Yosemite National Park, California

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Yosemite embraces a spectacular tract of the Sierra Nevada, which was set aside as a National Park in 1890. As the crown jewel of the National Park system, Yosemite has been an unforgettable scenic wonder and vacation destination for over one hundred years. Here you will find sheer walls of granite, numerous waterfalls, towering Sequoias, and a ceramic blue sky.

Yosemite Valley, about 3,000 feet deep and just a mile or two wide, is known for its landmark rock formations. Half Dome is perhaps the most recognized symbol of Yosemite, rising over 4,000 feet above the Valley floor. Most people agree that the vista views of the high country and Yosemite Valley, including Half Dome and three waterfalls, are the most spectacular in the park.

Yosemite is home to a variety of animals, though they’re not always easy to find. Find a quiet spot during early morning or early evening and you may catch a glimpse of wildlife in action, including bear, raccoon, coyote, and deer. With museums, historic buildings, and cemeteries, Yosemite National Park is rich in cultural history. Far from city lights, the dark night sky is kept bright by the countless stars.

Take your pick of over 150 activities such as hiking, horseback riding, wagon safari, jeep tours, fishing, swimming, painting, photography, mountain climbing, wall climbing, logging train rides, whitewater rafting, bird watching, shopping, spa treatments, panning for gold, or cross country, trail, and downhill mountain biking.

The park is approximately 1-1/2 hours from Fresno Yosemite International Airport (FAT) and 3-1/2 to 4 hours from both Oakland International Airport (OAK) and San Francisco International Airport (SFO). Having a rental car is suggested to give you full access to all the park has to offer.
*See http://www.nps.gov/yose/ for more ideas.*

Tenaya Lodge

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Just a few minutes from the south entrance to the park, Tenaya Lodge offers a scenic and tranquil setting, delightful restaurants, and a top notch spa to massage away the aches and pains from a day of hiking the waterfalls, biking the trails, or rafting the river. The Lodge’s expert activities staff and Guest Experience Center can book you into a variety of alpine activities.

Each of the guest rooms has a mountain lodge feeling with luxurious down bedding, individual climate control, coffee maker, iron/board, hair dryer, cable TV, and safe. There are both indoor and outdoor pools as well as a fitness center. From the grand lobby to the graciously appointed guest rooms, you’ll find the best National Park experience during your stay.

PARK ENTRY FEE:7 day pass: $30 per vehicle (no per-person fee). Annual Pass: $60. 
Park entrance fees subject to change without notice.


Tenaya Lodge at Yosemite will re-open to guests on Sunday, September 10 at 4 P.M. Please be assured that the Lodge and surrounding property has not sustained any damage due to the nearby Railroad fire.

Highway 41 between Oakhurst and the Yosemite National Park entrance (south of Tenaya Lodge) will re-open to all traffic, including visitors, on Saturday, September 9 at 5 PM.

Please be advised that smoke may be affecting air quality in the region and may be unhealthy at times. Air quality varies throughout the day with shifting winds, temperatures, and elevations. Guests with respiratory conditions, the elderly, or young children are advised to limit outdoor activities. Visit us at TenayaLodge.com/Alert for additional information, including area webcams and updates on air quality.

Should you need any assistance, please contact us at Tenaya Lodge at 877-404-3746.

Thank you for your patience and we apologize for any inconvenience this may have caused.

We look forward to welcoming you as our guest!

For more information

Call 877-404-3746



Hospitality by Delaware North. 2017 Delaware North Parks & Resorts at Tenaya Lodge at Yosemite, LLC. 1122 Highway 41 Fish Camp, California 93623


We are planning on holding the meeting as scheduled. The Tenaya Lodge did not sustain any physical damage due to the nearby fire and they currently have staff on property. Tenaya Lodge management is in close communication with local fire and emergency officials and their number one priority is the safety of their guests and staff. At this time, Highway 41 from Sky Ranch (just north of Oakhurst) to Wawona (just north of Tenaya Lodge) remains currently closed due to work to minimize falling tree danger. There is currently no access to Tenaya Lodge or Yosemite National Park via Highway 41. While they are hopeful that Hwy 41 will reopen soon, as of Tuesday, September 5th, attendees driving in from Fresno will need to take a different route to access the Tenaya Lodge. With the alternate route, please anticipate an approximate 3 hour drive from Fresno (instead of the usual 1-1/2 hours from Fresno). Attendees will want to check their departing flight schedules to ensure they allow plenty of time to get to the airport in the event Hwy 41 hasn't fully reopened by their departure date.

Please be advised that smoke from fires in the region are significantly affecting air quality, changing throughout the day with shifting wind patterns.  Smoke varies throughout the region, depending on elevation. Guests with respiratory conditions, the elderly or young children are advised to limit outdoor activities should air quality be poor.

To view additional air quality information visit, https://www.wildlandfiresmoke.net/outlooks/2017/CentralSierraFires#Area1

To view Yosemite web cameras visit, https://www.yosemiteconservancy.org/webcams

If you are attending this meeting and need to cancel, please contact our office at 1-800-222-6927, or via email, info@nwas.com


Email us at info@nwas.com 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.

Clinical Anesthesia Update
Yosemite National Park, California
September 11-15, 2017

Monday, September 11

  0700 Registration - Mandatory Sign In - Continental Breakfast
  0725 Welcome NWAS Staff  
  0730 Cleared for Surgery J.Kryc  
  0830 Preoperative Evaluation of the Ambulatory Patient J.Kryc  
  0930 Break
  0945 Are Anesthetics Bad for Your Brain? What We Know About Anesthetics Neurotoxicity H.Hemmings  
  1045 How Anesthetics Work: Emerging Mechanisms of General Anesthesia H.Hemmings  
  1145 Anesthesia for Outpatient Surgery A.Wadhwa  
  1245 Adjourn
2.9 Pharmacology

Tuesday, September 12

  0700 Registration - Mandatory Sign In - Continental Breakfast
  0730 Morbid Obesity and Ultra Obesity: The Growing Challenge in Anesthesia A.Wadhwa  
  0830 Strategies of Postoperative Analgesia in Morbidly Obese A.Wadhwa  
  0930 Break
  0945 From Symptoms to Biomarkers: Should We Change the Paradigms? J.Kryc  
  1045 Statins and Noncardiac Surgery: Can We Reduce Perioperative Risk? J.Kryc  
  1145 Thoracic Anesthesia and Analgesia H.Hemmings  
  1245 Adjourn
1.5 Pharmacology

Wednesday, September 13 - Open Day

Thursday, September 14

  0700 Registration - Mandatory Sign In - Continental Breakfast
  0730 Avoiding the Hazards of Neuromuscular Blockade H.Hemmings  
  0830 Coagulation Management and Blood Transfusion Therapy H.Hemmings  
  0930 Break
  0945 Sleep, Respiration, and Pain: What Is the Connection? A.Wadhwa  
  1045 Postoperative Nausea and Vomiting in Bariatric Surgery: Prophylaxis and Treatment A.Wadhwa  
  1145 Nanomedicine: The Edge of the Cutting Edge J.Kryc  
  1245 Adjourn
1.8 Pharmacology

Friday, September 15

  0700 Registration - Mandatory Sign In - Continental Breakfast
  0730 Anatomical Basis of Ultrasound-Guided Nerve Blocks A.Wadhwa  
  0830 Disclosure of Harmful Medical Errors: How, When, and Why? A.Wadhwa  
  0930 Break
  0945 Anatomy of a Lawsuit J.Kryc  
  1045 Preeclampsia: What the Nonobstetric Anesthetist Needs to Know J.Kryc  
  1145 Maternal Mortality: Who, When, Where, and Why J.Kryc  
  1245 Adjourn
0.4 Pharmacology

20 CME I

20 Class A CEC

6.6 Pharmacology Hours†


Hugh Hemmings, MD, PhD, FRCA
Joseph F. Artusio Professor and Chair of Anesthesiology
Professor of Pharmacology
NewYork Presbyterian Weill Cornell Medical Center
New York, New York

Joseph J. Kryc, MD, MBA
Adjunct Clinical Associate Professor of Anesthesiology
Banner University Hospital
Tucson, Arizona

Anupama N. Wadhwa, MBBS, DA, MSc
Medical Director
Chief of Anesthesiology, Norton Brownsboro Hospital
President Elect, International Society for the Perioperative Care of the Obese Patient (ISPCOP)
President, Kentucky and Indiana Society of Physicians of Indian Origin
Louisville, Kentucky


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 #1033888; Expiration Date 9/15/2017.

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, 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 13, 2017 to August 12, 2017. No refund after August 12, 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 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: kellee@universaltravel1.com


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.