Grand Cayman, Cayman Islands

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One of the many attractions Grand Cayman has to offer is Seven Mile Beach. With sand stretching as far as the eye can see, it is rated as one of the most beautiful beaches in the entire Caribbean. Other attractions on Grand Cayman include the 65-acre Queen Elizabeth II Botanic Park, the National Trust’s Mastic Trail, the Cayman Islands National Museum in George Town, Pedro St. James Historic Site in Savannah, Boatswains Beach, blowholes in East End, and historic buildings now being restored. Rum Point is also not to be missed. An amazing variety of local treasures await you, including shell jewelry, thatch work, wood carvings, crocheted items, pepper sauces, tropical fruit jams, honey, and Caymanite figurines (Cayman’s semi-precious stone).

Cayman is recognized as the birthplace of Caribbean recreational diving. Today, it’s one of the world’s top dive destinations. Dive warm calm waters, 100-foot-plus visibility, and a breathtaking variety of marine life. See steep walls adorned with sponges and corals in a stunning array of colors, shallow reefs filled with schooling and solitary fish and small invertebrates, and wrecks featuring photogenic structures and curious marine residents.

There’s also the World’s Best 12-foot Dive—unique Stingray City. Silvery Tarpon hover motionless in mid-water surrounded by glittery Silversides and French Angelfish that fin in close to check you out. Watersports centers offer plenty of other ways to enjoy the ocean including kayaks, windsurfing boards, Hobie Cats, parasailing, water-skiing, and more. Marine life can even be viewed from a submarine. The activities and possibilities in Grand Cayman are endless and ready to be enjoyed!

Grand Cayman Marriott Beach Resort

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Centrally located on world-famous Seven Mile Beach, this oceanfront resort reflects tropical elegance delivered with exceptional service. All rooms feature private balconies, mini-fridge, marble bath, hair dryer, iron/board, high speed wireless Internet access (fee may apply), and luxurious linens.

Indulge yourself at La Mer Spa, which features world-renowned YonKa therapy. Enjoy gourmet cuisine, live music, and breathtaking views at the resort’s restaurants and lounges. The resort is landscaped with lush tropical gardens featuring a serene turtle lagoon, an oceanfront pool, and Jacuzzi. Located just 4 miles from the Grand Cayman airport (GCM).

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.

Anesthesia Update
Grand Cayman, Cayman Islands
June 17-21, 2019

Monday, June 17

  0700 Registration - Mandatory Sign In - Continental Breakfast
  0725 Welcome NWAS Staff  
  0730 The Patient With Cardiac Disease 1: Preop Clearance Is Not So Clear M.Murphy  
  0830 The Patient With Cardiac Disease 2: Management, Monitoring and Meds M.Murphy  
  0930 Break
  0945 Regional Anesthesia for Knee Arthroplasty: An Alternate View on Current Controversies R.Raw  
  1045 Regional Anesthesia Options for Hip Surgery R.Raw  
  1145 Anesthesia for the Morbidly Obese: Physiology and Management L.Guzzi  
  1245 Adjourn
1.1 Pharmacology Hours

Tuesday, June 18

  0700 Registration - Mandatory Sign In - Continental Breakfast
  0730 Enhanced Recovery After Surgery: General Guidelines L.Guzzi  
  0830 Enhanced Recovery After Surgery: Anesthesia Implications L.Guzzi  
  0930 Break
  0945 The Patient With Cardiac Disease 3: Stents and CIEDs in the Perioperative Period M.Murphy  
  1045 I Think I Remember My Surgery M.Murphy  
  1145 Regional Anesthesia and Severely Obese Patients R.Raw  
  1245 Adjourn
1.4 Pharmacology Hours

Wednesday, June 19 - Day Open


Thursday, June 20

  0700 Registration - Mandatory Sign In - Continental Breakfast
  0730 Regional Anesthesia Options for Abdominal Surgery R.Raw  
  0830 Anesthesia for the Advanced Geriatric Orthopedic Patient R.Raw  
  0930 Break
  0945 Nuclear, Biological and Chemical Bioterrorism: An Update for the Anesthesia Provider - Are You Ready? L.Guzzi  
  1045 Blast Injuries and Acute Lung Injury: An Anesthesia and Critical Care Review L.Guzzi  
  1145 Risk Management: The Minefields Where You Walk and Work M.Murphy  
  1245 Adjourn
0.9 Pharmacology Hours

Friday, June 21

  0700 Registration - Mandatory Sign In - Continental Breakfast
  0730 PBLD Case Discussion: Management of an Aged Person on Antithrombotic Therapy With Severe Aortic Stenosis, Needing Emergency Surgery for a Femur Fracture R.Raw  
  0830 Arterial Blood Gas Analysis and Interpretation: Part I L.Guzzi  
  0930 Break
  0945 Arterial Blood Gas Analysis and Interpretation: Part II L.Guzzi  
  1045 Review of the Recent Literature M.Murphy  
  1145 Ethics in Our Business M.Murphy  
  1245 Adjourn
0.8 Pharmacology Hours

20 CME

20 Class A CEC

4.2 Pharmacology Hours†

  Refreshments served at the meeting are for registered attendees only.  


Louis Guzzi, MD
Attending in Anesthesia and CCM
Clinical Professor of Anesthesia and CCM
Florida State University School of Medicine
FHMG Medical Group
Orlando, Florida

Mark T. Murphy, MD
MSN Education, LLC
St Petersburg, Florida
Medical Director
Northwest Anesthesia Seminars
Pasco, Washington

Robert Maurice Raw, MBChB, MPraxMed, MFGP, DA, FCA
Retired, Clinical Professor of Anesthesiology, to 2016
University of Iowa Carver College of Medicine
Director, Regional Anesthesia Study Center of Iowa, to 2016
Iowa City, Iowa


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 CE; AANA Code #1036511; Expiration Date 6/21/2019.

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), and the Georgia 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 April 18, 2019 to May 18, 2019. No refund after May 18, 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 Universal Travel. 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.