and sitting area, interactive TV.

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 $500 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-Night Iceland and Ireland Cruise August 18 - September 1, 2018

Saturday, August 18 - Southampton, England

  1600 Ship Sails (subject to change)

Sunday, August 19 - St. Peter Port, Channel Islands - Day Open


Monday, August 20 - Cork (Cobh), Ireland - Day Open

  0700 Registration - Mandatory Sign In
  0715 Welcome NWAS Staff  
  0720 ASA Difficult Airway Algorithm A.Wallace  
  0820 Rapid Sequence Induction: Review and Update W.Wilson  
  0920 Adjourn
0.7 Pharmacology Hours

Tuesday, August 21 - Waterford (Dunmore East), Ireland - Day Open


Wednesday, August 22 - Dublin, Ireland - Day Open


Thursday, August 23 - Dublin, Ireland - Day Open


Friday, August 24 - At Sea

  0845 Registration - Mandatory Sign In
  0900 Initial Trauma Evaluation and Management W.Wilson  
  1000 Fluid Resuscitation for Trauma W.Wilson  
  1100 Trauma Anesthesia for the Elderly W.Wilson  
  1200 Lunch Break
  1300 Pacemakers Made Incredibly Simple A.Wallace  
  1400 Cardiac Risk Reduction Therapy A.Wallace  
  1500 Coagulopathy and Cardiac Surgery A.Wallace  
  1600 Adjourn
3.0 Pharmacology Hours

Saturday, August 25 - At Sea

  0845 Registration - Mandatory Sign In
  0900 Point-of-Care Ultrasound for the Anesthesia Provider W.Wilson  
  1000 Clinical Pharmacology Review W.Wilson  
  1100 Electronic Medical Records and Medical Informatics: How Do You Avoid Suffering, Wasting a Lot of Money, or Completely Failing While Adopting a New System? A.Wallace  
  1200 How Do You Implement Something New and Really Dangerous? A.Wallace  
  1300 Adjourn
1.2 Pharmacology Hours

Sunday, August 26 - Akureyri, Iceland - Day Open


Monday, August 27 - Reykjavik, Iceland - Day Open


Tuesday, August 28 - Reykjavik, Iceland - Day Open


Wednesday, August 29 - At Sea

  0845 Registration - Mandatory Sign In
  0900 Drug Use and the Addicted Physician A.Wallace  
  1000 Sedation A.Wallace  
  1100 Allergy and Anaphylaxis W.Wilson  
  1200 Practical Review of Hemodynamic Medications W.Wilson  
  1300 Adjourn
3.6 Pharmacology Hours

Thursday, August 30 - Belfast, Northern Ireland - Day Open


Friday, August 31 - At Sea

  0845 Registration - Mandatory Sign In
  0900 Infectious Disease and Anesthesia W.Wilson  
  1000 Ethics and Anesthesia W.Wilson  
  1100 Anesthesia Machines A.Wallace  
  1200 Cardiac Output Monitors A.Wallace  
  1300 Adjourn
1.0 Pharmacology Hours

20 CME

20 Class A CEC

9.5 Pharmacology Hours†


Saturday, September 1 - Southampton, England - Disembark

Refreshments served at the meeting are for registered attendees only.


Arthur Wallace, MD, PhD
Professor of Anesthesiology
University of California
San Francisco, California
Chief Anesthesia Service
Veterans Affair Medical Center
San Francisco, California

William C. Wilson, MD, MA
Clinical Professor
Chief Medical Officer
University of California Irvine Health System
Irvine, 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 AANA for 20 Class A CEC; AANA Code #1035771; Expiration Date 8/31/2018.

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.


$100 between June 19, 2018 and July 19, 2018. No refund after July 19, 2018; however, 50% of tuition paid may be applied toward tuition for another NWAS program within the next 12 months. Cancellation must be 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: 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.