Victoria, British Columbia

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Victoria, British Columbia's capital, is located on the southern tip of Vancouver Island located just off the west coast of British Columbia, Canada. The city has one of the mildest climates in Canada, which allows its residents and visitors to enjoy outdoor activities year round.

Golf, hiking, biking, horseback riding, fishing, kayaking, sailing, whale watching, and much more are all here. Victoria also enjoys some of Canada's most enthralling scenery—from the ocean to mountain vistas to incredible gardens. In fact, Victoria is known as "City of Gardens" for its many gardens, including Butchart Gardens, arguably the most beautiful garden in the world.

While here, pay a visit to the second oldest Chinatown in North America whose entrance is marked by the ornate Gate of Harmonious Interest. Victoria has plenty of interesting architectural buildings such as the Royal British Columbia Museum, the Provincial Legislative Buildings, and the Empress Hotel where you can have authentic afternoon tea. There are also the charming neighborhoods with their splendid Victorian and Edwardian houses—just driving around is a treat!

Victoria has a wealth of dining options, from fine dining to fish and chips. There are also plenty of shopping opportunities and theater here. In Victoria, you will certainly run out of time before you run out of things to do.

Marriott Inner Harbor

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The award-winning Victoria Marriott Inner Harbor Hotel is located in downtown Victoria, within walking distance to all there is to see and do in this city. All guest rooms in this luxurious hotel feature duvet and luxury linens, coffee/tea maker, hair dryer, iron/board, personal safe, seating area, free wireless Internet access, and free daily newspaper. Hotel amenities include Lobby Bar with fireplace, indoor pool and whirlpool, and fitness center. Enjoy a delicious meal in Fire & Water Fish and Chop House, which has established itself as one of Victoria's most popular restaurants. 

Located on floors 7-12, Superior rooms feature 1 King or 2 Double beds (based on availability at check in), luxury linens, spa quality robes, exclusive Bath & Body Works products, small mini-bar fridge, coffee/tea maker, iron & board, hair dryer, personal safe, complimentary wired/wireless high speed internet access, flat screen TV, and free daily newspaper.


Clipper Vacations is the Pacific Northwest travel expert. We’ve provided transportation, accommodations and tour packages since 1986. Best known for the Victoria Clipper, our high-speed passenger ferry, that travels daily between Seattle and Victoria year round.

Clipper Vacations offers opportunities to experience picturesque and popular destinations such as: cosmopolitan Seattle or Vancouver, quaint Victoria, the peaceful San Juan Islands, the hub of Portland, the beauty of the Canadian Rockies and Vancouver Island.

No matter what kind of a vacation you have in mind, Clipper Vacations has something for you! Click here to learn more.

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
Victoria, British Columbia, Canada
September 7-10, 2017

Thursday, September 7

  0700 Registration - Mandatory Sign In - Continental Breakfast
  0725 Welcome NWAS Staff  
  0730 The Role of Premedication in Pediatric Anesthesia M.Vadi  
  0830 Kids With Colds: Implication for Anesthesia M.Vadi  
  0930 Break
  0945 Malignant Hyperthermia and Mimickers: A Refresher Course M.Malkin  
  1045 Neuraxial Blockade and Anticoagulant Therapy M.Malkin  
  1145 Staying Alive: Are You Prepared for a Hospital Shooting? M.Malkin and M.Vadi  
  1245 Adjourn 1.9 Pharmacology

Friday, September 8

  0700 Registration - Mandatory Sign In - Continental Breakfast
  0730 Anesthesia for Major Spine Surgery K.Domino  
  0830 The Unstable Cervical Spine K.Domino  
  0930 Break
  0945 Occupational Hazards for Anesthesia Providers K.Domino  
  1045 You Want Me to Go Where?: Anesthesia in the MRI Scanner M.Malkin  
  1145 Difficult Cases: When Placing "Standard Monitors" Isn't So Easy M.Vadi  
  1245 Adjourn
0.7 Pharmacology

Saturday, September 9

  0700 Registration - Mandatory Sign In - Continental Breakfast
  0730 Local Anesthetic Systemic Toxicity M.Vadi  
  0830 Surgical Fires: Prevention and Management M.Vadi  
  0930 Break
  0945 Anesthetic Considerations During Robot Assisted Surgery M.Malkin  
  1045 Anesthesia for the Drug Abusing Patient M.Malkin  
  1145 Anesthesia Closed Claims: New Findings K.Domino  
  1245 Adjourn
1.9 Pharmacology

Sunday, September 10

  0700 Registration - Mandatory Sign In - Continental Breakfast
  0730 Anesthesia for Patients With Hepatic Disease M.Malkin  
  0830 Noncardiac Surgery in the Adult Congenital Heart Patient M.Vadi  
  0930 Break
  0945 Adverse Outcomes and Liability of Obstetric Anesthesia K.Domino  
  1045 Closed Claims Project: Lessons for the Ambulatory Provider K.Domino  
  1145 Implementing Practice Changes to Improve Patient Safety K.Domino  
  1245 Adjourn
0.7 Pharmacology

20 CME I

20 Class A CEC

5.2 Pharmacology Hours†


Karen B. Domino, MD, MPH
Professor of Anesthesiology
Adjunct Professor of Neurological Surgery
University of Washington School of Medicine
Staff Anesthesiologist, University of Washington School of Medicine
Seattle, Washington

Mathew Reed Malkin, MD
Assistant Professor
Department of Anesthesiology
Loma Linda University Medical Center
Loma Linda, California

Marissa Gómez Vadi, MD, MPH
Assistant Professor of Anesthesiology
Assistant Director of Non‑Operating Room Anesthesia
Department of Anesthesiology
Loma Linda University Medical Center
Loma Linda University School of Medicine
Loma Linda, California 


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.

The 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®).

Osteopathic Physicians: This program is eligible for Category 2 credit with the American Osteopathic Association (AOA).

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 1 credit for completing this program.

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 #1033815; Expiration Date 9/10/2017.

Registered Nurses: NWAS is approved by the California Board of Nursing, Provider Number 04833 and Florida and Washington, DC Boards of Nursing, Provider Number 50-7480. This program offers 20 contact hours. Meets the requirements of the Pennsylvania Board of Nursing, Rules and Regulations §21.133.


Mark T. Murphy, MD, MSN Education, Austin, Texas, and 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 July 9, 2017 to August 8, 2017. No refund after August 8, 2017; 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 on a CD 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.