Monterey, California

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Monterey highlights everything that’s best about California. Take a drive down Highway One, winding along the breathtaking Big Sur coastline, and experience the top road trip in the United States. Wander through Big Sur’s redwood groves or sip handcrafted wines at tucked-away tasting rooms where the winemaker might just be the person pouring. Take a surfing lesson or experience the wonders of the Monterey Bay National Marine Sanctuary by scuba diving, kayaking, or by glass bottom boat.

Play eighteen holes at legendary golf courses or just hang out at the nineteenth hole and watch the pros practice. See the amazing Monterey Bay Aquarium, as well as Fisherman’s Wharf and Cannery Row, made legendary by famous Salinas writer John Steinbeck, or go art gallery hopping in beautiful Carmel-by-the-Sea or buzzing Sand City. For an outdoor experience hike the wild trails of Big Sur or watch the hang gliders in Marina and Seaside.

Dine in centrally located Del Rey Oaks, relaxing in an old-fashioned, seaside home town among the Victorian cottages and Monarch butterflies of Pacific Grove. An abundance of locally procured ingredients and a year round growing season set the stage for truly unforgettable dining, noshing, and wanton sampling. Wherever you find interesting food in this area, you’re going to find great wine. The viticulture in the area is world-renowned and makes every meal an opportunity to challenge even the most refined olfactory skills and palates.

The Monterey Plaza Hotel & Spa

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The Monterey Plaza Hotel & Spa is perched dramatically over Monterey Bay and combines elegant European architecture, sweeping coastal views and sophisticated style to create the perfect vantage point from which to enjoy the gentle sounds of the surf, the fresh scent of sea air and the sight of otters, seals and dolphins at play. The Monterey Plaza’s central location on Cannery Row makes it easy to enjoy the area’s many attractions and activities.

All guestrooms feature plush terry robes, hair dryer, high speed wireless internet access, coffee maker, iron/board, wet bar, stocked mini-bar and refrigerator. The hotel offers 2 restaurants and a coffeehouse for your dining pleasure as well as 24 hour room service. All overnight guests (age 18+) have access to the newly remodeled rooftop fitness center and are invited to experience a relaxing treatment in the full-service, European Spa (treatments additional). Inland View rooms face historic Cannery Row, some with balconies.

Ocean View rooms are built directly over the water offering spectacular views of Monterey Bay with a picture window overlooking the Bay. Ocean View Balcony rooms offer a private balcony and dramatic panoramic views of Monterey Bay. Built directly over the water, you get the feeling you’re on a cruise ship.

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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.

Topics in Anesthesia
Monterey, California
April 2–5, 2019

Tuesday, April 2

  0700 Registration - Mandatory Sign In - Continental Breakfast
  0725 Welcome NWAS Staff  
  0730 AHA/ACC Guidelines for Noncardiac Surgery J.Kaplan  
  0830 Patients with CIEDs, VADs, or Previous Cardiac Transplants for Noncardiac Surgery J.Kaplan  
  0930 Break
  0945 Enigmas of a Mother's Heart: Peripartum Cardiomyopathy and Acute Myocardial Infarction During Pregnancy J.Kryc  
  1045 Anesthetic Management of Obstetric Emergencies J.Kryc  
  1145 Understanding Pharmacokinetics (PK) and Dynamics (PD) Through Computer Simulation: Stuff Every Clinician Should Know T.Egan  
  1245 Adjourn
2.8 Pharmacology Hours

Wednesday, April 3

  0700 Registration - Mandatory Sign In - Continental Breakfast
  0730 Pharmacodynamic Drug Interactions: Exploiting Hypnotic Opioid Synergy to Advantage in Clinical Practice T.Egan  
  0830 TIVA vs. Inhalation Anesthesia: A Practical Comparison T.Egan  
  0930 Break
  0945 Amniotic Fluid Embolism: Can We Affect the Outcomes? J.Kryc  
  1045 Epidural Anesthesia for Labor: A Delicate Dance Between Its Positive Role and Unwanted Side Effects J.Kryc  
  1145 GDT, ERA, and Perioperative Home for Cardiac Patients in Noncardiac Surgery J.Kaplan  
  1245 Adjourn
3.5 Pharmacology Hours

Thursday, April 4

  0700 Registration - Mandatory Sign In - Continental Breakfast
  0730 Fat Pharm: The Clinical Pharmacology of Intravenous Anesthetics in Obese Patients T.Egan  
  0830 Personalized Medicine: A Primer on How Genetics Will Change Perioperative Medicine T.Egan  
  0930 Break
  0945 The Cardiac Patient for Thoracic Noncardiac Surgery J.Kaplan  
  1045 Role of Echocardiography in Noncardiac Surgery J.Kaplan  
  1145 Substance Abuse During Pregnancy J.Kryc  
  1245 Adjourn
3.0 Pharmacology Hours

Friday, April 5

  0700 Registration - Mandatory Sign In - Continental Breakfast
  0730 From Symptoms to Biomarkers: A Change of Paradigms J.Kryc  
  0830 Malignant Hyperthermia: Some Like It Hot J.Kryc  
  0930 Break
  0945 Patient Safety and Avoiding Errors in Cardiac Patients J.Kaplan  
  1045 Congenital Heart Disease in Adults for Noncardiac Surgery J.Kaplan  
  1145 PBLD: Management of Patients With Cardiac Arrhythmias in the Perioperative Period J.Kaplan  
  1245 Adjourn
1.9 Pharmacology Hours

20 CME

20 Class A CEC

11.2 Pharmacology Hours†

Refreshments served at the meeting are for registered attendees only.


Talmage D. Egan, MD
Professor and Chair
KC Wong Presidential Endowed Professorship
Department of Anesthesiology
University of Utah
Salt Lake City, Utah

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

Joseph J. Kryc, MD, MBA
Adjunct Clinical Associate Professor of Anesthesiology
Banner University Hospital
Tucson, Arizona


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 #1036329; Expiration Date 4/5/2019.

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 February 1, 2019 to March 3, 2019. No refund after March 3, 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.