Gateway, Colorado

Gateway is located in Unaweep Canyon, one of the most unique red rock canyons in the world. The word Unaweep is a Native American term meaning “canyon with two mouths.” It is thought that the ancestral Colorado and Gunnison rivers may have cut through the soft red sandstone of the Uncompahgre Plateau, which exposed stone dated to Precambrian times including fossils of dinosaurs and early amphibians. Much like the nearby Colorado National Monument, this area has special recognition in Colorado geology.

The town of Gateway, Colorado has a rich history steeped in the ancient peoples of the Fremont, Anasazi, and Ute Native American tribes who once made these canyons and plateaus their home. So too did gangs of cattle rustlers who used the canyon walls as hideouts from the law. Gold miners came to Gateway to tunnel deep into the earth with the hope of finding their fortunes. Ranchers made their living grazing thousands of cattle across Unaweep Canyon’s windswept grasslands as they do today.

Today, Gateway Canyons Resort acts as the town’s anchor in welcoming visitors from around the world to experience the beauty and lifestyle of Western Colorado’s most amazing canyon country. The Resort is a beautiful oasis with access to mountain biking, horseback riding, hiking and climbing, fishing and rafting, an auto museum and much more, all set amid the area’s unique setting. You’ll have numerous activities to choose from that range from mild to wild and high adrenaline.

Gateway Canyons Resort

Voted#1 Best Resort in Colorado and #12 in the world by Conde Nast Traveler, there are many reasons to visit Colorado’s Gateway Canyons Resort, located in the secluded Unaweep Canyon of Western Colorado. Surrounded by the vast lands of the Uncompahgre Plateau, Piñon Mesa and La Sal Mountains, this full-service resort features exceptional lodging, dining, outfitting, educational programs and the world-class Gateway Colorado Auto Museum. The resort’s stables offer experienced guides that will take you on an exploration of the base of the Uncompahgre Plateau, the surrounding picturesque desert and red rock canyons. Both beginners and advanced riders are sure to enjoy the ride. The Adventure Center can give you access to hiking, climbing, mountain biking, off-road touring, helicopter tours, wine country tours, river adventures, fly fishing and much more.

The on-site Auto Museum features pristine examples of American automotive art and nearly 60 of the most prized and impeccably preserved historic cars in the country displayed in a unique gallery setting. When it’s time to relax, indulge in a signature spa treatment to melt the stresses of daily life away. Several food and drink venues will keep you satisfied during your stay. Luxurious guest rooms are located in either the Kiva Lodge which surrounds Gateway Canyons’ sparkling pool and clubhouse courtyard or in the Kayenta Lodge, located in the central courtyard of Gateway Canyons.

All rooms offer HD television, desk, wet bar, mini refrigerator, coffee maker and more. Kiva Deluxe Rooms offer 485 square feet with either one king bed or two queen beds and shower/tub combo with dual sinks. Kiva Premium Rooms offer 600 square feet with one King bed or 2 Queen beds, plus seating area with fireplace. Bathroom features a tub with separate shower, dual sinks and dressing room. Kiva Signature Rooms offer 600 square feet with one King bed or 2 Queen beds plus seating area with fireplace, tub with separate shower, dual sinks, and dressing room, and patio with hot tub. Kayenta Premium room offers 650 square feet with a King bedroom, separate living area with sleeper sofa, fireplace, patio or balcony with fire pit or bowl. Bathroom features an oversized tub with separate shower and dual sinks. Kayenta Signature room offers 650 square feet with a king bedroom, separate living area with sleeper sofa, fireplace, patio with fire pit plus a hot tub. Bathroom features an oversized tub with separate shower and dual sinks. 

Gateway Canyons Resort is located a scenic 1 hour a drive from Grand Junction Regional Airport (GJT), 1½ hours from Montrose Regional Airport (MTJ) and 5 hours from Denver International Airport (DEN). Shuttle service and rental cars available from all locations. Having a car is suggested and will allow you to fully explore the area. Please be aware that other lodging options are not readily available near this resort.

Email us at or call us (800) 222-6927 • (509) 547-7065


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 Anesthesia Update
Gateway, Colorado
October 4-8, 2021

Monday, October 4

  0700 Registration - Mandatory Sign In - Continental Breakfast
  0725 Welcome NWAS Staff  
  0730 Airway Management in the Trauma Patient: Dogma and Controversy T.Grissom  
  0830 Traditional Versus Video Laryngoscopy: Time to Throw Away Your Laryngoscope? T.Grissom  
  0930 Break
  0945 I've Got them Intubated: Now How Do I Get This Tube Out? L.Clark  
  1045 NPO 8 Hours or Not? L.Clark  
  1145 Fire in the OR: A Hot Topic L.Clark  
  1245 Adjourn
1 Pharmacology Hours

Tuesday, October 5

  0700 Registration - Mandatory Sign In - Continental Breakfast
  0730 Blocks for the Thorax and Abdomen for Acute Pain Management L.Clark  
  0830 Lipid Emulsions Guidelines for Local Anesthetic Toxicity and Other Drugs L.Clark  
  0930 Break
  0945 There Is a Fracture, I Need to Fix It: Management and Operative Timing for Orthopedic Trauma T.Grissom  
  1045 Blood Pressure Targets: How Bad Is Hypotension in the OR? T.Grissom  
  1145 Introduction to Patient Blood Management J.Waters  
  1245 Adjourn
2.1 Pharmacology Hours

Wednesday, October 6 - Open Day

Thursday, October 7

  0700 Registration - Mandatory Sign In - Continental Breakfast
  0730 Pheochromocytoma: What if You Don't Know? L.Clark  
  0830 Some Things We Do in Anesthesia for Really No Reason, Why Do We Continue To Do This? L.Clark  
  0930 Break
  0945 Neuraxial Anesthesia and Coagulation Function J.Waters  
  1045 Acid-Base Theory: A New Understanding J.Waters  
  1145 My Next Patient Is on What!?!?! ECMO in the Operating Room T.Grissom  
  1245 Adjourn
0.9 Pharmacology Hours

Friday, October 8

  0700 Registration - Mandatory Sign In - Continental Breakfast
  0730 The Night the Lights Went Out: Disaster in the OR Case Discussion J.Waters  
  0830 Ketamine: Sooner or Later, Everything Old Is New Again T.Grissom  
  0930 Break
  0945 Top Ten Anesthesia Papers in the Last Year: How Will They Affect Your Practice? T.Grissom  
  1045 Management of Obstetrical Hemorrhage J.Waters  
  1145 Massive Transfusion Protocol and Damage Control Resuscitation J.Waters  
  1245 Adjourn
1.5 Pharmacology Hours

20 CME

20 Class A CE

5.5 Pharmacology Hours†

Refreshments served at the meeting are for registered attendees only.
Rev. 6/17/21


Laura D. Clark, MD
Professor of Anesthesiology
Chairman of the Institutional Review Board
Director of Acute Pain and Regional Anesthesia
Department of Anesthesiology and Perioperative Medicine
University of Louisville School of Medicine
Louisville, Kentucky

Thomas E. Grissom, MD, MSIS, FCCM
Associate Professor, Department of Anesthesiology
University of Maryland School of Medicine
Division of Trauma Anesthesiology
R Adams Cowley Shock Trauma Center
Baltimore, Maryland

Jonathan H. Waters, MD
Chief, Department of Anesthesiology, Magee-Womens Hospital of UPMC
Professor of Anesthesiology and Bioengineering, University of Pittsburgh
Vice Chair, Clinical Research, Department of Anesthesiology, University of Pittsburgh
Medical Director, Patient Blood Management program of UPMC
Pittsburgh, Pennsylvania


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 American Association of Nurse Anesthesiology for 20 Class A CE credits; Code Number 1040638; Expiration Date 10/8/2021.

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.


We reserve the right to cancel a course for any reason. In such case, a minimum of 30 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 airfare, hotel, or other liabilities you may incur. We highly recommend purchase of travel insurance. Travel at your own risk.


$100 August 23, 2019 to August 23, 2019. No refund after August 23, 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.

FAP (Frequent Attendee Points)

FAP lets you accumulate points based on dollars spent with NWAS including 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! 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 (booking fees may apply.) 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.