Video Links:

Excellent tutorials included in this program:

Geometrical Method Applied to an Orbital Block

Ophthalmic Eye Block Techniques


With over 40 million visitors every year, Orlando has long been one of the most popular vacation spots in the country. Most people automatically think of the Mouse, but Orlando has a lot more to offer no matter what you like to do on vacation. There’s golf, shopping, nearby beaches, large theme parks and exciting nightlife. Orlando is not just for kids anymore! From the thrill of new attractions at the world-famous theme parks and restaurants serving scrumptious foods to enlightening cultural excursions, Orlando offers a completely new vacation experience for first-time and repeat visitors.

Here’s just a few of the attractions:

Universal Studios Escape and Island of Adventure + “Citywalk”; The Wizarding World of Harry Potter; Titantic - Ship of Dreams; SeaWorld; Disney World’s Animal Kingdom’s new “Asia”; Downtown Disney West Side, Cirque du Soleil; Test Track ride at Epcot; the Brevard Zoo; and the Dinamation dinosaur exhibit. Then there is the dining with entertainment. Orlando has the world’s largest Hard Rock Café, a Planet Hollywood, Harley Davidson, NASCAR Café, and almost every other theme restaurant that exists. In addition, there is a wonderful collection of ethnic eateries. For a complete list visit: http://www.visitorlando.com/attractions/
There is something for everyone in Orlando!

Hyatt Regency Grand Cypress

Discover one of Orlando’s most inviting escapes, Hyatt Regency Grand Cypress. Take advantage of on-site activities including 45 holes of Jack Nicklaus Signature Design golf, a racquet club, a 21-acre lake with water sports, a 1/2-acre lagoon swimming pool with waterfalls, waterslides, and Camp Hyatt children’s programs.

This family-friendly resort offers an ideal location adjacent to Disney World. Kids of all ages will love exploring area attractions. The resort has recently completed an extensive transformation with a modern restyling. Buena Vista View guest rooms feature 1 King or 2 Double beds (based on availability), balcony, flat screen TV, iHome stereo with iPod® docking station, hair dryer, iron/board, coffee/tea maker, cool box, and more.

Specially priced Disney tickets and other discounted offers:

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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 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.

Ophthalmic Regional Block Hands-on Workshop
Orlando, Florida
April 25-26, 2020

Saturday Schedule

  0730 Registration - Mandatory Sign In - Continental Breakfast
  0750 Welcome
NWAS Staff
  0800 Orbital Anatomy - Part I
    • Identify the six ocular muscles and describe their functions  
    • Track the pathways of the cranial, motor, and sensory nerves  
  0930 Break
  0945 Orbital Anatomy - Part II
    • List the major vessels of the orbit locating their anatomical positions  
    • Discuss the orbital-globe relationship  
  1015 Pharmacology for Ophthalmic Anesthesia
    • List the appropriate pharmacologic agents defining their application in ophthalmic anesthesia  
    • Review the distribution of local anesthetics throughout the orbit  
  1115 Ophthalmic Blocks (Orbital Epidural Blocks) - Part I
    • Describe an intraconal peri/retrobulbar block technique  
    • Describe an extraconal peribulbar block technique  
    • Apply a geometrical method to the orbital block  
  1230 Lunch Break (On your own)
  1345 Ophthalmic Blocks (Orbital Epidural Blocks) - Part II
    • Describe an orbicularis lid block  
    • Review topical, sub-Tenon, and intraocular blocks  
    • Review how to evaluate the competency of an ophthalmic block  
  1500 Hands-On Practice Session: Ophthalmic Blocks
    • Observe the demonstration of the ophthalmic blocks  
    • Demonstrate the correct technique for administration of the ophthalmic blocks on an orbital eye model simulator  
  1715 Review and Critique Ophthalmic Block Techniques
    • Review ophthalmic block technique videos  
    • Answer questions arising from the hands-on block session  
  1745 Adjourn Subtotal: 8.25 CME I / 8.25 Class A CE

Sunday Schedule

  0630 Registration - Mandatory Sign In - Continental Breakfast
  0700 Self-Testing: A Group Participation
• Review of the Orbital Anatomy
    • Identify faculty listed anatomical structures on a model of the eye
  0745 Complications and Sequelae - Part I
    • Recognize signs, symptoms, and treatment for a retrobulbar hemorrhage  
    • Recognize and treat CNS sequelae resulting in respiratory arrest or seizure  
  0900 Break
  0915 Complications and Sequelae - Part II
    • Review globe perforations and techniques to minimize their occurrence  
  1000 Managing the Awake Patient
    • Discuss the perioperative process  
    • Explain techniques to control the increased anxiety levels experienced by the patient  
    • Describe appropriate monitoring of the patient undergoing ophthalmic surgery  
  1100 Break
  1115 Risk Management and Quality Assurance
    • Review the overall risks involved in providing anesthesia services in an ophthalmic surgery center  
    • Demonstrate how clinical data can be used to validate the quality of patient care  
  1215 Medicare Fraud and Reimbursement for Ophthalmic Anesthesia
    • Identify areas of concern regarding Medicare fraud and abuse  
    • Describe current anesthesia reimbursement policies for ophthalmic procedures  
  1315 Adjourn Subtotal: 5.75 CME I / 5.75 Class A CE

14 CME

14 Class A CE

1.0 Pharmacology Hours†


Randy Harvey, BS, RRT, CRNA
Chief of Anesthesia and Department Manager
Florida Eye Clinic Ambulatory Surgery Center
Altamonte Springs, Florida

1986 - Founding Member the Ophthalmic Anesthesia Society (OAS), the purpose of which is to ensure that the highest quality anesthesia care is provided to patients undergoing cataract and other ophthalmic surgical procedures. He has served the OAS as a Scientific Board Member, Secretary and Co-Chair of the 2014 Annual OAS Meeting.

1987 – Mr. Harvey recognized a growing demand by ophthalmologists for anesthesia practitioners to perform ophthalmic blocks and began lecturing on the subject. He has since lectured extensively on ophthalmic anesthesia in seminars, including presentations to state and national anesthesia organizations. He has also presented training programs to private practice anesthesiology groups in Florida, Massachusetts, North Carolina, Texas, and Virginia.

1991 – He began the Ophthalmic Block Workshop in conjunction with NWAS. He also developed an orbital eye-model simulator which allows a hands-on experience for the participants. This program has run continuously for 27 years and has educated hundreds of anesthesiologists, CRNAs, and ophthalmologists in the art and science of ophthalmic anesthesia.

2008 – Geometrical Method Applied to an Orbital Block, Abstract presentation; Annual Meeting of the Ophthalmic Anesthesia Society.

1997, 2001, 2010, 2014 – Mr. Harvey authored a chapter on “Anesthesia for Ophthalmic Procedures” in the textbook Nurse Anesthesia (WB Saunders/Elsevier).

2016 – Randy Harvey has been selected as the recipient of the 31st Annual Alice Magaw Outstanding Clinical Anesthesia Practitioner Award by AANA. The Alice Magaw Outstanding Clinical Anesthesia Practitioner Award was established in 1986 to recognize the accomplishments of Certified Registered Nurse Anesthetists who are involved in direct patient care. The recipient of the award receives recognition by peers as a person who has made an important contribution to the advancement of nurse anesthesia practice.

Video Productions:
2007 Ophthalmic Eye Block Techniques

2011 Geometrical Method Applied to an Orbital Block (2013 Accepted and published by The American Academy of Ophthalmology on One Network) Mr. Harvey has performed well over 50,000 ophthalmic blocks in his career. He utilizes his more than 30 years of experience to educate the participants in the latest trends in ophthalmic anesthesia with didactic video simulator hands-on training and classroom discussion.


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 14 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 14 Class A CE; Code Number 1037988; Expiration Date 11/8/2020.

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 14 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 14 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, 45-31 days prior. No refund inside 30 days prior; 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: 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.

Click here for course and hotel registration