Visit the most vibrant ports of Mexico while you cruise in style and comfort aboard Holland America’s Nieuw Amsterdam.


  Day Date Port Arrive Depart
  Sun Mar 17 San Diego, California, US 05:00PM
  Mon Mar 18 At Sea
  Tue Mar 19 Cabo San Lucas, Mexico 10:00AM 06:00PM
  Wed Mar 20 Mazatlan, Mexico 08:00AM 06:00PM
  Thu Mar 21 Puerto Vallarta, Mexico 08:00AM 10:00PM
  Fri Mar 22 At Sea
  Sat Mar 23 At Sea
  Sun Mar 24 San Diego, California, US 07:00AM

Sunday, March 17 – San Diego, California – Embark

San Diego, CaliforniaSan Diego is a world-renowned vacation destination that is vibrant and refreshingly easy to navigate. The region is dotted with over 90 golf courses, including Torrey Pines. Enjoy numerous casinos, world class shopping and dining, and simple pleasures like a stroll along the bay front, a hike in a nature preserve, or a bonfire on the beach.

With 70 miles of breathtaking beaches, spectacular mountains and deserts, there is plenty to see and do. The Gaslamp District boasts 94 historic Victorian Era-themed buildings in the one-square-mile area.

Monday, March 18 – Cruising the Pacific Ocean

Cruising the Pacific OceanTake advantage of the many onboard amenities while you sail across the Pacific Ocean. Take a dip in the pool, sun yourself on deck with a good book, or try the delicious offerings at one of the onboard restaurants.

Tuesday, March 19 – Cabo San Lucas, Mexico

Cabo San Lucas, MexicoKnown for its beaches, water activities and nightlife, Cabo San Lucas has a well-known reputation for living the high life. Go jet-skiing, banana-boating, parasailing, kitesurfing, horseback-riding, or dive the coral reefs in the Sea of Cortez. Hungry? Stop in to a local bar, club, or restaurant for cheap margaritas, tacos, and seaside favorites.

Wednesday, March 20 – Mazatlán, Mexico – Day Open

Mazatlán, MexicoYou will certainly love Mazatlán, a destination that combines sun and sand with the architectural richness found in its historic downtown. Neoclassical and French Baroque styles provide a unique beauty among all the typical tourist destinations.

Stroll Machado Square and enjoy its gardens and shops, or partake in high-end taco creations and surf’n’turf at one of many fine restaurants available. Watch the surfers, boogie boarders, and fishermen at their craft along Playa Olas Altas. Relax, set out a towel and enjoy the good weather and sunshine.

Thursday, March 21 – Puerto Vallarta, Mexico – Day Open

Puerto Vallarta, MexicoWalking, shopping, and sipping along the Malecon boardwalk is the best way to spend your day here in Puerto Vallarta. Hit the cobblestone streets of Old Vallarta to browse the flea market for handmade crafts, or wade through the calm, warm waters of the Bay of Banderas, an excellent diving spot.

Watch artists sculpt wonderful creations in the sandy beaches, or browse the fine art galleries in El Centro. Find the perfect souvenir amongst the vendors of Old Town Market Viejo Vallarta and Mercado Municipal.

Friday, March 22 – At Sea

Saturday, March 23 – At Sea

Sunday, March 24 – San Diego, California – Disembark

The Ship: ms Nieuw Amsterdam

The 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.

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 $700 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 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.

Clinical Concerns in Anesthesia
7-Night Mexican Riviera Cruise March 17-24, 2019

Sunday, March 17 - San Diego, California - Embark

  1700 Ship sails (Subject to change)

Monday, March 18 - Cruising the Pacific Ocean

  0830 Registration - Mandatory Sign-In
  0840 Welcome NWAS Staff  
  0845 AHA/ACC Guidelines for Noncardiac Surgery J.Kaplan  
  0945 Role of Echocardiography in Noncardiac Surgery J.Kaplan  
  1045 Break
  1100 The Metabolic Syndrome and the Obese Patient A.Wadhwa  
  1200 Key Issues for Safe Anesthesia in the Morbidly Obese A.Wadhwa  
  1300 Lunch Break
  1400 Cardiovascular Pharmacology I: Treatment of Myocardial Ischemia J.Kaplan  
  1500 Cardiovascular Pharmacology II: Heart Failure Therapy J.Kaplan  
  1600 Adjourn
3.2 Pharmacology Hours

Tuesday, March 19 - Cabo San Lucas, Mexico

  0700 Registration - Mandatory Sign-In
  0715 Patients with CIEDs, VADs, or Previous Cardiac Transplants for Noncardiac Surgery J.Kaplan  
  0815 Goal-Directed Fluid Therapy and Surgical Outcomes J.Kaplan  
  0915 Adjourn
0.8 Pharmacology Hours

Wednesday, March 20 - Mazatlán, Mexico - Day Open


Thursday, March 21 - Puerto Vallarta, Mexico - Day Open


Friday, March 22 - At Sea

  0830 Registration - Mandatory Sign-In
  0845 Essential Knowledge of Sleep Disordered Breathing A.Wadhwa  
  0945 Multimodal Analgesia in Morbidly Obese A.Wadhwa  
  1045 Break
  1100 Congenital Heart Disease in Adults for Noncardiac Surgery J.Kaplan  
  1200 Valvular Heart Disease and Uncommon Cardiac Diseases During Surgery J.Kaplan  
  1300 Lunch Break
  1400 NMDA Antagonists in Perioperative Care A.Wadhwa  
  1500 Anatomy of Upper Limb Blocks A.Wadhwa  
  1600 Adjourn
3.4 Pharmacology Hours

Saturday, March 23 - At Sea

  0845 Registration - Mandatory Sign-In
  0900 Anatomy of Lower Limb Blocks A.Wadhwa  
  1000 Postoperative Nerve Injury: How to Deal With Them? A.Wadhwa  
  1100 Cardiac Patients for Thoracic Noncardiac Surgery J.Kaplan  
  1200 Lunch Break
  1315 PBLD: Welcome to the Hybrid OR J.Kaplan  
  1415 Postoperative Nausea and Vomiting: Do We Still Need to Talk About This? A.Wadhwa  
  1515 Medical Errors and Disclosure of Harmful Medical Errors A.Wadhwa  
  1615 Adjourn
1.6 Pharmacology Hours



20 CME

20 Class A CEC

9.0 Pharmacology Hours†


Sunday, March 24 - San Diego, California - Disembark


Joel A. Kaplan, MD
Journal of Cardiothoracic and Vascular Anesthesia
Kaplan’s Cardiac Anesthesia for Noncardiac Surgery
Professor of Clinical Anesthesiology
University of California at San Diego and University of Louisville
Dean Emeritus, School of Medicine
University of Louisville
Louisville, Kentucky

Anupama N. Wadhwa, MBBS, DA, MSc
Medical Director
Chief of Anesthesiology, Norton Brownsboro Hospital
President Elect, International Society for the Perioperative Care
of the Obese Patient (ISPCOP)
President, Kentucky and Indiana Society of Physicians of Indian Origin
Louisville, Kentucky


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 #1036378; Expiration Date 3/23/2019.

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), 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.


$100 between January 16, 2019 and February 15, 2019. No refund after February 15, 2019; however, 50% of tuition paid may be applied toward tuition for another NWAS program within the next 12 months. Cancellation must be 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 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.