Walla Walla, Washington

Walla Walla is the unofficial capital of Washington wine country, home to more than 120 wineries and a nationally recognized culinary scene. As one of the oldest cities in the state, Walla Walla highlights a rich history of Native American heritage, a legacy of French-Canadian fur trappers, Fort Walla Walla Museum, the Whitman Mission Historical sight, and the Lewis-Clark Expedition. These days, you'll fine the unmistakable energy of a small college town, access to an abundance of outdoor recreation, great food, unique shopping, and a thriving arts and entertainment scene. This community of just over 30,000 residents is known for many things, including its friendliness and hospitality, the quality of its wine, and of course the famous Walla Walla Sweet Onion. Home to some of Washington’s very best golf, the local Wine Valley Golf Club was recently named the No. 3 public course in Washington (and No. 34 public course in the country) by Golfweek magazine. Walla Walla is also the gateway to the Blue Mountains, where the Umatilla National Forest offers an abundance of trails for hikers, bikers, and horseback riders to explore. Walla Walla Valley was voted "America's Best Wine Region" in the 2021 USA Today 10 Best Readers' Choice Awards and made Travel + Leisure's list of the 50 Best Places to Travel in  2018.

The Walla Walla Regional Airport (ALW) can be accessed directly via Alaska Airlines daily nonstop flights from Seattle, or enjoy the scenic 50 mile drive from the Tri-Cities Regional Airport (PSC). Other options are the Spokane International Airport (GEG) approximately 153 miles, Portland International Airport (PDX), approximately 243 miles, and Seattle-Tacoma International Airport (SEA), approximately 278 miles. If you plan on bringing wine home to savor, be sure to check out Alaska Airlines "Wine Flies Free" program that allows Mileage Plan™ members to bring home a case of wine with no baggage fee when you fly from 32 West Coast cities. (terms and conditions apply, visit Alaska Airlines website for details)

Courtyard by Marriott Walla Walla

The Courtyard by Marriott provides the perfect home base for exploring, located just off historic Main Street in Walla Walla, within walking distance to multiple winery tasting rooms and restaurants. With a Bistro Plus restaurant offering onsite dining, a fitness center, heated indoor pool and outdoor whirlpool, complimentary WiFi, and outdoor space equipped with cozy seating and a fireplace, you'll find amenities and the conveniences you would expect from a Courtyard. Spacious guest rooms combine comfort and functionality, and feature a flat screen TV, work desk, mini-fridge, microwave, Keurig coffee/tea maker, alarm clock, hair dryer, iron/board, and more.

Courtyard by Marriott Walla Walla is located approximately 5 miles from the Walla Walla Regional Airport (ALW) and 49 miles from the Tri-Cities Airport (PSC). Complimentary on-site parking is available at the hotel.

Contact us here or call (800) 222-6927 • (509) 547-7065
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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
Walla Walla, Washington
June 22-25, 2023

Thursday, June 22

  0700 Registration - Mandatory Sign In - Continental Breakfast
  0725 Welcome NWAS Staff
  0730 Covid Update: The Distillation of Facts S.Khoche
  0830 Stress Dose Steroids Prior to Anesthesia S.Khoche
  0930 Break
  0945 Arrhythmia: Part I R.Lenhardt
  1045 Arrhythmia: Part II R.Lenhardt
  1145 Preventing Perioperative Neurological Injury K.Domino
  1245 Adjourn

Friday, June 23

  0700 Registration - Mandatory Sign In - Continental Breakfast
  0730 Perioperative Management of Hypertensive Patients K.Domino
  0830 Anesthesia for Major Spine Surgery K.Domino
  0930 Break
  0945 Aortic Stenosis and Anesthesia: Taking the Fear Out of Fearsome S.Khoche
  1045 Post-Spinal Hypotension in C-Sections: Keeping It Up S.Khoche
  1145 MRI and the Anesthesia Provider R.Lenhardt
  1245 Adjourn

Saturday, June 24

  0700 Registration - Mandatory Sign In - Continental Breakfast
  0730 Airway Evaluation and Management R.Lenhardt
  0830 Accidental Intraoperative Hypothermia R.Lenhardt
  0930 Break
  0945 New Findings From the Anesthesia Closed Claims Project K.Domino
  1045 Patient Safety Lessons From the Closed Claims Project K.Domino
  1145 The Logic of Glycemic Control for the Anesthesia Team S.Khoche
  1245 Adjourn

Sunday, June 25

  0700 Registration - Mandatory Sign In - Continental Breakfast
  0730 Obesity and Anesthesia R.Lenhardt
  0830 Management of Hemorrhagic Shock R.Lenhardt
  0930 Break
  0945 Noncardiac Anesthesia for Patients With LVADS and Heart Transplants S.Khoche
  1045 Pulmonary Hypertension and RV Failure: Ever Present Danger S.Khoche
  1145 Avoiding Burnout and Finding Joy in the Workplace K.Domino
  1245 Adjourn  

20 CME

20 Class A CE

5 Pharmacology Hours†

Refreshments served at the meeting are for registered attendees only.
Rev. 1/26/22


Karen B. Domino, MD, MPH

Professor of Anesthesiology and Pain Medicine
Adjunct Professor of Neurological Surgery
University of Washington School of Medicine
Vice Chair for Clinical Research
Department of Anesthesiology and Pain Medicine
University of Washington
Staff Anesthesiologist
Harborview Medical Center
University of Washington School of Medicine
Seattle, Washington

Swapnil Khoche, MBBS, DNB, FCARCSI
Associate Professor
University of California, San Diego
San Diego, California

Rainer Lenhardt, MD, MBA
Professor and Vice-Chair for Clinical Affairs
Department of Anesthesiology and Critical Care
University of Louisville
Louisville, Kentucky


Northwest Anesthesia Seminars / Northwest Seminars is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Northwest Anesthesia Seminars / Northwest Seminars 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: This activity contributes to the CME component of the American Board of Anesthesiology’s redesigned Maintenance of Certification in Anesthesiology™ (MOCA®) program, known as MOCA 2.0®. Please consult the ABA website, www.theABA.org, for a list of all MOCA 2.0® requirements.

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 Anesthesiology for 20 Class A CE credits; AANA approval number 1042056; Expiration Date 06/25/2023.

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/NWS is an approved provider for the following state nursing boards: Arkansas State Board of Nursing (Provider Number 50-7480), 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).

The AANA is an approved provider by the California Board of Registered Nursing, CEP #10862.

This program offers 20 contact hours.

†Pharmacology hours subject to change.


Mark T. Murphy, MD, MSN Education, LLC, Treasure Island, Florida, Medical Director, Northwest 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 days notice will be given to those registered and 100% of tuition paid will be refunded. NWAS/NWS 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 April 23, 2023 to May 23, 2023. No refund after May 23, 2023; however, 50% of tuition paid may be applied toward tuition for another NWS/NWAS program within the next 12 months. Cancellation must be made in writing. No tuition credit or refund will be issued for attendees that are no-shows for the program.

FAP (Frequent Attendee Points)

We value your patronage and have a simple program to reward you. Our Frequent Attendee Points (FAP) program gives you an added bonus for money spent on our seminars, as well as cruise cabins booked through our in-house travel agency, Northwest Worldwide Travel.

You are automatically enrolled in this program with your paid registration. Click here for more information.

*Effective January 1, 2023, net hotel stays for 2023 and beyond will no longer be included in FAP calculations.

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.


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.

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