Enjoy sailing the ports across Iceland and Ireland in style and comfort aboard the luxurious Celebrity Reflection®.


  Day Date Port Arrive Depart
  Mon Jun 3 Dublin, Ireland   10:15 PM
  Tue Jun 4 Belfast, Northern Ireland 11:00 AM 8:15 PM
  Wed Jun 5 At Sea
  Thu Jun 6 Reykjavik, Iceland 1:00 PM
  Fri Jun 7 Reykjavik, Iceland   3:00 PM
  Sat Jun 8 Akureyri, Iceland 10:30 AM
  Sun Jun 9 Akureyri, Iceland   5:00 PM
  Mon Jun 10 At Sea
  Tue Jun 11 At Sea    
  Wed Jun 12 Cork (Cobh), Ireland 10:00 AM 7:00 PM
  Thu Jun 13 Dublin, Ireland 7:30 AM
  Fri Jun 14 Dublin, Ireland  

Monday, June 3 – Dublin, Ireland

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.

Tuesday, June 4 – Belfast, Ireland – Day Open

The ancient city of Belfast lies snuggled into the rugged coast of Northern Ireland where the River Lagan flows to the sea. Inland from this legendary city lie the forever green lands of Ulster Province. This city presents an attraction to anyone eager to view its beautiful landscapes and meet its friendly citizens. Enjoy a performance at the Grand Opera House, shop along trendy Donegall Place, and visit pubs lining The Golden Mile.

Wednesday, June 5 – At Sea

Take advantage of many fun and relaxing onboard amenities. Catch a live musical performance, take a spa day, or wine and dine with a variety of international cuisines.

Thursday, June 6 – Reykjavik, Iceland – Afternoon Open

Friday, June 7 – Reykjavik, Iceland – Day Open

Reykjavík is the gateway to Iceland. A young-at-heart city with a long history, encircled by mountains and sea. Salmon fishing, midnight golf, sailing, climbing, glacier trekking, horse 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. Painting, sculptures, photography, ceramics; everywhere you look small galleries and exhibition halls are filled with beautiful artwork.

Saturday, June 8 – Akureyri, Iceland – Day Open

Sunday, June 9 – Akureyri, Iceland – Day Open

Akureyri rests at the head of Iceland’s longest fjord and 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.

Monday, June 10 – At Sea

Tuesday, June 11 – At Sea

Wednesday, June 12 – Cork (Cobh), Ireland– Day Open

corkCork 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.

Thursday, June 13 – Dublin, Ireland – Day Open

On your return to Dublin, you’ll have plenty of time to take an extended tour of the many interesting and historical sites available. Discover the storied past of Kilmainham Gaol and Museum, where Ireland once housed both ordinary and high-profile prisoners. The National Museum of Ireland – Archaeology is the national repository for all archaeological objects found in Ireland and home to over two million artefacts. Learn about the height of the Great Famine with a visit to the Jeanie Johnston Tall Ship and Famine Museum.

Friday, June 14 – Dublin, Ireland – Disembark

Even more adventures await in Dublin. Before departing for home, tour the burial vaults of St. Michan’s Church, where you’ll find the mummified remains of many of Dublin’s most influential 17th, 18th and 19th century families, including the legendary Shears brothers and the highly decorated coffins of the Earl’s of Leitrim. End your trip on a high note when you stop by the Jameson Distillery Bow St. for a tour, whiskey tasting, or whiskey blending and cocktail class.

The Ship: Celebrity ReflectionSM

Experience a cinematic night under the stars with A Taste of Film at the Rooftop Terrace. It’s an exciting way to enjoy the great outdoors, satisfy your love of movies, and dazzle your taste buds all at once. Treat yourself to spa innovations at the luxurious Canyon Ranch SpaClub® or visit the just-added shops for Tiffany and Swiss Watch. Celebrate the flavorful joys of outdoor grilling at the Lawn Club Grill. Enjoy more than 20 delicious dining options in the Main Restaurant. Unwind in your own cabana-style haven at The Alcoves. More upgrades include faster, more secure access to your stateroom utilizing radio-frequency technology. Your vacation time is precious, and your time aboard Celebrity Reflection will make the most of it.


Ship features:

Canyon Ranch SpaClub®: Relax and rejuvenate in a serene spa at sea. Experience the unique services of Canyon Ranch in a breathtaking setting aboard this luxury ship. Enhance your vacation with a complete wellness and lifestyle program that increases resilience, restores serenity, and helps you feel rejuvenated.

Shops on the Boulevard: Beautiful walkways lead you to sophisticated boutiques that hold stylish clothing, jewelry, cosmetics, fragrances and more. Window shop, attend a fashion show or select gifts for friends and family. Then, indulge yourself as you encounter the ideal memento of your truly extraordinary cruise experience.

Main Restaurant: The Main Restaurant is the centerpiece of an immersive and enriching range of culinary experiences. It presents an unparalleled wealth of choices every evening. Working around the clock, the galleys delight in sending out artfully presented dishes, every delicate micro-green garnish perfectly in place.

Tuscan Grille: Now Tuscan Grille, one of the most popular Solstice® Class restaurants, brings its modern twist on a traditional Italian steak house to Celebrity Millennium®, too. USDA dry aged steaks. Pastas made fresh in house. A unique, Italian cocktail menu (a first for any Tuscan Grille restaurant). A wine list that highlights the wine growing regions of Italy.

Qsine®: Qsine® features a unique approach to dining. Qsine strives to awaken your palate through a modern and whimsical approach to familiar dishes from around the world. Food is artfully presented, without traditional cases, and intended to be shared. And, to make it even more playful, the menu and wine list are creatively presented on an iPad®. Let your Culinary Tour Guide take you on an unforgettable journey.

Reflection Theater: The grand Reflection Theater is the premier venue for live performances aboard Celebrity Reflection. While accommodating a generous audience, it retains a comfortable, intimate atmosphere, bringing you production shows, beautiful musical arrangements, and sidesplitting comedy.

Solstice Deck: When you arrive at the highest point on the ship, you won’t be disappointed. Whether you’re looking for the ideal spot to do some early morning yoga, stretch out on a canopied lounge bed, or for the best view of the beautiful starry sky to cap off another magical evening aboard, The Solstice Deck is where your search ends and the relaxation begins.

Celebrity Central: For lively, diverse entertainment, the versatile Celebrity Central is the perfect destination. Catch a late night comedy show, an engaging presentation from one of the Smithsonian Journeys speakers, or a great movie in a comfortable, casual atmosphere.
Celebrity iLoungesm: This is Celebrity’s chic, new approach to the Internet lounge that’s also the first Authorized Apple® Reseller at Sea. It’s the modern way to connect while onboard. Here, you’ll find state-of-the-art workstations featuring MacBook Pro® laptops and iMac® desktops where you can take a class, check your email, surf the web or print a boarding pass. Certified staff will help you master the latest audio and video products. Learn how to get the most from the hippest tech devices, like the iPhone®, iPad®, iPod Touch®, and MacBook Pro®. And, if you like, you can purchase some of these items on your cruise. Celebrity iLounge is available on most ships.

Balcony Stateroom

Spacious staterooms located throughout the ship, each with its own private veranda.

Oceanview Stateroom

Window staterooms with a sitting area where you can kick back and relax after a day that has been as busy or easy as you want.

Inside Stateroom

Staterooms with ample living space, including a sitting area and a flat screen 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 $900 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 11-Night Ireland and Iceland Cruise June 3-14, 2019

Monday, June 3 - Dublin, Ireland - Embark

  2215 Ship sails (subject to change)

Tuesday, June 4 - Belfast, Ireland - Day Open

  0630 Registration
  0700 Cuts Both Ways: The Uses and Misuses of Perioperative Beta Blockade J.Szalados  
  0800 Breakfast
  0845 Care of the Morbidly Obese Patient: Not Just About Big People J.Szalados  
  0945 Refractory Hypotension: Vasoplegic Syndrome J.Szalados  
  1045 Adjourn

Wednesday, June 5 - At Sea

  0800 Registration - Mandatory Sign In
  0815 Anesthesia for Trauma: Part I S.Barker  
  0915 Anesthesia for Trauma: Part II S.Barker  
  1015 Clinical Case Discussion: "Fire in O.R. #9!" - Operating Room Fires S.Barker  
  1115 Implications of Common Chronic Neurologic Diseases on the Anesthesia Plan J.Szalados  
  1215 Lunch Break
  1300 Recognition and Management of Perioperative Electrolyte Emergencies J.Szalado  
  1400 Flying the Anesthesia Machine: So Easy a Caveman Can Do It? S.Barker  
  1500 How Has Technology Affected Outcomes in Anesthesia? S.Barker  
  1600 Malignant Hyperthermia S.Barker  
  1700 Adjourn

Thursday, June 6 - Reykjavik, Iceland - Afternoon Open

Friday, June 7 - Reykjavik, Iceland - Day Open

Saturday, June 8 - Akureyri, Iceland - Day Open

Sunday, June 9 - Akureyri, Iceland - Day Open

Monday, June 10 - At Sea

  0800 Registration - Mandatory Sign In
  0815 New Developments in Oxygen Transport and Monitoring: Part I S.Barker  
  0915 New Developments in Oxygen Transport and Monitoring: Part II S.Barker  
  1015 Blood Gas Analysis S.Barker  
  1115 Management of the Acutely Septic Patient J.Szalados  
  1215 Lunch Break
  1300 What Does the Current Evidence Say About Blood Transfusions? J.Szalados  
  1400 Avoiding and Managing Postoperative Delirium, Cognitive Dysfunction, and Confusion J.Szalados  
  1500 Four Legal Developments of This Year You Must Know About J.Szalados  
  1600 Adjourn

Tuesday, June 11 - Sea Day - Day Open

Wednesday, June 12 - Cork, Ireland - Afternoon Open

  0630 Registration
  0700 My Group is Being Acquired / Merging: What Must I / We Do to Protect Ourselves? J.Szalados  
  0800 Breakfast
  0845 Anesthesia for the Elderly S.Barker  
  0945 Adjourn

20 CME

20 Class A CEC

6.3 Pharmacology Hours†


Thursday, June 13 - Dublin, Ireland - Day Open

Friday, June 14 - Dublin, Ireland - Disembark



Steven J. Barker, PhD, MD
Professor Emeritus of Anesthesiology
University of Arizona College of Medicine
Tucson, Arizona

James Emery Szalados, MD, JD, MBA, MHA,
Attorney and Counselor at Law
The Szalados Law Firm, Hilton, NY
Director, Surgical Critical Care and Surgical/ Trauma Intensive Care Unit
Director, Neurocritical Care Program and Neurocritical Care Unit
Director, Telemedicine Critical Care Medicine Outreach Program
Adjunct Clinical Professor, Rochester Institute of Technology
Rochester General Hospital at Rochester Regional Health System
Rochester, New York


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 #1036372; Expiration Date 6/12/2019.

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.


$100 between April 4, 2019 and 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 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) 456-7962 - 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.