Experience the best cruising has to offer onboard Holland America's stylish ms Nieuw Amsterdam. Conveniently cruising roundtrip from Barcelona, Spain, you have the opportunity to explore this modern city at length. Sail to Civitavecchia (Rome), Italy; Katakolon (Olympia), Greece; Piraeus (Athens), Greece; Kusadasi (Ephesus), Turkey; Catania, Sicily, Italy; Valletta, Malta; and Palermo, Sicily, Italy.


  Day Date Port Arrive Depart
  Sun Oct 25 Barcelona, Spain - Embark 05:00 PM
  Mon Oct 26 At Sea  
  Tue Oct 27 Civitavecchia (Rome), Italy 07:00 AM 07:00 PM
  Wed Oct 28 At Sea    
  Thu Oct 29
Katakolon (Olympia), Greece 08:00 AM 04:00 PM
  Fri Oct 30
Piraeus (Athens), Greece 08:00 AM 05:00 PM
  Sat Oct 31
Kusadasi (Ephesus), Turkey 07:00 AM 06:00 PM
  Sun Nov 1
At Sea    
  Mon Nov 2 Catania, Sicily, Italy 08:00 AM 05:00 PM
  Tue Nov 3 Valletta, Malta 08:00 AM 05:00 PM
  Wed Nov 4 Palermo, Sicily, Italy 08:00 AM 05:00 PM
  Thu Nov 5 At Sea    
  Fri Nov 6 Barcelona, Spain - Disembark 07:00 AM  

Sunday, October 25 - Board ship in Barcelona, Spain

Barcelona effuses the ancient, the modernist, and the Gaudi. Legend has it the city was founded by Hercules 400 years before the founding of Rome. Whatever the truth, the city today is a global capital of commerce, fashion, culture, and sunshine (the city gets about 300 days of it a year). Cruise visitors should start with a walk down Las Ramblas, the glorious tree-shaded thoroughfare at the heart of the city.

Claim a patch of sand on one of the city beaches. But, most of all, see what visionary architect Antoni Gaudi wrought. Seven of his creations have been honored as UNESCO World Heritage Sites, including La Sagrada Familia, the Park Guell, and Casa Mila.

Monday, October 26 - At Sea

Tuesday, October 27 - Civitavecchia (Rome), Italy

Plan your time here carefully, as the Eternal City’s sights are endless: The Colosseum, the Forum, the Sistine Chapel, the Vatican, Venice Square, Trajan Markets, Spanish Steps, the Trevi Fountain, and so much more. Countless museums and art galleries are also to be found. Additionally, some of Italy’s finest shopping incorporates entire streets: Via Nazionale, Via del Corso, Via Frattina, Piazza di Spagna, and Via del Tritone.

Wednesday, October 28 - At Sea

Thursday, October 29 - Katakolon (Olympia), Greece

Katakolon is a small port on the Ionian Sea coast of the Peloponnese Peninsula, close to Pyrgos. While Katakolon’s main street is just a five-minute walk from the pier, you will probably want to venture farther out to see the ancient site of Olympia, the storied place where the Olympic Games originated in 776 BC.

A look at the impressive monuments, including the Temple of Zeus, the Temple of Hera, and the famous stadium, along with a visit to the nearby Archaeological Museum, offers a fascinating introduction to the Games and ancient mythology.

Back in town stroll the oceanfront walkway, relax over ouzo in an open-air café, or engage in a friendly round of haggling for jewelry and handcrafts, a modern-day sporting event that enjoys widespread popularity.

Friday, October 30 - Piraeus (Athens), Greece

The port of Piraeus is your gateway to the wonders of Athens, including the Acropolis, Constitution Square, Hadrian’s Arch, the Olympic Stadium, and more. The remains of ancient Athens constitute one of the brightest jewels of the Mediterranean— a city that has stood for more than 25 centuries.

Ancient Athens was a powerful city-state. A center for the arts, learning, and philosophy, Athens was the home of Plato’s Academy and Aristotle’s Lyceum and also the birthplace of Socrates, Pericles, Sophocles, and many other prominent philosophers, politicians, and writers of the ancient world. It is widely referred to as the cradle of Western Civilization and the birthplace of democracy.

The classical era heritage is still evident in the city portrayed through a number of ancient monuments and artworks, the most famous of all being the Parthenon on the Acropolis, standing as an epic landmark. The city has also a vast variety of Roman and Byzantine monuments, as well as a small remaining number of Ottoman monuments that project the city’s long history through the centuries.

Saturday, October 31 - Kusadasi (Ephesus), Turkey

A visit to Ephesus is a visit to one of the best preserved ancient cities in the world. Ephesus is home to the one remaining pillar from the Temple of Artemis— an Ancient Wonder of the World. Marble streets lead past magnificent ruins of temples and baths and the Celsus Library.

Explore the Odeion, where the advisory council held its meetings, the Baths, the Grand Theater of Ephesus, as well as many other columns, monuments, and ruins. Tour to Priene, best known for its 4th-century Athena Temple bankrolled by Alexander the Great. A five-thousand spectator theater built in the 3rd century is next, along with a gymnasium and a stadium at Anatolia.

Roman ruins are also on display at Pirea and Didyma including the majestic Temple of Apollo, considered to be one of the great monuments of antiquity, built in 560 BC. Journey back in time via the Sacred Way of Didyma en route to Miletus. This ancient road was once flanked by lions, sphinxes, and statues of priests. At Miletus there are ruins of the theater, thermal baths, and the stadium. Then after all the Ancient Wonders, turn to a shoppers heaven, the carpet and jewelry mecca of Kusadasi.

Sunday, November 1 - At Sea

Monday, November 2 - Catania (Sicily), Italy

Volcanic Mount Etna towers over the landscape of Catania, a beautiful little Mediterranean city with a tough history. Historically, Catania has been burned and toppled seven times, victim to lava flows, earthquakes, and occupation over the centuries by Greek, Roman, Byzantine, Arab and Norman invaders. At the heart of Catania sits the Piazza Duomo. From here you can find transport to local tours, small eateries, a fish market, and city hall. Marvel at the baroque architecture of the Monastero dei Benedettini, a monastery turned university building that offers guided tours.

Tuesday, November 3 - Valletta, Malta

Founded in 1565, the tiny capital of Valletta, Malta is a piece of living history. With superbly sunny weather, expansive beaches, a thriving nightlife and 7,000 years of intriguing history, there is a great deal to see and do here.

Once a refuge for Crusaders of the Order of St. John, this fortified city overlooks the Mediterranean Sea and features sights like the spectacular Co-Cathedral of St. John whose intricately carved stone vaults and famed painting by Caravaggio exemplify the city’s status as a UNESCO world heritage site. The Grand Masters’ Palace, the official residence of the Maltese president and former home to Malta’s parliament, features a grand collection of 5000 suits of 16th- to 18th-century armor and a range of beautiful antique weapons including crossbows, muskets, swords and pistols.

For the daring, visit the Hal Saflieni Hypogeum, an incredible underground necropolis with chambers and passages carved out of rock around 3600 to 3000 BC.

Wednesday, November 4 - Palermo (Sicily), Italy

Due to several changes in power over its history, Palermo is a fascinating combination of seemingly conflicting characteristics. Traces of Roman, Arab, and Norman influences mix here creating a vast range of architectural styles, a fusion of delicious ingredients used in local dishes, and many place names which are anything but Italian. Visit the Norman Palace with its golden Byzantine mosaics, the Arab markets with their splendid array of sights smells and sounds, the Palatine Chapel in Palermo, and the Duomo of Monreale.

Thursday, November 5 - At Sea

Friday, November 6 - Disembark in Barcelona, Spain

The Ship: ms Nieuw Amsterdam

4The ms Nieuw Amsterdam’s interior design and art collection reflects the glamour and history of New York City, formerly called Nieuw Amsterdam. This ship further defines and expands the Holland America Line premium brand with new concepts such as the innovative pan-Asian Tamarind restaurant and Silk Den lounge surrounded by panoramic views overlooking the ocean expanse and the Lido pool. Other additions are an Explorer’s Lounge Bar, a premium wine-tasting lounge, an elegant luxury jewelry boutique, atrium bar area, enhanced and reconfigured show lounge, and a photographic and imaging center.



Signature features:

Tamarind Restaurant and Silk Den Lounge: A new Pan-Asian restaurant and lounge with panoramic views of the ocean and Lido Pool area.

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.

Cabanas: Private cabanas are available to reserve by the day or by the cruise. Available on two decks, they are tastefully decorated, filled with amenities, and provide an exquisite and comfortable poolside retreat.

Cabana Club: Your own private oasis located high above the rest, the exclusive Cabana Club is the ultimate place to relax surrounded by healthy refreshments and luxurious amenities.

Spa Staterooms: Relaxation, privacy, serenity. These are the hallmarks of the ms Nieuw Amsterdam’s spacious new Spa Staterooms, located on the Panorama and Observation decks. They also include special spa amenities.

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.

The Culinary Arts Center, presented by Food & Wine Magazine: 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.

Manhattan 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.

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, coffeehouse environment where you can browse through an extensive library, surf the Internet, check email, or simply read the morning paper.

The Showroom at Sea: 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 to 12; activities are supervised and age appropriate.
The Loft: Designed exclusively for teens to have fun, socialize and hang out with people their own age. The Loft includes our new video editing facility for teens.


Signature Suite

signature stateroom

2 lower beds convertible to 1 Queen-size bed, bathroom with dual sink vanity, full-size whirlpool bath and shower with additional shower stall, large sitting area, private verandah, 1 sofa bed for 1 person, floor-to-ceiling windows.

Balcony Stateroom

 Balcony Stateroom

2 lower beds convertible to 1 Queen-size bed, bathtub and shower, sitting area, private verandah, floor-to-ceiling windows.

Outside Stateroom

outside stateroom

2 lower beds convertible to 1 Queen-size bed, bathtub, shower.

Inside Stateroom

inside stateroom

2 lower beds convertible to 1 Queen-size bed, shower.

Photos and renderings of guestrooms are representative of the general design and view of the rooms.
The exact layout and view in any of the guestroom photos are not guaranteed.

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 anesthesia specialty or are impacted by it.


The practitioner of anesthesiology must 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; and provide assistance with and support of other service providers, departments, institutions, and organizations dependent upon the professional expertise of the practitioner. Presentations are designed to facilitate the healthcare provider in reviewing, updating, and/or expanding knowledge and abilities in one or more of these areas vital to the practicing professional.


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.

Clinical Concerns in Anesthesia12-Night Ancient Empires Cruise
October 25-November 6, 2020

Sunday, October 25 - Barcelona, Spain - Embark

  1700 Ship Sails (subject to change)

Monday, October 26 - At Sea

  0845 Registration - Mandatory Sign In
  0900 Cleared for Surgery J.Kryc  
  1000 Statins and Noncardiac Surgery: Can We Reduce the Perioperative Risk? J.Kryc  
  1100 From Symptoms to Biomarkers: A Change of Paradigms J.Kryc  
  1200 Lunch Break
  1300 The Metabolic Syndrome and the Obese Patient A.Wadhwa  
  1400 Key Issues for Safe Anesthesia in the Morbidly Obese A.Wadhwa  
  1500 Strategies of Postoperative Analgesia in Morbidly Obese A.Wadhwa  
  1600 Adjourn

Tuesday, October 27 - Civitavecchia (Rome), Italy - Day Open

Wednesday, October 28 - At Sea

  0845 Registration - Mandatory Sign In
  0900 Role of NMDA Antagonists in Perioperative Analgesia and Hyperalgesia A.Wadhwa  
  1000 Role of Non-Narcotics in Perioperative Analgesia: What, When and How? A.Wadhwa  
  1100 Role of Ketamine Perioperatively A.Wadhwa  
  1200 Lunch Break
  1300 Introduction to Nanotechnology: Honey I Shrunk the Kids J.Kryc  
  1400 Nanomedicine: The Cyborg Era Begins J.Kryc  
  1500 Office-Based Anesthesia J.Kryc  
  1600 Adjourn

Thursday, October 29 - Katakolon (Olympia), Greece - Day Open

Friday, October 30 - Piraeus (Athens), Greece - Day Open

Saturday, October 31 - Kusadasi (Ephesus), Turkey - Day Open

Sunday, November 1 - At Sea

  0845 Registration - Mandatory Sign In
  0900 What Does It Take to Make the Perfect Clot? J.Kryc  
  1000 Trigger, Targets and Antithrombotics J.Kryc  
  1100 Neuraxial Anesthesia and Anticoagulation: Is This a Good Idea? J.Kryc  
  1200 Lunch Break
  1300 Allergic Reactions: So Easy to Miss!! How to Handle? A.Wadhwa  
  1400 Enhanced Recovery After Surgery: Components, Benefits to Patients and Healthcare A.Wadhwa  
  1500 Postoperative Nausea and Vomiting in Bariatric Surgery: Prophylaxis and Treatment A.Wadhwa  
  1600 Adjourn

Monday, November 2 - Catania, Sicily, Italy - Day Open

Tuesday, November 3 - Valletta, Malta - Day Open

Wednesday, November 4 - Palermo, Sicily, Italy - Day Open

Thursday, November 5 - At Sea

  0845 Registration - Mandatory Sign In
  0900 Quality Improvement for Anesthesiologists: Why Should We Embrace It? A.Wadhwa  
  1000 Disclosure of Harmful Medical Errors: How, When and Why? A.Wadhwa  
  1100 Relevant Anatomy for Improved Success in Regional Anesthesia A.Wadhwa  
  1200 Lunch Break
  1300 Obstetric Issues Impacting Anesthesia J.Kryc  
  1400 Anesthetic Management of Obstetric Emergencies J.Kryc  
  1500 Enigmas of a Mothers' Heart: Peripartum Cardiomyopathy and Acute Myocardial Infarction During Pregnancy J.Kryc  
  1600 Adjourn

Friday, November 6 - Barcelona, Spain - Disembark


24 CME

24 CEC

Pharmacology Hours TBD†

  Refreshments served at the meeting are for registered attendees only.  


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

Anu Wadhwa, MBBS, MSc, FASA
Clinical Professor of Anesthesiology
University of California San Diego
President Elect, International Society for the Perioperative Care of the
Obese Patient (ISPCOP)
President, Kentucky and Indiana Society of Physicians of Indian Origin
San Diego, 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 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 American Association of Nurse Anesthetists for 20 Class A CE credits; Code Number 1038359; Expiration Date 11/5/2020.

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: 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 24 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 December 30, 2019 to January 29, 2020. No refund after January 29, 2020; 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 Gray: 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.