St. Andrews, New Brunswick, Canada

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Welcome to St. Andrews by-the-Sea, a beautiful maritime town of historic sites, museums, and natural wonders. Take a relaxing stroll and discover this quaint community where you’ll find a wide selection of galleries and art studios featuring local artists. Browse boutiques stocked full of spun crafts, hand-made jewelry, ceramics, textiles, and antiques. Families will enjoy the Fundy Discovery Aquarium where kids can learn about harbor seals, seahorses, skates, and other intertidal creatures. When it’s time to eat, dine on fresh seafood dishes of lobster, Atlantic salmon, clams, and more.

Excitement awaits for the adventurous with activities that include kayaking, hiking, swimming, and garden tours. Kingsbrae Garden, Cafe & Gift Shop, winner of a National and Provincial Award for horticultural, has been named one of Canada’s Top Ten Public Gardens. Enjoy 27 glorious acres with a Dutch windmill, alpacas, peacocks, and over 50,000 perennials in many themed gardens. St. Andrews is also home to The Great Canadian North Art Gallery, featuring paintings, pottery, native/Inuit art and artifacts, folk art, art glass, and antiques.

Students of history will enjoy the St. Andrews Blockhouse National Historic Site. Step back in time to an era of conflict along New Brunswick’s border with the United States. Fearful of American invasion, townspeople built this blockhouse to military specifications during the War of 1812. Next, tour the Charlotte County Courthouse, built in 1840 in the Greek Revival style, located beside the Old Gaol, site of the Charlotte County Archives. Experience Canada when you join us in St. Andrews!

The Algonquin Resort

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For generations, travelers have escaped to The Algonquin for its majestic presence, maritime hospitality, and invigorating seaside allure. Now it’s your turn to indulge in an experience so special, so luxurious, you’ll wonder what took you so long.

The Algonquin is one of Canada’s most legendary and iconic resorts. Rich in history, meticulously restored to its original splendor, and complete with every modern comfort you could desire, this year-round destination offers the best of the past with contemporary amenities. Elegant guest rooms, contemporary dining, indoor and outdoor pools, waterslide, a rejuvenating spa, private beach, manicured gardens, and cocktails on the historic veranda add up to a vacation to savor and remember.

Venture off resort grounds and discover an entirely new escape, one defined by the Passamaquoddy Bay, the nearby Bay of Fundy, the quaint seaside town of St. Andrews, and the award-winning Algonquin Golf Course. Beaches, shopping, festivals, the world’s highest tides, whale watching, golf, and more can fill your day with leisurely pastimes. The Algonquin is awaiting your arrival. Just enough off the beaten path that you can truly lose yourself. Algonquin Guest Rooms range from 275 to 350 square feet and feature charm that combines historical characteristics with modern amenities and one Queen, or King bed or two Double beds (bed types based on hotel availability). Additional amenities include plush bathrobes, luxurious bedding, alarm clock with MP3 capabilities, flatscreen television, high-speed internet access with complimentary WiFi, three piece bathroom featuring stand-alone shower, iron/board, safe, coffee maker, and more.

The Algonquin Resort is located approximately 78 miles from Saint John Airport (YSJ), 93 miles from Fredericton International Airport (YFC), 121 miles from Bangor International Airport (BGR) and 164 miles from Greater Moncton International Airport(YQM).

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.

Topics in Anesthesia
St. Andrews, New Brunswick, Canada
August 8-11, 2018

Wednesday, August 8

  0630 Registration - Mandatory Sign In - Continental Breakfast
  0655 Welcome NWAS Staff  
  0700 Herbal Stuff: It's All Safe, Right? E.Frost  
  0800 ASA 1-2 Patient: Surgeon Wants Total Preop Testing - Is That OK? E.Frost  
  0900 Multimodal Analgesia: Management of Acute Pain in a Patient with Chronic Pain J.Ortiz  
  1000 Break
  1015 Regional Anesthesia in the Febrile Patient with an Abnormal INR J.Ortiz  
  1115 Secrets to Using the LMA J.Leslie  
  1215 Non-Anesthetic Drugs We Need to Use J.Leslie  
  1315 Adjourn
3.3 Pharmacology Hours

Thursday, August 9

  0630 Registration - Mandatory Sign In - Continental Breakfast
  0700 Endoscopy Anesthesia Can Be Easy J.Leslie  
  0800 Does ERAS Have Value for Everyone? J.Leslie  
  0900 Update on Care of the Patient With Head Trauma E.Frost  
  1000 Break
  1015 Spinal Cord Injury and Its Surgery: From Stem to Stern E.Frost  
  1115 Complications of Regional Anesthesia J.Ortiz  
  1215 Anesthetic Implications of Musculoskeletal and CNS Diseases J.Ortiz  
  1315 Adjourn
1.8 Pharmacology Hours

Friday, August 10

  0630 Registration - Mandatory Sign In - Continental Breakfast
  0700 Perioperative Care of the Elderly: How Can We Improve Outcomes? J.Ortiz  
  0800 Ultrasound-Guided Regional Anesthesia of the Upper Extremity J.Ortiz  
  0900 Ultrasound-Guided Regional Anesthesia of the Lower Extremity J.Ortiz  
  1000 Break
  1015 Ultrasound-Guided Truncal Blocks and Neuraxial Techniques J.Ortiz  
  1115 Deep Brain Stimulation: The Steroids of the 21st Century? E.Frost  
  1215 Anesthetic Assessment of the Transgender Patient Presenting for Surgery E.Frost  
  1315 Adjourn
0.8 Pharmacology Hours

Saturday, August 11

  0630 Registration - Mandatory Sign In - Continental Breakfast
  0700 Postoperative Problems We Might Not Think About That Impact Care E.Frost  
  0800 The PACU Nurse Calls: The Patient Is Very Sleepy E.Frost  
  0900 Anesthesia Management of Patients in the Cardiac Cath Lab J.Leslie  
  1000 Break
  1015 Is There an App for That: Anesthesia REALLY Smart Phones? J.Leslie  
  1115 Neuromuscular Blocker Reversal: Do We Really Need Sugammadex? J.Leslie  
  1215 Checklists for Anesthesia Practitioners: No Brainers? J.Leslie  
  1315 Adjourn
3.2 Pharmacology Hours

24 CME

24 Class A CEC

9.1 Pharmacology Hours†

Refreshments served at the meeting are for registered attendees only.


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

John B. Leslie, MD, MBA
Professor of Anesthesiology
Mayo Clinic College of Medicine
Phoenix, Arizona

Jaime Ortiz, MD
Associate Professor of Anesthesiology
Director of Regional Anesthesia
Co-Director of Acute Pain Management Service
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 CEC; AANA Code #1034656; Expiration date 8/11/18.

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 9, 2018 to July 9, 2018. No refund after July 9, 2018; 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) 456-7887 - 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.