Victoria, British Columbia

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.

Hotel Grand Pacific

The capital city of British Columbia, and perched on the edge of the wild west coast, Victoria is an exciting destination that brings together history, culture, adventure and fun. Located right on the Inner Harbour,  the Hotel Grand Pacific is perfectly situated among some of Canada’s most picturesque scenery, yet just a short stroll from all Victoria has to offer.  Enjoy the great outdoors with a hike, a round of golf, fishing, or sea-kayaking. Borrow a hotel bicycle and explore Victoria on two-wheels, or head out on the water to do some whale-watching.

Get a true taste of Victoria through the hotel's vibrant dining scene, or browsing a farmers’ market. Or put on your walking shoes to wander downtown’s charming shopping district, or visit the city’s museums and attractions. There’s simply no end of things to discover in Victoria and around the Saanich Peninsula. At the end of your day, come back to the Hotel Grand Pacific, where you’ll be welcomed with a smile. Along with all of the traditional comforts and services that their guests have come to expect—room service, top-notch fitness and pool facilities, a knowledgeable concierge and tempting dining options— what sets them apart from other Victoria accommodations is our service. You’ll find each and every guestroom includes complimentary high-speed internet access, a private balcony offering fresh air and a view, and high-end bathroom amenities for pampering. In addition, Hotel Grand Pacific’s guestrooms are classically appointed with a casual elegance that will make you feel right at home with amenities such as flat panel HDTV,  coffee/tea maker, clock radio, safe, bathroom amenities by Gilchrist & Soames, hairdryer, plush bathrobes, iron/board and more.

Hotel Grand Pacific is located approximately 18 miles from the Victoria International Airport (YYJ).  Hotel Grand Pacific  parking: Self Parking is reduced to $12 per night for those who book their room through NWAS/NWWT only (normally around 18 CAD per night). Valet Parking is approximately 25 CAD per night. Clearance in the underground parking lot is 1.93 meters, or 6’4.” Over height parking is located across the street from the hotel for a fee and is subject to limited availability. Parking fees subject to change without notice.

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
October 18-21, 2021

Monday, October 18

  0700 Registration - Mandatory Sign In - Continental Breakfast
  0725 Welcome
NWAS Staff
  0730 Perioperative Beta Blockade
  0830 Vasopressors and Inotropes
  0930 Break
  0945 Airway Assessment
  1045 Extraglottic Airway Exchange: Navigating an Airway Bridge
  1145 Trauma Pain Management
  1245 Adjourn

Tuesday, October 19

  0700 Registration - Mandatory Sign In - Continental Breakfast
  0730 Anesthesia for the Burn Patient: A Review of Basic Pathophysiological Changes
  0830 Burn Anesthesia: Review of Basics and a Case Study of a Self-Immolation
  0930 Break
  0945 Burn Anesthesia Techniques You May Never See: Outpatient Laser Therapy, Multimodal,Audio-Visual Distraction Strategies, and Procedures Outside of the OR
  1045 Postdural Puncture Headache Evaluation and Management
  1145 New Drugs in the Cardiothoracic Anesthesia World
  1245 Adjourn

Wednesday, October 20

  0700 Registration - Mandatory Sign In - Continental Breakfast
  0730 Anesthesia for Hybrid OR Procedures
  0830 Noncardiac Surgery in Patients With LVADs and Heart Transplants
  0930 Break
  0945 Complementary and Alternative Medications: The Unique Problems They Represent
  1045 Ketamine and Gabapentin: Their Past and Present Places in our Anesthesia Armory
  1145 Issues in Anesthesia Consent With a Specific Focus on Consent for Regional Anesthesia
  1245 Adjourn

Thursday, October 21

  0700 Registration - Mandatory Sign In - Continental Breakfast
  0730 The Role of Epidural Analgesia in Contemporary ERAS Protocols
  0830 PBLD: Interscalene Nerve Block Catheter for Pain Control Following Shoulder Surgery in an Obese Diabetic Patient With Obstructive Sleep Apnea
  0930 Break
  0945 Monitors in Anesthesia
  1045 Sugammadex: A Review of the Pharmacodynamics, Pharmacokinetics and Understanding the Clinical Considerations
  1145 Synthetic "Newest Designer" Drugs and the Anesthetic Implications
  1245 Adjourn

20 CME

20 Class A CE

Pharmacology Hours TBD†

Refreshments served at the meeting are for registered attendees only.
Rev. 4/19/21


Swapnil Khoche, MBBS, DNB, FCARCSI
Assistant Clinical Professor
Department of Anesthesiology
University of California, San Diego
San Diego, California

Jill M. Krystofinski, MSN, CRNA
Lead Burn CRNA
Lehigh Valley Health Network
Allentown, Pennsylvania

Kristopher M. Schroeder, MD
Division Head, Regional Anesthesia and Acute Pain Medicine
Associate Vice-Chair of Faculty Development
Department of Anesthesiology
University of Wisconsin School of Medicine and Public Health
Madison, Wisconsin


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; Code Number 1037998; Expiration Date 8/30/2020.

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 August 19, 2021 to September 18, 2021. No refund after September 18, 2021; 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 Going Places. 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.