Reykjavik, Iceland

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Reykjavík is the gateway to Iceland. A young-at-heart city with a long history, encircled by mountains and sea, it lies just minutes away from a magnificent unspoiled landscape thrown up and shaped by the energy of the earth. Whether you are looking for the excitement of a capital city or a quiet break in breathtaking scenery, Reykjavík has everything you could possibly want. This is an adventure playground of boiling mud pools, spurting geysers, glaciers and waterfalls. Iceland is the least densely populated country in Europe, with a pure, unpolluted and truly magical landscape.

In late spring, days lengthening until midsummer, when the sun dips down to the horizon but never sets. The magnificent countryside that surrounds the city also makes Reykjavík unique and provides the adventurous tourist with a wide variety of things to do. Salmon fishing, midnight golf, sailing, climbing, glacier trekking, horse riding and whale watching are all within easy reach of the capital and can easily fit into a day trip so that you can be back in the city in time for dinner.

Reykjavík has a buzzing art scene and offers a diverse range of cultural happenings and dynamic grassroots activities. It seems that the creative energy of the people living here knows no boundaries; painting, sculptures, photography, ceramics; everywhere you look small galleries and exhibition halls are filled with beautiful artwork. Icelandic musicians are first class and many of them have already attained international fame such as Björk, Mezzoforte, Sigurros, and Of Monsters and Men.

Iceland’s fashion industry is booming and young Icelandic designers have caught the attention of fashionistas in London, Paris and New York. Hand made clothes and accessories, some made of fish roe leather, and jewelery the likes of which are not available anywhere else.

Take a walk along Laugavegur, the main shopping street to take in the numerous boutiques, designer’s shops and art galleries that distinctive gifts for friends back home. When night falls, the boisterous nightlife begins. The many bars and clubs in the centrer are filled with life all weekend as jovial people horde into town for merrymaking. Iceland is easily accessible.

Situated in the middle of the Atlantic Ocean midway between Europe and North America with high frequency of flights to and from the country, Iceland is easy to reach. Our conference hotel is located approximately 28 miles from the Keflavík International Airport (KEF)

Hilton Reykjavik Nordica

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Set in the city center, the stylish Hilton Reykjavik Nordica hotel is one of the city’s most popular destinations for tourists, business travelers and locals alike. The hotel's central location provides a great base from which to discover the capital, and makes it easy to travel further afield and explore Iceland’s unspoiled natural landscapes. Enjoy Hilton style, service and quality, with the comfort and amenities you expect, and the extras you deserve. Relax in the on-site spa, sauna, and hot tubs after enjoying a rigorous workout in the fitness center. Later on, wine and dine at the open kitchen-style restaurant VOX restaurant and bar for contemporary Icelandic and Scandinavian cuisine. Guest rooms are bright and spacious, offering large, opening windows, work area, complimentary Wi-Fi and LCD TV.

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 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 Anesthesia Practice
Reykjavik, Iceland
May 27-31, 2019

Monday, May 27

  0700 Registration - Mandatory Sign In*
  0725 Welcome NWAS Staff  
  0730 Traumatic Shock: The Anesthesia Provider's and the Intensivist's Point of View L.Pelinka  
  0830 Treating Traumatic Shock: What's New? L.Pelinka  
  0930 Break
  0945 My Next Patient Is on What!? ECMO in the Operating Room T.Grissom  
  1045 Damage Control Radiology in Trauma: What the Anesthesia Provider Needs to Know T.Grissom  
  1145 Anesthesia Journals Update: Key Articles for All Anesthesia Practitioners J.Leslie  
  1245 Adjourn 2.9 Pharmacology Hours  

Tuesday, May 28

  0715 Registration - Mandatory Sign In*
  0730 Anesthesia Management of the Cardiac Patient for Noncardiac Surgery J.Leslie  
  0830 Go No Go For Anesthesia? J.Leslie  
  0930 Break
  0945 Problems in the PACU: Is It Serotonin Syndrome? L.Pelinka  
  1045 Is There a Medical Professional on Board This Aircraft? L.Pelinka  
  1145 Ketamine: Sooner or Later, Everything Old is New Again T.Grissom  
  1245 Adjourn 2.8 Pharmacology Hours  

Wednesday, May 29 - Open Day

Thursday, May 30

  0715 Registration - Mandatory Sign In*
  0730 Anesthetic Considerations for Care of the Patient With Traumatic Brain Injury T.Grissom  
  0830 Perioperative Considerations for the Patient With Spinal Cord Injury T.Grissom  
  0930 Break
  0945 Anesthesia and Alzheimer's Disease J.Leslie  
  1045 Is There an App for That: Anesthesia REALLY Smart Phones? J.Leslie  
  1145 Sugammadex: My Favorite Doughnut L.Pelinka  
  1245 Adjourn 2.5 Pharmacology Hours  

Friday, May 31

  0715 Registration - Mandatory Sign In*
  0730 NOAC Reversal Agents: A Dream Come True? L.Pelinka  
  0830 The Most Common Drug-Related Errors: How Can We Improve? L.Pelinka  
  0930 Break
  0945 Management of the Septic Patient: Bringing the ICU Into the OR T.Grissom  
  1045 Comfortably Numb: Recognizing and Managing Delirium in the Hospitalized Patient T.Grissom  
  1145 Problem-Based Anesthesia: 20+ Cases When I Learned Something New! J.Leslie  
  1245 Adjourn 3.1 Pharmacology Hours  

20 CME

20 Class A CEC

11.3 Pharmacology Hours†

*Please plan to eat breakfast prior to the meeting.


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

John B. Leslie, MD, MBA
Professor of Anesthesiology
Mayo Clinic College of Medicine
Phoenix, 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 #1036328; Expiration Date 5/31/2019.

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: 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 March 28, 2019 to April 27, 2019. No refund after April 27, 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 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.