Sail ports across the Iberian Peninsula in style and comfort when you join us aboard Holland America’s stylish Nieuw Statendam.


  Day Date Port Arrive Depart
  Sun Sep 15 Amsterdam, The Netherlands 05:00 PM
  Mon Sep 16 At Sea
  Tue Sep 17 Cobh (Cork), Ireland 08:00 AM 06:00 PM
  Wed Sep 18 At Sea
  Thu Sep 19 Vigo, Spain 08:00 AM 05:00 PM
  Fri Sep 20 Lisbon, Portugal 08:00 AM 05:00 PM
  Sat Sep 21 Cadiz (Seville), Spain 11:00 AM
  Sun Sep 22 Cadiz (Seville), Spain 06:00 PM
  Mon Sep 23 Gibraltar, British Territory 08:00 AM 11:00 PM
  Tue Sep 24 Malaga, Spain 08:00 AM 6:00 PM
  Wed Sep 25 Cartagena, Spain 8:00 AM 5:00 PM
  Thu Sep 26 At Sea
  Fri Sep 27 Civitavecchia (Rome), Italy 7:00 AM

Sunday, September 15 – Amsterdam, The Netherlands

Amsterdam is often referred to as one of the most colorful cities in the world. Where else do you find so many places of interest, famous museums, cozy pubs, fun shops, and flower markets? Visit Artis, the oldest zoo in The Netherlands. Here you can view animals from all parts of the world, and explore the Geological Museum, the Zoological Museum, the Plant Houses, the Aquarium or the Planetarium. For a refreshing view of Amsterdam, why not visit the Heineken Reception Center or take part on a canal cruise?

Monday, September 16 – At Sea

Tuesday, September 17 – Cobh (Cork), Ireland – Day Open

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.

Wednesday, September 18 – At Sea

Thursday, September 19 – Vigo, Spain – Day Open

If you’re a fan of scenic green mountains and unspoiled white beaches, the hour-long ferry trip to Cíes Islands, a nature reserve off the coast of Vigo, is worth the detour. Bird-watchers should keep an eye out for the yellow-footed gulls that nest here. Castro Park offers scenic urban hiking and biking trails. For the best views of Vigo and the Cíes Islands, head to the hilltop remains of a 17th-century fort. The MARCO art institution is one of Galicia’s youngest and most innovative museums, specializing in interactive exhibits of contemporary art.

Friday, September 20 – Lisbon, Portugal – Day Open

lisbonIn Lisbon’s past, ships captained by Portuguese explorers like Bartolomeu Dias, Vasco da Gama, and Ferdinand Magellan skittered across the globe, hauling treasure home and made Lisbon a major global capital and port. Lisbon is situated on a wide bay where the Tagus River meets the Atlantic, and the white facades of its ancient neighborhoods lead uphill to the iconic Castelo de São Jorge. Other landmarks include the World Heritage Sites of Belém Tower and Jerónimos Monastery, both built in Lisbon’s native Manueline architectural style.

Saturday, September 21 – Cadiz Seville), Spain – Day Open

Sunday, September 22 – Cadiz (Seville), Spain – Day Open

lisbonThe Moorish palace started as a fort. One of the largest Roman Catholic Cathedrals in the world used to be a mosque. The Renaissance archive contains the annals of the Spanish in the New World. All three (the Alcazar, the Seville Cathedral, and the Archivo de Indias) are UNESCO World Heritage sites. All three were built in the Mudejar style, a Muslim aesthetic that developed under Christian rule. Cruise guests can see what alchemy can happen when cultures intertwine.

Monday, September 23 – Gibraltar, British Territory – Day Open

lisbonGibraltar is a peninsula that juts off the southern end of Iberia and whose dominant feature is a 1,398 ft. high, cave-covered limestone. While it is today a British overseas territory, its culture also pulls from Andalusia, Portugal, Malta, Morocco, and India. The upper slopes are covered in olive, pine and bouquets of the endemic Gibraltar candytuft. Stroll on the Upper Rock or go for a guided tour and learn more about the local plants and animals.

Tuesday, September 24 – Malaga, Spain – Day Open

lisbonEvery city is a palimpsest, but Malaga takes it to an extreme. The walls of its Phoenician ur-city are visible in the basement of the Picasso Museum. The best-preserved Moorish citadel in Spain is located next to the Roman theater, which was rediscovered in 1951. The nearby caverns of Nerja provided refuge to humans 30,000 years ago and modern tourists alight along the Costa Del Sol during the eight-month-long summer season. Cruise guests can visit the old castles, the museums, and the beaches. Or chew some scenery with a Malaga sweet wine and a plate of tapas.

Wednesday, September 25 – Cartagena, Spain – Day Open

lisbonCartagena offers a rich cultural legacy from the days of Roman, Muslim, and Arabic rule. Thanks to its strategic position on the Murcia coast, it has been inhabited by several cultures which have left their mark on its artistic heritage. The wide variety of landscapes of the Region of Murcia produces a rich selection of different ingredients from the farmlands, the sea and the interior. Try the region’s signature rice with snails or in a celery and turkey stew. You can also find such delicacies as green asparagus, hearty chard soup, and rabbit with chestnuts.

Thursday, September 26 – At Sea

Friday, September 27 – Civitavecchia (Rome), Italy – Disembark

lisbonStep off the cruise ship, linger at a sidewalk café in the early evening and take in the pageant: the taste of your cappuccino, the kiss of warm air, the immaculately attired locals just getting their evenings started. Rome is nicknamed the Eternal City, and rightly so, for the array of icons – the Colosseum, the Pantheon, Castel Sant’Angelo, the Sistine Chapel, St. Peter’s Basilica – and for the role it played shaping the Western world. But there is perhaps a less-recognized genius in the way the city embraces the sensual side of life, as if to acknowledge there’s no eternity like the present.

The Ship: Holland America - Nieuw Statendam

Nieuw Statendam Grand light-filled spaces, visual drama and sumptuous interiors inspired by the fluid curves of musical instruments, Holland America’s Nieuw Statendam is a beautifully appointed mid-sized ship, proudly reflecting more than 140 years of Dutch seafaring tradition. At the heart of the ship, Nieuw Statendam’s central atrium is breathtaking, soaring three decks high. With sophisticated décor and amenities, staterooms aboard ms Nieuw Statendam provide a welcoming haven at the end of an eventful day.




Ship features:

BLEND: Wine connoisseurs and novices alike can experience the art of winemaking at BLEND. In collaboration with Chateau Ste. Michelle, Washington State’s oldest and most acclaimed winery, the intimate venue will enable guests to blend their own wine and enjoy it at dinner or in the privacy of their stateroom.

Tamarind Restaurant: A Pan-Asian restaurant and lounge located on the Panorama deck, providing stunning views.

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.

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

America’s Test Kitchen: State-of-the-art demonstration kitchen offering interactive gourmet cooking lessons taught by 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.

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.

Grand Dutch Café: A comfortable, coffeehouse environment where you can browse through an extensive library, surf the Internet, check email, or simply read the morning paper.

Billboard Onboard: Showcases the talents of live musicians performing dynamic shows centered on the interesting facts and figures of the music industry.

The Dining Room: Menus in the Dining Room reflect the latest signature dishes from the influential chefs who comprise our Culinary Council, along with classic favorites, vegetarian options, and regionally inspired cuisine.

Casino: From perennially popular slot machines and blackjack tables to the latest in sophisticated gaming, the onboard casino is well-equipped and staffed with professionals eager to help guests learn new skills.

World Stage: A flexible space that can have multiple stage configurations, ranging from in-the-round to the more conventional proscenium staging, featuring an exciting array of performances and productions enhanced by state-of-the-art lighting, projection, and sound systems.

Club HAL® and the Loft: A dedicated youth facility with activities for kids ages 3 to 17; activities are supervised and age appropriate, designed exclusively for kids to have fun, socialize and hang out with people their own age.

Signature Suite

2 lower beds convertible to 1 King-size bed, 1 Murphy bed for 1 person, full-size whirlpool bath & shower & additional shower stall, private verandah, floor-to-ceiling windows. Approximately 393-400 sq. ft. including verandah.

Verandah Stateroom

2 lower beds convertible to 1 Queen-size bed, shower, sitting area, private verandah, floor-to-ceiling windows. Approximately 228-420 sq. ft. including verandah.

Ocean View Stateroom

2 lower beds convertible to 1 Queen-size bed, shower. Approximately 175-282 sq. ft.

Interior Stateroom

2 lower beds convertible to 1 Queen-size bed, shower. Approximately 143-225 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 $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.

Current Topics in Anesthesia 12-Night Iberian Adventure Cruise September 15-27, 2019

Sunday, September 15 - Amsterdam, The Netherlands - Embark

  1600 Ships sails (Subject to change)

Monday, September 16 - At Sea

  0815 Registration - Mandatory Sign In
  0825 Introduction NWAS Staff  
  0830 Is There a Medical Professional on Board This Aircraft? Challenges at 35,000 Ft L.Pelinka  
  0930 Is There a Medical Professional on Board: Case Discussions L.Pelinka  
  1030 Break
  1045 Cleared for Surgery J.Kryc  
  1145 From Symptoms to Biomarkers: A Change of Paradigms J.Kryc  
  1245 Lunch Break
  1345 Problems in the PACU: Is It Serotonin Syndrome? L.Pelinka  
  1445 Neurotrauma for the Anesthesia Provider L.Pelinka  
  1545 Experience is the Sum of All Our Errors L.Pelinka  
  1645 Adjourn
3.9 Pharmacology Hours

Tuesday, September 17 - Cobh (Cork), Ireland - Day Open


Wednesday, September 18 - At Sea

  0815 Registration - Mandatory Sign In
  0830 Statins and Noncardiac Surgery: Can We Reduce Perioperative Risk? J.Kryc  
  0930 Anesthetic Management of Obstetric Emergencies J.Kryc  
  1030 Break
  1045 Traumatic Shock: The Anesthesia Provider's and the Intensivist's Point of View L.Pelinka  
  1145 Treating Traumatic Shock: What's New? L.Pelinka  
  1245 Lunch Break
  1345 What Does It Take to Make the Perfect Clot? J.Kryc  
  1445 Triggers, Targets and Antithrombotics J.Kryc  
  1545 Neuraxial Anesthesia and Anticoagulation: Is This a Good Idea? J.Kryc  
  1645 Adjourn
4.0 Pharmacology Hours

Thursday, September 19 - Vigo, Spain - Day Open

Friday, September 20 - Lisbon, Portugal - Day Open

Saturday, September 21 - Cadiz Seville), Spain - Day Open

Sunday, September 22 - Cadiz (Seville), Spain - Day Open

Monday, September 23 - Gibraltar, British Territory - Day Open

Tuesday, September 24 - Malaga, Spain - Day Open

Wednesday, September 25 - Cartagena, Spain - Day Open


Thursday, September 26 - At Sea

  0815 Registration - Mandatory Sign In
  0830 Substance Abuse During Pregnancy J.Kryc  
  0930 Amniotic Fluid Embolism: Can We Affect the Outcomes? J.Kryc  
  1030 Break
  1045 Enigmas of a Mother's Heart: Peripartum Cardiomyopathy and Acute Myocardial Infarction During Pregnancy J.Kryc  
  1145 Sugammadex: My Favorite Doughnut L.Pelinka  
  1245 Lunch Break
  1345 Natural Disaster Management: Taking Anesthesia Beyond the OR L.Pelinka  
  1445 Murphy's Law: Minimizing the Risk of Anesthesia L.Pelinka  
  1545 Adjourn
2.7 Pharmacology Hours



20 CME

20 Class A CEC

9.8 Pharmacology Hours†


Friday, September 27 - Civitavecchia (Rome), Italy - Disembark


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

Linda E. Pelinka, MD, PhD
Professor of Anesthesiology and
Critical Care Medicine
University of Vienna and
Ludwig Boltzmann Institute of
Experimental and Clinical Traumatology
Vienna, Austria, European Union


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 #1036593; Expiration Date 9/26/2019.

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 July 17, 2019 and August 16, 2019. No refund after August 16, 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.


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:


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.