Ports of Call
  Sun Oct 09, 2022 Southampton, England
4:00 PM
  Mon Oct 10, 2022 Cruising
  Tue Oct 11, 2022 Vigo, Spain
8:00 AM
4:00 PM
  Wed Oct 12, 2022 Cruising
  Thu Oct 13, 2022 Lanzarote, Canary Islands
11:00 AM
7:00 PM
  Fri Oct 14, 2022 Tenerife, Canary Islands
7:00 AM
6:00 PM
  Sat Oct 15, 2022 Gran Canaria, Canary Islands
7:00 AM
4:00 PM
  Sun Oct 16, 2022 Cruising
  Mon Oct 17, 2022 Lisbon, Portugal
7:00 AM
3:00 PM
  Tue Oct 18, 2022 Porto (Leixoes), Portugal
7:00 AM
2:00 PM
  Wed Oct 19, 2022 Cruising
  Thu Oct 20, 2022 Southampton, England
6:30 AM

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.

Vigo, Spain

For the best views of Vigo and the Cíes Islands, head to the hilltop remains of a 17th-century fort. Bird-watchers should keep an eye out for the yellow-footed gulls that nest here. There are various scenic lookouts along the winding hiking and biking trails of Castro Park, a center-city green space. The MARCO art institution opened in a former jail and courthouse in 2002, making it one of Galicia's youngest and most innovative museums. MARCO specializes in interactive exhibits of contemporary art in a variety of mediums ranging from painting and architecture to music and video.

Lanzarote, Canary Islands

With beachy landscapes and more than 300 volcanoes, plus perfect weather all year round, you'll quickly see why Lanzarote is an award-winning destination. A UNESCO Biosphere Reserve, its stark lava fields were born from violent eruptions as recent as the 19th century.

The island's dedication to the environment and tourism has even resulted in recognition from the World Tourism Organization as a universal model of sustainable development. In addition, the island has gone to considerable lengths to preserve its own history, culture and heritage. Lanzarote is known as a haven for modern art. Many of the island's natural wonders have been preserved through the work of local artist and environmental hero, César Manrique, who is credited for saving his home from overdevelopment.

The island has grown into a thriving culinary destination. From fine restaurants to charming seaside bistros, there are a wealth of dining options to explore on your Lanzarote cruise. Traditional Spanish fare is quite popular with lots of fresh seafood and the Canary wines are a must-try.

Tenerife, Canary Islands

Beyond its steep and rugged coastline, Tenerife is a cultural and natural wonder waiting to be explored. Discover mysterious step pyramids at Güímar, meet the world's largest collection of parrots at Loro Park, or take in a show at the ultra-modern Tenerife Auditorium.

Foodies will have fun sampling the fresh fish, famous cheeses and sumptuous wines of the island. Of the 7 islands that comprise the Canary Island archipelago, Tenerife stands out as the largest. Depending on your mood and what you are looking to get out of your Tenerife cruise, there are things to consider. For one, the island offers a vastly different terrain depending on where you go. The northern part of the island is quite verdant, so expect the climate to include more rain. In the south, you'll find it much more arid and dry emulating more of a desert climate.

If you like the idea of mingling within crowds and are drawn to where the action is, make plans to visit Los Cristianos, Playa de la Americas, and Costa Adeje in the southwest and Puerto de la Cruz in the north. While in Los Cristianos and you're looking for some thrills, visit Siam Park, a giant theme park with plenty of rides to choose from. Also in Los Cristianos is Jungle Park, the island's zoo with over 500 animals in a wonderfully rendered wild setting with lagoons, walkways and sub-tropical foliage.

Gran Canaria, Canary Islands

The extreme and varied micro-climates and vegetation you experience are what have earned this lovely island the nickname, “The Small Continent.” From the rugged coastline to the stretches of lovely sand beach, a variety of natural wonders impossibly fit onto this single island.

Eco-enthusiasts are drawn to Gran Canaria for its hiking, horseback riding, and watersports. Spend a day in the Agaete valley where you can visit a local farm for a taste of the island wines, cheese, and cakes. On your cruise to Gran Canaria you'll also find the capital city of Las Palmas to be a cosmopolitan and cultural center of the Canaries. Stroll down the bustling shopping streets, tour a museum or two; sip a cocktail at a trendy nightclub while exploring this sultry city.

The local cuisine is an eclectic combination of Spanish, African, and South American influences and fresh seafood is always on the menu. Soak up the sun and the views of the tropical landscape. The rich, rich green forests of the Canary Islands sweep across from north to south and the rolling dunes of the island desert stretch to the horizon.

Lisbon, Portugal

In 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.

Porto (Leixoes), Portugal

The town that gave the country (and port wine) its very name, Porto is Portugal's second-largest metropolis after Lisbon. Sometimes called Oporto, it's an age-old city that has one foot firmly in the industrial present. The old town, centered at Ribeira, was built on the hills overlooking the Douro River, and today is a UNESCO World Heritage Site. The 14th-century São Francisco church is a main attraction, as are the local port wine cellars, mostly located across the river at Vila Nova de Gaia.

The Ship: Celebrity Silhouette®

1Impressive 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. Take a painting class with a Master Artist from the ArtCenter/South Florida in The Art Studio. 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. Excitement brews with up to 50 international craft beers in the enhanced Michael's Club. On this beautiful ship, sweeping veranda views enhance 85% of the staterooms.

Signature features of Celebrity Silhouette® include:

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 extraordinary experience with elements of surprise and delight. Our 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 wake-up call. The iPad® menus are fun, interactive, and full of surprises.

The Alcoves:
Eight chic, cabana-style settings comfortably accommodate up to four guests each. Designed for secluded relaxation, they're just steps away from the lively vibe of The Lawn Club. Enjoy stunning views of the lawn and sea; ambient mood lighting for cozy, romantic evenings; complimentary fresh fruit plate, hand-held fans, chilled towels, four bottles of water, and all-day use of an iPad® loaded with music, movies, games and magazines. Fresh, themed picnic baskets from our specialty restaurants, as well as a la carte beverages, are available for an additional charge, via your dedicated Alcove Attendant. Wine and cheese evenings under the stars also can be arranged, along with special spa services, once onboard. The Alcoves are even equipped with Wi-Fi (fee applies).

The Art Studio:
Get creative. The Art Studio, our new venue on The Lawn Club, is home to two Master Artists from The ArtCenter/South Florida. They'll host interactive classes and hands-on demonstrations in jewelry making, beading, sketching, painting, even drink mixology, culinary lessons, taste tests, and chef-prepared dinners.

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 artisan 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.

Shopping Onboard:
Luxurious, new Bulgari and Michael Kors boutiques join an already superb assortment of shops for watches, jewelry, fashions, cosmetics, and fragrances onboard Celebrity SilhouetteSM. Find Omega, Tag Heuer, Longines, John Hardy, Tommy Bahama, Nautica, eco-friendly Mad Bags, Calvin Klein, Armani, Versace, D & G by Dolce and Gabbana, and many more exclusive brands. And, did we mention it's all tax and duty-free?

Balcony Stateroom

veranda stateroomveranda stateroom

Spacious staterooms located throughout the ship—each with its own private veranda. Flat-screen television system.

Outside Stateroom

inside stateroominside stateroom

Staterooms with ample living space, including a sitting area and flat-screen television.

Inside Stateroom

inside stateroominside stateroom

Staterooms with ample living space, including a sitting area and flat-screen television.

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 $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 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.

Topics in Anesthesia 11-Night Canary Islands, Spain & Portugal Cruise October 9-20, 2022

Sunday, October 9 - Southampton, England - Embark

  1600 Ship sails (subject to change)

Monday, October 10 - At Sea

  0845 Registration - Mandatory Sign In
  0900 ASA Difficult Airway Algorithm A.Wallace  
  1000 Cardiac Risk Reduction A.Wallace  
  1100 Coagulopathy and Cardiac Surgery A.Wallace  
  1200 Lunch Break
  1300 Preoperative Optimization J.Sanders  
  1400 Management of Perioperative Anemia: EPO Is Not Just for Bicyclists J.Sanders  
  1500 Congenital Conditions: Born This Way J.Sanders  
  1600 A Few Things We Thought We Knew, but We Were Wrong J.Sanders  
  1700 Adjourn

Tuesday, October 11 - Vigo, Spain - Day Open

Wednesday, October 12 - At Sea

  0845 Registration - Mandatory Sign In
  0900 The Impaired Provider J.Sanders  
  1000 What Went Wrong? Surprising Postop Complications: Awareness, Respiratory Complications, and More J.Sanders  
  1100 Autonomic Physiology and Medications to Treat It A.Wallace  
  1200 Sedation A.Wallace  
  1300 Adjourn

Thursday, October 13 - Lanzarote, Canary Islands - Day Open

Friday, October 14 - Tenerife, Canary Islands - Day Open

Saturday, October 15 - Gran Canaria, Canary Islands - Day Open

Sunday, October 16 - At Sea

  0845 Registration - Mandatory Sign In
  0900 Cardiac Output Monitors and Goal-Directed Therapy A.Wallace  
  1000 Big Data and QI A.Wallace  
  1100 PTSD and Central Adrenergics A.Wallace  
  1200 Lunch Break
  1300 How Do I Handle a Catastrophe in the OR? J.Sanders  
  1400 Dangerous Perioperative Problems in Children J.Sanders  
  1500 Dexmedetomidine, Ketamine and Friends: TIVA Is Not Just Propofol J.Sanders  
  1600 Artificial Intelligence and Medicine A.Wallace  
  1700 Adjourn

Monday, October 17 - Lisbon, Portugal - Day Open

Tuesday, October 18 - Porto (Leixoes), Portugal - Day Open

Wednesday, October 19 - At Sea

  0845 Registration - Mandatory Sign In
  0900 Anesthesia Machines A.Wallace  
  1000 Checklist Tools A.Wallace  
  1100 Inotropes A.Wallace  
  1200 Lunch Break
  1300 Obstructive Sleep Apnea J.Sanders  
  1400 Anesthesia and the Altered Mind J.Sanders  
  1500 Ethics and Anesthesia J.Sanders  
  1600 Adjourn

Thursday, October 20 - Southampton, England - Disembark


24 CME

24 CEC

Pharmacology Hours TBD†

Rev. 7/19/21


John C. Sanders, BA, MA, MBBS, FRCA
Professor, Anesthesiology and Critical Care Medicine
University of New Mexico
Attending Anesthesiologist
Shriners Hospitals for Children
Salt Lake City, Utah

Arthur Wallace, MD, PhD
Professor of Anesthesiology
University of California
San Francisco, California
Chief Anesthesia Service
Veterans Affair Medical Center
San Francisco, 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 is designed to meet requirements for Class A CE credit. Once approved by AANA, this will be indicated.

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 August 10, 2022 to September 9, 2022. No refund after September 9, 2022;  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 Going Places. Be sure to mention Northwest Anesthesia Seminars when booking. Contact Kellee Gray: 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.