Vancouver, British Columbia, Canada

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Cradled amid skyscraping mountains and sparkling ocean, scenic Vancouver is a modern, cosmopolitan city that blends culture and landscape. With so much to experience in Vancouver, you will be well-entertained.
Galleries and public exhibits for art enthusiasts, historical sites and districts for history buffs, and scenic hiking trails and botanical gardens for nature lovers are just a small sampling of the city’s diverse attractions. The seawall that borders Vancouver’s coastline is the most popular recreational spot in the city. Stretching 13.7 miles from Coal Harbour to Kitsilano Beach, it wraps around Stanley Park along the way. Here, you’ll find the Vancouver Aquarium, home to more than 70,000 fascinating creatures from the Arctic to the Amazon – the daily beluga whale, dolphin, and sea otter shows are a must-see!

Take some time to explore the city’s diverse neighborhoods. Robson is Vancouver’s leading shopping and strolling thoroughfare – where high-fashion boutiques intermix with music stores, beauty shops, and bookstores. Recharge at a coffee shop or enjoy a more leisurely stop at one of the restaurants or bars. Cutting right through downtown is Vancouver’s main entertainment district, featuring bustling shops during the day and happening clubs and bars at night. Head to the Pacific Centre Mall or to the youthful shops dotting the blocks between Robson and Drake streets for the latest fashions, music and comic books.

In Gastown, glimpses of Vancouver’s origins are preserved in the Victorian buildings and cobblestone streets of this once-bawdy frontier post. Today, it’s an official historic area with antique streetlamps, shops and bars, and the famous two-tonne Gastown Steam Clock. For night owls, the late-night scene in Vancouver is a thriving mix of lounges, laid-back pubs and energetic music venues. Finish up your trip with a harbor tour for unparalleled views of Vancouver; it’s a delightful way to experience the city – by day or night.

Fairmont Hotel Vancouver

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Proud recipient of a 2017 Forbes Travel Guide ‘Four Star’ rating. Fairmont Hotel Vancouver is known as the ‘Castle in the City’ and reflects timeless luxury and history of Vancouver. Holding a prime downtown location,it is just minutes away from some of Vancouver’s biggest attractions including Granville Island, Robson Street shopping, Stanley Park Seawall, Vancouver Aquarium, Gastown, Canada Place and Science World.

Indulge in a pampering spa treatment from the full service Absolute Spa featuring signature treatments that use the finest West Coast ingredients. Work up a sweat in the fully equipped Health Club with modern Italian-made Technogym Machines and The Kinesis Wall with over 250 exercises to choose from. Weight machines, free weights and cardiovascular machines are also available. Or, just relax in the indoor pool encased in soaring glass panels or the Sauna. When hunger strikes, Notch8 Restaurant & Bar in the lobby of the Fairmont Hotel Vancouver heralds a new era of glamour in the center of the city. Enjoy exceptional cuisine, great wines, and enticing cocktails in a lively environment for a classic Vancouver dining experience.

Fairmont guest rooms are classically inspired and imbued with timeless elegance and range from 275-350 square feet. Amenities include alarm clock/radio, bathrobes, coffee/tea maker, flat screen television, hair dryer, iron/board, refreshment center and more. Valet parking only at the hotel: $62 CAD (tax included)/night, including in-and-out privileges. Meter parking is also available from 9am-10pm. Parking rates are subject to change without notice.The Fairmont Hotel Vancouver is located approximately 30 minutes from the Vancouver International Airport (YVR).

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.

Current Anesthesia Practice
Vancouver, British Columbia, Canada
April 16-19, 2019

Tuesday, April 16

  0700 Registration - Mandatory Sign In - Continental Breakfast
  0725 Welcome NWAS Staff  
  0730 Nuclear, Biological and Chemical Bioterrorism: An Update for The Anesthesia Provider: Are You Ready? L.Guzzi  
  0830 Blast Injuries and Acute Lung Injury an Anesthesia and Critical Care Review L.Guzzi  
  0930 Break
  0945 Enhanced Recovery After Surgery: A Practical Guide D.Auyong  
  1045 Non Opioid Analgesics to Improve Recovery D.Auyong  
  1145 Pediatric ERAS: Are We There Yet? A.Spencer  
  1245 Adjourn
2.1 Pharmacology Hours

Wednesday, April 17

  0700 Registration - Mandatory Sign In - Continental Breakfast
  0730 Perioperative Management of Common Congenital Heart Lesions for Non-Cardiac Surgery A.Spencer  
  0830 Emergence Agitation and Delirium: Prevention and Management A.Spencer  
  0930 Break
  0945 Intraoperative Cardiac Arrhythmias Recognition and Management L.Guzzi  
  1045 Review and Update on Coagulopathy: DVT and Perioperative Risk and Treatment L.Guzzi  
  1145 Introduction to Ultrasound: Physics and Tips for Success D.Auyong  
  1245 Adjourn
2.2 Pharmacology Hours

Thursday, April 18

  0700 Registration - Mandatory Sign In - Continental Breakfast
  0730 Best Practice for Major Hip and Knee Surgery D.Auyong  
  0830 New Blocks: PECS Blocks, Serratus Plane, Quadratus Lumborum D.Auyong  
  0930 Break
  0945 Pediatric Regional Anesthesia: Current Controversies A.Spencer  
  1045 Antral Sonography: From Theory to Clinical Use A.Spencer  
  1145 Intra and Perioperative Hypertension Management: Are You Prepared for SCIP? L.Guzzi  
  1245 Adjourn
1.2 Pharmacology Hours

Friday, April 19

  0700 Registration - Mandatory Sign In - Continental Breakfast
  0730 Anaphylaxis: The Sting Can Come From Anywhere L.Guzzi  
  0830 Infectious Disease and Risk for the Anesthesia Provider: Hepatitis, HIV, MRSA, The New Threats L.Guzzi  
  0930 Break
  0945 PONV in Adults and Children: A Look at Current Evidence A.Spencer  
  1045 Controversies in Regional Anesthesia: Myth vs. Reality D.Auyong  
  1145 Vascular Access and Ultrasound: Never Miss Again D.Auyong  
  1245 Adjourn
1.5 Pharmacology Hours

20 CME

20 Class A CEC

7.0 Pharmacology Hours†

Refreshments served at the meeting are for registered attendees only.


David B. Auyong, MD
Staff Anesthesiologist, Department of Anesthesiology
Medical Director, Lindeman Ambulatory Surgery Center
Section Head, Orthopedic Anesthesiology
Chair, Enhanced Recovery After Surgery (ERAS) Guiding Team
Virginia Mason Medical Center
Seattle, Washington

Louis Guzzi, MD
Attending in Anesthesia and CCM
Clinical Professor of Anesthesia and CCM
Florida State University School of Medicine
FHMG Medical Group
Orlando, Florida

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.

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 20 Class A CEC; AANA Code #1036390; Expiration Date 4/19/2019.

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 20 hours of Category I credit for completing this program.

Registered Nurses: NWAS is an approved provider for the following state nursing boards: 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 February 15, 2019 to March 17, 2019. No refund after March 17, 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.