San Antonio, Texas

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We invite you to a city unlike any other—San Antonio—a land of epic battles, flowing rivers and a flourishing culture. From the stones of the Alamo to the meandering paths of the River Walk, San Antonio takes you on a journey through a land as grand as its reputation.

Stroll the cobblestone sidewalks of the River Walk to uncover an outdoor theater with flamenco dancers and mariachis, nationally acclaimed museums, great nightlife, shopping and sidewalk cafes that offer everything from authentic Tex-Mex to worldly cuisines.

Here, diversity is a way of life, from the colors of the culture to a broad range of attractions.

While Hurricane Harvey brought winds and rain to the San Antonio area, the city was spared major damage that has been seen in other parts of the state. San Antonio is open for business and looking forward to continue welcoming visitors who enjoy all that we have to offer.

Hyatt Regency San Antonio Riverwalk

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With a spectacular location on the River Walk and overlooking the historic Alamo Mission, Hyatt Regency San Antonio offers luxurious accommodations and a full range of modern services and amenities for your comfort and convenience.

Step into the soaring 16-story atrium lobby and see how this inviting hotel brings the charm of the River Walk inside. Relax at the stunning rooftop pool and sun deck to soak up breathtaking panoramic vistas of San Antonio, get energized in the fully equipped StayFit™ Gym, or sign up for a rejuvenating health and beauty treatment at DASA, the hotel spa. Explore the world of barbeque at Q Kitchen | Bar , or enjoy an ice-cold beer at Q Bar, a laid-back sports lounge.

Newly renovated guestrooms feature 1 King or 2 Queen Hyatt Grand Beds® (based on availability), flat screen TV, work area, safe, coffee maker, iron/board, hairdryer, plus a modern bathroom with granite counter tops, luxury products and a full-size bathtub/shower combo and more. With genuine Texas hospitality and a prime location, this River Walk San Antonio hotel is the perfect place to learn, relax and begin your next adventure.

The Hyatt Regency San Antonio is located approximately 9 miles from the San Antonio International Airport (SAT). At the hotel, self-parking for guests is approximately $29, per day plus tax. Valet parking is approximately $39, per day plus tax. Rates include in-and-out privileges. Pricing subject to change without notice.

Email us at 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.

Current Challenges in Pediatric Anesthesia
San Antonio, Texas
December 5-8, 2019

Thursday, December 5

  0630 Registration - Mandatory Sign In - Continental Breakfast
  0655 Welcome NWAS Staff  
  0700 Trends and Thoughts on Pediatric Premedication W.Jones  
  0800 My Child Has a Cold, Should We Come in for Surgery? W.Jones  
  0900 The Pediatric Difficult Airway A.Perate  
  1000 Break
  1015 Acid-Base Physiology A.Perate  
  1115 Pediatric ERAS: Are We There Yet? A.Spencer  
  1215 Anaphylaxis A.Spencer  
  1315 Adjourn

Friday, December 6

  0630 Registration - Mandatory Sign In - Continental Breakfast
  0700 Perioperative Management of Common Congenital Heart Lesions for Noncardiac Surgery A.Spencer  
  0800 Pediatric Multimodal Analgesia A.Spencer  
  0900 Anesthesia in the First Ten Days of Life W.Jones  
  1000 Break
  1015 Radiologic Exams With Anesthesia: It's Not Like Taking Passport Photos W.Jones  
  1115 Perioperative Mass Casualty Preparedness A.Perate  
  1215 Disaster Medicine in Anesthesia A.Perate  
  1315 Adjourn

Saturday, December 7

  0630 Registration - Mandatory Sign In - Continental Breakfast
  0700 Pediatric Trauma A.Perate  
  0800 Pediatric Traumatic Brain Injury A.Perate  
  0900 PONV: A Look at Current Evidence and Novel Antiemetics A.Spencer  
  1000 Break
  1015 How Gastric Ultrasound Can Change Your Anesthetic Management A.Spencer  
  1115 LMA as Your Airway: But in an Adenotonsillectomy? W.Jones  
  1215 PBLD: The 5-Month-Old, Ex-Premature Infant for Inguinal Hernia Repair W.Jones  
  1315 Adjourn

Sunday, December 8

  0630 Registration - Mandatory Sign In - Continental Breakfast
  0700 Emergence Agitation and Delirium: From Prevention to Rescue A.Spencer  
  0800 Perioperative Use of Ultrasound: Is This All Hocus “POCUS”? A.Spencer  
  0900 Anesthesia for Pediatric Neuro-Oncology A.Perate  
  1000 Break
  1015 Thoracic Surgery in the Infant A.Perate  
  1115 Anesthesia and Fatigue: Just Let Me Close My Eyes a Minute W.Jones  

Social Media, Metadata, and the Post-Digital Age: Avoiding Legal Pitfalls with Patient Information

  1315 Adjourn    

24 CME

24 CEC

Pharmacology Hours TBD†

  Refreshments served at the meeting are for registered attendees only.  


William H. Jones, DO
Assistant Professor
Anesthesiology and Pain Management
UT Southwestern Medical Center
Director of Pediatric Anesthesiology Services
Children’s Medical Center of Dallas
Legacy Campus
Plano, Texas

Alison R. Perate, MD
Assistant Professor
Department of Anesthesiology and Critical Care Medicine
Perelman School of Medicine at the University of Pennsylvania and
The Children's Hospital of Philadelphia
Philadelphia, Pennsylvania

Adam Spencer, MD, MSc, FRCPC
Pediatric Anesthesiologist and Director of Acute Pain Services
Complex Pain Physician
Vi Riddell Complex Pain and Rehabilitation Centre
Alberta Children's Hospital
Clinical Assistant Professor, University of Calgary
Calgary, Alberta, Canada


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.

This course has been designated for 2 credit(s) of education in medical ethics and/or professional responsibility.

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 is designed to meet requirements for Class A CE credit. Once approved by AANA, this will be indicated.

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.


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 October 6, 2019 to November 5, 2019. No refund after November 5, 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.