San Francisco, California

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San Francisco, our most requested destination, offers travelers two built-in advantages. It’s one of the most scenic cities in the world and one of the most compact. The Bay is spanned by two landmarks, the Golden Gate and San Francisco-Oakland Bay bridges, and is graced by four islands, Alcatraz, Angel, Yerba Buena, and Treasure. Great cleansing drafts from the Pacific wash the city in all seasons giving it an aura of perpetual spring.

Its principal attractions are the century-old cable cars, Fisherman’s Wharf, Alcatraz, Chinatown, Golden Gate Park, Mission Dolores, the pagoda-crowned Japan Center, the Victorian shopping sector known as Cow Hollow, Ocean Beach and Seal Rocks, Union Square, and North Beach. The city has more restaurants per capita than any other in the U.S. San Francisco also supports an opera with a glittering tradition, a world-class symphony orchestra, a ballet that has won international acclaim, an annual International Film Festival, four public art museums, dozens of galleries, and legitimate theaters presenting top offerings from New York, London, and the local production circuit.

The modern San Franciscan’s appetite for cultural phenomena outside America has fostered a demand for geographically-disorienting experiences from heart-stopping Spanish flamenco dance to moody French noir films and ancient Mesopotamian cuisine to utterly proper English high tea. San Francisco lies within easy driving distance to the High Sierra resorts of Lake Tahoe and Yosemite, the Monterey/Carmel peninsula, California’s wine country, the Redwood Empire, and the spectacular Mendocino Coast. San Francisco’s visitors have access to a wide range of sightseeing services, including bus tours, boat tours, museum tours, night club tours, personalized tours, self-guided tours, walking tours, and fishing excursions.

InterContinental Mark Hopkins San Francisco

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With a local legacy and grand architectural character that make it one of the most celebrated luxury hotels in San Francisco, the InterContinental Mark Hopkins is a landmark Nob Hill destination with breathtaking views of the Bay Area. Offering an experience of class and character, this historic hotel has been updated with modern amenities, high-tech features and elegant design. The InterContinental Mark Hopkins is ideally situated in the heart of the city with easy access to many of the area's top attractions, sightseeing, shopping, dining, entertainment and nightlife.

Enjoy an easy stroll to Chinatown, Union Square and the Financial District, or take a short ride to Fisherman's Wharf, the Mission District and Golden Gate Park. Soak in spectacular breathtaking views of the San Francisco skyline, Bay and the Golden Gate Bridge from the amazing penthouse lounge, the Top of the Mark. Located on the 19th floor of our grand hotel, this San Francisco restaurant with a view provides a 360-degree panorama along with a dance floor, signature martini menu and exciting events schedule that includes live music and performers several nights of the week. A popular local destination since its opening in 1939, Top of the Mark has hosted World War II servicemen, along with numerous celebrities and dignitaries. Join them and discover why this unique lounge with priceless views has continued to captivate visitors from all over the world.

Standard Rooms offer 312 square feet of space along with one king bed or two double beds (based on availability). Found on the lower floors of the hotel, Standard Rooms have neighborhood and limited city views. Enjoy crisp linens, a generous selection of pillows to choose from, Keurig coffee maker, clock radio, laptop safe, iron/board, mini-bar,bathrobes, slippers, deluxe bath amenities, and more.

The InterContinental Mark Hopkins  is located approximately 11 miles from the San Francisco International Airport (SFO) and 21 miles from the Oakland International Airport (OAK). Valet parking at the hotel is approximately $61.50,  overnight inclusive of tax. Other public pay lots are available in the area.

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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
San Francisco, California
May 7-10, 2020

Thursday, May 7

  0700 Registration - Mandatory Sign In - Continental Breakfast
  0725 Welcome NWAS Staff  
  0730 Anesthesia for the Burn Patient: A Review of Basic Pathophysiological Changes, J.Krystofinski  
  0830 Burn Anesthesia Techniques You May Never See? J.Krystofinski  
  0930 Break
  0945 The Airway: A Review of the Normal, the Abnormal, and the Difficult Airway Algorithm Pertaining to Clinical Practice and Legal Perspectives J.Krystofinski  
  1045 I've Got Them Intubated: Now How Do I Get This Tube Out? L.Clark  
  1145 Some Things We Do Anesthesia for Really No Reason, Why Do We Continue To Do This? L.Clark  
  1245 Adjourn
1.6 Pharmacology Hours

Friday, May 8

  0700 Registration - Mandatory Sign In - Continental Breakfast
  0730 Hypotension: Are We Ready to Raise the Bar? L.Clark  
  0830 The Diabetic Patient: Oral Hypoglycemic Agents and the New Insulins L.Clark  
  0930 Break
  0945 Opioid and Non-Opioid Medications: Alone and Together, A Pharmacological Review J.Krystofinski  
  1045 The Opioid Crisis and the Best Practice for the Patients on Methadone and Suboxone J.Krystofinski  
  1145 Synthetic "Newest Designer" Drugs and the Anesthetic Implications J.Krystofinski  
  1245 Adjourn
4.2 Pharmacology Hours

Saturday, May 9

  0700 Registration - Mandatory Sign In - Continental Breakfast
  0730 Positioning Problems You Hope to Never Encounter H.Patel  
  0830 Maternal Safety: What Is the Anesthesia Team's Role? H.Patel  
  0930 Break
  0945 Ambulatory Surgery on the Pediatric Patient: Are All Candidates Ideal? H.Patel  
  1045 I'm in the Basement: Anesthesia for Interventional Radiology and Endoscopy L.Clark  
  1145 What Antibiotic When? A Review of Antibiotics and Anesthetic Implications L.Clark  
  1245 Adjourn
2.8 Pharmacology Hours

Sunday, May 10

  0700 Registration - Mandatory Sign In - Continental Breakfast
  0730 What If You Are The Only Medical Person Around? L.Clark  
  0830 Update on the Guidelines for PACU L.Clark  
  0930 Break
  0945 Steroids and Surgery H.Patel  
  1045 Peripartum Cardiomyopathy H.Patel  
  1145 Implementation of Outpatient Total Knee Arthroplasty H.Patel  
  1245 Adjourn
1.9 Pharmacology Hours

20 CME

20 Class A CE

10.5 Pharmacology Hours†

Refreshments served at the meeting are for registered attendees only.
Rev. 1/23/20


Laura D. Clark, MD
Professor of Anesthesiology
Chairman of the Institutional Review Board
Director of Acute Pain and Regional Anesthesia
Department of Anesthesiology and Perioperative Medicine
University of Louisville School of Medicine
Louisville, Kentucky

Jill M. Krystofinski, CRNA, MSN
Staff and Lead Burn CRNA
Lehigh Valley Anesthesia Services, P.C.
Lehigh Valley Health Network
Allentown, Pennsylvania

Hemal Patel, MD
Medical Director
Epix Healthcare
Memorial Health HCA
Associate Professor
Mercer University, School of Medicine
Savannah, Georgia


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 American Association of Nurse Anesthetists for 20 Class A CE credits; Code Number 1037875; Expiration Date 5/10/2020.

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 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 March 8, 2020 to April 7, 2020. No refund after April 7, 2020; 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.