Nevis, West Indies

Nevis is one of the most unspoilt and relaxing islands in the Caribbean. Vividly green with blue skies, clean air and long empty beaches, Nevis has a pace of life that encourages you to stop and appreciate all the natural beauty around you. Boating tours and scuba diving expeditions are favorite activities here as is snorkeling, surfing, kayaking, water skiing, wind surfing and jet skiing. Quaint shopping areas and beautiful Colonial architecture draw visitors to browse for locally designed clothing, artwork, crafts, crystal, porcelain, jewelry, liquor, watches, and leather goods. Dining on Nevis is a delight. You can go local and sample the wide choice of delectable Caribbean dishes, particularly the fabulously fresh fish, or you can taste the world and enjoy a wonderful range of superb international cuisine.

Four Seasons Resort Nevis

Four Seasons Resort Nevis is located on the western side of the Caribbean island of Nevis, off the coast of Nevis offers 36 square miles of tranquil and untouched Caribbean, with no large cruise-ship ports, no traffic lights, no fast-food restaurants, no building taller than a coconut tree and a rich history that can be seen throughout the island.

The secluded Four Seasons Resort Nevis is just minutes from the cultural hub of downtown Charlestown, adventures on both land and sea, as well as steps from local hot spots and historic sugar-mill ruins. Offering a three mile pristine stretch of Pinney’s Beach, guests can enjoy swimming in the crystal clear blue water or just relaxing at one of three full size pools at the property. Seven restaurants and bars provide guests with endless dining options and the perfect location to enjoy a stunning Nevis sunset with a rum punch in hand. The Spa at Four Seasons Nevis is the center of tranquility with an expansive Spa Garden.

The Resort features a Championship Golf Course designed by Robert Trent Jones II and was rated by Condé Nast Traveler Reader’s Poll - Top Golf Resort in the Caribbean. The tennis facility offers multiple astro-turf, clay and hard surface courts, including a lit stadium court for exhibition games or night play. The Kids For All Seasons program will entertain children ages 3 to 9 years old, featuring supervised activities that range from learning about local animals to books, games, painting and scavenger hunts while you enjoy a little well-earned time for yourself.

Spacious run of house guest rooms range from 490-569 square feet and offer a fresh take on timeless Caribbean living, with private patios or balconies. Other guest room amenities include a full marble bathroom, safe, hair dryer, iron/board, luxurious bathrobes and slippers, newspaper with breakfast, bottled water at turndown, twice-daily housekeeping service and more.

Please note: The Four Seasons Resort Nevis requires a boat ride or flight to be reached from the island of St. Kitts. For those that reserve a room at The Four Seasons Resort Nevis, the resort will contact guests directly in the weeks prior to their arrival to ask for flight information. Transportation costs are not included in the guest room rates.

FROM ROBERT L. BRADSHAW INTERNATIONAL AIRPORT (SKB) ON ST KITTS: Arriving in St Kitts, a Four Seasons team member will greet your party at the luggage-claim area. From there, you’ll be introduced to a red-cap representative to assist with collecting your luggage. Once outside, you’ll be offered a chilled bottle of water as your bags are being checked off and tagged. When your party is ready, you will be taken on a breathtaking, 15-minute, scenic, countryside ride to Christophe Harbour. Upon arrival, enjoy a complimentary rum punch, fruit juice and other beverages before boarding Four Seasons guest speedboats to the Resort. You’ll arrive at the Resort’s on-property pier, where a staff member will greet you and escort you to your room or villa, where your luggage will also be delivered. Approximate cost: Round Trip $170 per Adult, $85 per child. Prices subject to change without notice.

FROM VANCE W. AMORY INTERNATIONAL AIRPORT ON NEVIS (NEV): When arriving into Nevis airport, you will be greeted by a Four Seasons representative who will help to expedite your arrival process and assist with your luggage. You and your party will be placed into a waiting taxi along with your luggage. After a short, seven-minute transfer, you’ll arrive at the Resort and be escorted to your room. Round-Trip Taxi Transfer Fee $75, per room.

Contact us here or call (800) 222-6927 • (509) 547-7065
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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
Nevis, West Indies
December 5-9, 2022

Monday, December 5

  0700 Registration - Mandatory Sign In - Continental Breakfast
  0725 Welcome NWS Staff  
  0730 Optimizing Direct Laryngoscopy R.Ball  
  0830 Awake Fiberoptic Intubation R.Ball  
  0930 Break
  0945 Pulmonary Hypertension and Right Heart Failure: Silent but Deadly Traps for the Unwary Anesthesia Provider J.Szalados  
  1045 Fun With PEEP: What Anesthesia Providers Should Know About Lung Recruitment J.Szalados  
  1145 Anesthetic Assessment of the Transgender Patient Presenting for Surgery E.Frost  
  1245 Adjourn

Tuesday, December 6

  0700 Registration - Mandatory Sign In - Continental Breakfast
  0730 Update on Care of the Patient With Head Trauma E.Frost  
  0830 Monitoring the Central Nervous System: New Gadgets - Do They Really Help? E.Frost  
  0930 Break
  0945 ASA, Plavix, and Coronary Stents R.Ball  
  1045 Cardiac Implantable Electronic Devices R.Ball  
  1145 Life in the Digital Age: Risks to You and Your Family in Everyday Technology J.Szalados  
  1245 Adjourn

Wednesday, December 7 - Day Open

Thursday, December 8

  0700 Registration - Mandatory Sign In - Continental Breakfast
  0730 The History and Science of Epidemics in the Time of CoVID J.Szalados  
  0830 The Anesthesiology Provider's Guide to Understanding and Treating CoVID Patients J.Szalados  
  0930 Break
  0945 Spinal Cord Injury and Its Surgery: From Stem to Stern E.Frost  
  1045 Rarities: Cases You Rarely Encounter That Have Anesthetic Implications E.Frost  
  1145 Postoperative Problems We Might Not Think About That Impact Care E.Frost  
  1245 Adjourn

Friday, December 9

  0700 Registration - Mandatory Sign In - Continental Breakfast
  0730 Non-Obstetric Anesthesia for the Parturient R.Ball  
  0830 Anesthesia for the Opioid Addicted Patient R.Ball  
  0930 Break
  0945 Anesthesia Management of Aortic Aneurysm Repairs R.Ball  
  1045 How We Decide: Understanding Cognitive Biases and Their Importance to Medical Errors J.Szalados  
  1145 Avoiding, Recognizing, and Managing Burnout J.Szalados  
  1245 Adjourn

20 CME

20 CE

Pharmacology Hours TBD†

Refreshments served at the meeting are for registered attendees only.
Rev. 9/20/22


Ryan D. Ball
Clinical Assistant Professor
Department of Anesthesiology
University of Pittsburgh Medical Center
Pittsburgh, Pennsylvania

Elizabeth Frost, MD
Clinical Professor of Anesthesia
Icahn Medical Center at Mount Sinai
New York, New York

James Emery Szalados, MD, JD, MBA, MHA,
Attorney and Counselor at Law
The Szalados Law Firm, Hilton, New York
Director, Surgical Critical Care and Surgical / Trauma Intensive Care Unit
Director, Neurocritical Care Program and Neurocritical Care Unit
Director, Telemedicine Critical Care Medicine Outreach Program
Adjunct Clinical Professor, Rochester Institute of Technology
Rochester General Hospital at Rochester Regional Health System
Rochester, New York


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: This activity contributes to the CME component of the American Board of Anesthesiology’s redesigned Maintenance of Certification in Anesthesiology™ (MOCA®) program, known as MOCA 2.0®. Please consult the ABA website,, for a list of all MOCA 2.0® requirements.

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 American Association of Nurse Anesthesiology for 20 Class A CE credits; AANA approval number 1041656; Expiration Date 12/09/2022.

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/NWS is an approved provider for the following state nursing boards: Arkansas State Board of Nursing (Provider Number 50-7480), 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).

The AANA is an approved provider by the California Board of Registered Nursing, CEP #10862.

This program offers 20 contact hours.

†Pharmacology hours subject to change.


Mark T. Murphy, MD, MSN Education, LLC, Treasure Island, Florida, Medical Director, Northwest 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 days notice will be given to those registered and 100% of tuition paid will be refunded. NWAS/NWS 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 October 6, 2022 to November 5, 2022. No refund after November 5, 2022; however, 50% of tuition paid may be applied toward tuition for another NWS/NWAS program within the next 12 months. Cancellation must be made in writing. No tuition credit or refund will be issued for attendees that are no-shows for the program.

FAP (Frequent Attendee Points)

We value your patronage and have a simple program to reward you. Our Frequent Attendee Points (FAP) program gives you an added bonus for money spent on our seminars, as well as cruise cabins booked through our in-house travel agency, Northwest Worldwide Travel.

You are automatically enrolled in this program with your paid registration. Click here for more information.

*Effective January 1, 2023, net hotel stays for 2023 and beyond will no longer be included in FAP calculations.

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.


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.

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