Minneapolis, Minnesota

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With its gleaming skyscrapers set amid glittering lakes, Minneapolis makes for a fun getaway. A truly year-round destination, the city offers activities for every season. Explore the downtown area through more than seven miles of glass-enclosed skyways which create a lively thoroughfare filled with specialty shops, restaurants and services. The Mall of America offers a massive shopping experience, with dining and entertainment options for every member of the family.

Art enthusiasts will be well occupied at the Minneapolis Art Institute, Walker Art Center and the Frederick R. Weisman Art Museum, all of which host world-renowned collections. Minneapolis’ theater scene is also thriving. With more than thirty theaters, there are more seats here per capita than any U.S. city except New York. See a Broadway show and enjoy dinner and live jazz at a fabulous restaurant. With kids in tow, check out the Science Museum of Minnesota, where visitors can produce their own video, or come face to face with a shark at the UnderWater Adventures Aquarium.

Known as “The City of Lakes,” Minneapolis has 22 lakes located within city limits and many more in the surrounding area. In town, locals and tourists skate or stroll around Lake Calhoun, stopping for ice cream along the way. Just outside of town, Fort Snelling State Park offers outdoor recreational activities from hiking to biking and golf to boating. No matter when you visit, Minneapolis offers more than enough for everyone to enjoy.

Kimpton Grand Hotel Minneapolis

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Midwestern hospitality and elegant sophistication meld in this downtown Minneapolis boutique hotel. Anchored in a classic architectural context, historic spaces have been enhanced with moody, cosmopolitan design elements and thoughtful amenities that elevate every experience. In the heart of downtown, and surrounded by the city’s top entertainment, retail and culinary finds, guests discover grand-scale guestrooms marked by luxury and indulgent comfort.

Added perks include access to a 60,000 sqft. athletic club, an intimate bar and lounge, and the Minneapolis Skyway System which puts the entire magnificent city at your fingertips. Enjoy health-conscious features such as complimentary bike rental and yoga mats in every room. Unwind with spa services at LifeSpa and Salon, or cocktails and snacks in The SIX15 Room, and take advantage of complimentary treats from morning coffee/tea to a hosted wine hour each evening.

Decadently large guestrooms utilize rich materials and handsome furnishings to convey a sense of timeless decadence and modern comfort. Think tall beds, rich leather chairs, deep windows and plenty of square footage in which to reboot or finish up work. Guest rooms feature flat screen TV, Soundflow wireless audio alarm clocks, luxury bath amenities, comfy animal print robes, laptop size safe, mini-bar and more.

The Kimpton Grand Hotel Minneapolis is located approximately 12 miles from the Minneapolis-St. Paul International Airport (MSP). Overnight parking for guests is $41 per day, with in and out privileges (subject to change).

Email us at info@nwas.com 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.

Topics in Anesthesia
Minneapolis, Minnesota
September 6-9, 2018

Thursday, September 6

  0630 Registration - Mandatory Sign In - Continental Breakfast
  0655 Welcome and Announcements NWAS Staff  
  0700 Preoperative Optimization of the Pediatric Patient J.Sanders  
  0800 Pediatric Anesthesia: Dangerous Perioperative Problems and Their Prevention J.Sanders  
  0900 Perioperative Beta Blockade S.Khoche  
  1000 Break
  1015 Noncardiac Surgery in Patients With LVADs and Heart Transplants S.Khoche  
  1115 Anesthesia for Major Spine Surgery K.Domino  
  1215 Postoperative Delirium: Prevention and Management K.Domino  
  1315 Adjourn
3.1 Pharmacology Hours

Friday, September 7

  0630 Registration - Mandatory Sign In - Continental Breakfast
  0700 Occupational Hazards for Anesthesia Providers K.Domino  
  0800 Safety of Sedation and NORA K.Domino  
  0900 Obstructive Sleep Apnea J.Sanders  
  1000 Break
  1015 Diabetic Management in Anesthesia J.Sanders  
  1115 New Drugs in the Cardiothoracic Anesthesia World S.Khoche  
  1215 Vasopressors and Inotropes S.Khoche  
  1315 Adjourn
3.0 Pharmacology Hours

Saturday, September 8

  0630 Registration - Mandatory Sign In - Continental Breakfast
  0700 Measurement of Cardiac Output S.Khoche  
  0800 Anesthesia for Pulmonary Hypertension and RV Failure S.Khoche  
  0900 Anesthesia Closed Claims: New Findings K.Domino  
  1000 Break
  1015 Closed Claims Project: Lessons for the Ambulatory Provider K.Domino  
  1115 Regional Anesthesia in Children J.Sanders  
  1215 Preventing Perioperative Cardiac Arrest in Children J.Sanders  
  1315 Adjourn
1.4 Pharmacology Hours

Sunday, September 9

  0630 Registration - Mandatory Sign In - Continental Breakfast
  0700 Fluids as Drugs: How Much and What Type? J.Sanders  
  0800 Ethics and Anesthesia J.Sanders  
  0900 Anesthesia for Hybrid OR Procedures S.Khoche  
  1000 Break
  1015 Monitors in Anesthesia S.Khoche  
  1115 How to Avoid a Lawsuit After an Adverse Outcome K.Domino  
  1215 Case Discussions From the Closed Claims Project K.Domino  
  1315 Adjourn
1.1 Pharmacology Hours

24 CME

24 Class A CEC

8.6 Pharmacology Hours†

Refreshments served at the meeting are for registered attendees only.


Karen B. Domino, MD, MPH
Professor of Anesthesiology and Pain Medicine
Adjunct Professor of Neurological Surgery
University of Washington School of Medicine
Vice Chair for Clinical Research
Department of Anesthesiology and Pain Medicine
University of Washington
Staff Anesthesiologist
Harborview Medical Center and University of Washington School of Medicine
Seattle, Washington

Swapnil Khoche, MBBS, DNB, FCARCSI
Assistant Clinical Professor
University of California, San Diego
San Diego, California

John C. Sanders, FRCA, MBBS, BA, MA
Attending Anesthesiologist
Shriners Hospitals for Children, Salt Lake City
Associate Professor, Pediatric Anesthesiology, University of Utah
Salt Lake City, Utah


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: Certified Registered Nurse Anesthetists: This program has been prior approved by the AANA for 24 Class A CEC; AANA Code #1036373; Expiration Date 9/9/2018.

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.


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 July 8, 2018 to August 7, 2018. No refund after August 7, 2018; 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) 456-7887 - Email: kellee@universaltravel1.com


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.