San Diego, California

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San Diego is a world-renowned vacation destination that is vibrant and refreshingly easy to navigate. The region offers a host of attractions including the San Diego Zoo and San Diego Zoo’s Wild Animal Park, SeaWorld San Diego, LEGOLAND California, Balboa Park (the nation’s largest urban cultural park and home to 15 museums), Mission Bay (the largest man-made aquatic park in the country), and the USS Midway Museum to name a few.

In addition, the region is dotted with over 90 golf courses, including Torrey Pines (home of the 2008 U.S. Open). Enjoy numerous casinos, world class shopping and dining, and simple pleasures like a stroll along the bay front, a hike in a nature preserve, or a bonfire on the beach. With 70 miles of breathtaking beaches, spectacular mountains and deserts, there is plenty to see and do.

The Gaslamp District, named for the gas lamps that once lined the streets, is the place to be, boasting 94 historic buildings in the one-square-mile area. Victorian Era-themed, these distinctive buildings set the stage for the best dining, shopping, entertainment, and nightlife in town.

Hotel Solamar

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A celebration of sun and sea, Hotel Solamar is a downtown San Diego Kimpton boutique hotel that reflects it’s dynamic San Diego Gaslamp District location. The hotel is centered in one of San Diego’s most vibrant neighborhoods, one block from PETCO Park, two blocks from San Diego’s trolley, and surrounded by an amazing collection of cultural and leisure attractions.

Stay fit at Hotel Solamar’s complimentary 4th floor fitness room or do some laps in the heated outdoor pool. Enjoy complimentary evening wine hour featuring complimentary organic morning coffee and tea service in the lobby living room. Deluxe guestrooms include 1 King or 2 Queen beds (based on availability), LCD flat screen television, plush linens, Gilchrist & Soames bath amenities, laptop friendly safe, fully stocked honor bar, yoga mat, and more. Take part in the wellness programs, take a free bike out for a spin around town, or relax with an in-room spa service. Delight in the hosted SoCal hour each evening that features local brews and Kimpton’s traditional wines.

Adjacent to Hotel Solamar, Jsix is a bustling restaurant featuring California Coastal cuisine inspired by the freshest of seafood, artisan produce, and ingredients from nearby farms. LOUNGEsix, located on the rooftop deck of the hotel, is a tropical urban oasis overlooking downtown San Diego and the bay. Hotel Solamar is located just three miles from the San Diego International Airport.

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 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.

Anesthesia Update
San Diego, California
August 1-4, 2019

Thursday, August 1

  0630 Registration - Mandatory Sign In - Continental Breakfast
  0655 Welcome NWAS Staff  
  0700 Perioperative Optimization of Cardiovascular Disease in Patients Undergoing Non-cardiac Surgery S. Rajagopalan  
  0800 Cardiac Implantable Electronic Devices S. Rajagopalan  
  0900 Update on Coronary Stents and Perioperative Management B. Gaitan  
  1000 Break
  1015 Management of LVAD Patients for Noncardiac Surgery B. Gaitan  
  1115 Emergency Airway Management A. Minokadeh  
  1215 Airway Management Considerations in the Morbidly Obese Patient A. Minokadeh  
  1315 Adjourn
0.8 Pharmacology Hours

Friday, August 2

  0630 Registration - Mandatory Sign In - Continental Breakfast
  0700 Obstructive Sleep Apnea and Sleep Disordered Breathing in the Hospital A. Minokadeh  
  0800 Contrast Reaction and Cardiac Arrest Management A. Minokadeh  
  0900 Enhanced Recovery After Surgery S. Rajagopalan  
  1000 Break
  1015 What's New in Trauma? Damage Control Resuscitation Strategies to Manage "Lethal Triad" S. Rajagopalan  
  1115 Anesthesia in the Electrophysiology Lab: Catheter-Based Procedures B. Gaitan  
  1215 Anesthesia in the Electrophysiology Lab: Device-Based Procedures B. Gaitan  
  1315 Adjourn
1.3 Pharmacology Hours

Saturday, August 3

  0630 Registration - Mandatory Sign In - Continental Breakfast
  0700 QT Interval Prolongation: Review and Implications in the Perioperative Period B. Gaitan  
  0800 Oldies but Goodies: Revisiting the `Why' Behind Everyday Anesthesia Routines B. Gaitan  
  0900 Anesthetic Management of Traumatic Brain Injury S. Rajagopalan  
  1000 Break
  1015 Maternal Early Warning Signs: Patient Safety Protocol S. Rajagopalan  
  1115 Perioperative Positive Airway Pressure (PAP) for the Surgical Patient A. Minokadeh  
  1215 Practical Review of Hemodynamic Medications A. Minokadeh  
  1315 Adjourn
1.9 Pharmacology Hours

Sunday, August 4

  0630 Registration - Mandatory Sign In - Continental Breakfast
  0700 Hard Lessons Learned From Unexpected Bad Outcomes: Part I J.Drummond  
  0800 Hard Lessons Learned From Unexpected Bad Outcomes: Part II J.Drummond  
  0900 Anesthesia for Ophthalmic Surgery: Part I B. Gaitan  
  1000 Break
  1015 Anesthesia for Ophthalmic Surgery: Part II B. Gaitan  
  1115 Point-of-Care Ultrasound for the Anesthesia Provider A. Minokadeh  
  1215 Trauma Anesthesia for the Elderly A. Minokadeh  
  1315 Adjourn 1.4 Pharmacology Hours  

24 CME

24 Class A CEC

5.4 Pharmacology Hours†

  Refreshments served at the meeting are for registered attendees only.  


John C. Drummond, MD, FRCPC
Professor, Department of Anesthesiology
University of California, San Diego
Staff Anesthesiologist, VA Medical Center
San Diego, California

Brantley D. Gaitan, MD
Assistant Professor of Anesthesiology
Consultant, Division of Cardiovascular and Thoracic Anesthesiology
Department of Anesthesiology
Mayo Clinic College of Medicine
Phoenix, Arizona

Anushrivan Minokadeh, MD
Clinical Professor of Anesthesiology
Division Chief, Critical Care Medicine
University of California San Diego, School of Medicine
San Diego, California

Suman Rajagopalan, MD
Associate Professor, Department of Anesthesiology
Director, Pre-Anesthesia Clinic and Testing Center
Baylor College of Medicine
Houston, Texas


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: This program has been prior approved by the AANA for 24 Class A CEC; AANA Code #1036783; Expiration Date 8/4/2019.

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 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 June 2, 2019 to July 2, 2019. No refund after July 2, 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 Kilmer: 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.