Clinical Concerns in Anesthesia

7-Night Baja Peninsula & Sea of Cortez Cruise
April 12 - 19, 2025

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This conference offers 20.00 credits

The Ship

ms Zaandam

Schedule

Clinical Concerns in Anesthesia

7-Night Baja Peninsula & Sea of Cortez Cruise
April 12 - 19, 2025

Saturday, April 12 - San Diego, California - Embark
Sunday, April 13 - At Sea
  • 0815
    Registration - Mandatory Sign In
  • 0840
    Welcome
    NWAS Staff
  • 0845
    Preanesthetic Assessment: What Do You Really Need?
    E.Frost
  • 0945
    Long COVID: Will This Be Another Pandemic?
    E.Frost
  • 1045
    Break
  • 1100
    Methadone: Not Just for Addiction - Now for the OR?
    L.Clark
  • 1200
    Keeping Up With Ketamine: A Review of New Uses
    L.Clark
  • 1300
    Lunch Break
  • 1400
    Transgender: What the Anesthetic Provider Should Know
    E.Frost
  • 1500
    My Name Is NOT Anesthesia: Improving Communication in the OR
    E.Frost
  • 1600
    The Ongoing Debate: Crystalloids vs. Colloids – An Update
    E.Frost
  • 1700
    Adjourn
Monday, April 14 - At Sea
  • 0830
    Registration - Mandatory Sign In
  • 0845
    The Management of the Perioperative Patient on Cannabis and Cannabinoids
    L.Clark
  • 0945
    Suboxone and Naloxone: One Old, One New - A Review of Drugs We Don’t Come in Contact With Every Day
    L.Clark
  • 1045
    Break
  • 1100
    So the Patient Is Rather Overweight: How Does Obesity Impact Our Anesthetic Management?
    E.Frost
  • 1200
    How Do We Know Our Drugs Are Safe for Our Patients?
    E.Frost
  • 1300
    Lunch Break
  • 1400
    The Diabetic Patient: Oral Hypoglycemic Agents and the New Insulins Part I
    L.Clark
  • 1500
    The Diabetic Patient: Oral Hypoglycemic Agents and the New Insulins Part II
    L.Clark
  • 1600
    Some Things We Do in Anesthesia for Really No Reason, Why Do We Continue to Do This?
    L.Clark
  • 1700
    Adjourn
Tuesday, April 15 - Pichilingue (La Paz), Mexico - Docked
Wednesday, April 16 - Loreto, Mexico - Tendered
Thursday, April 17 - Cabo San Lucas, Mexico - Tendered - Day Open
Friday, April 18 - At Sea
  • 0845
    Registration - Mandatory Sign In
  • 0900
    Blocks for the Thorax and Abdomen for Acute Pain Management
    L.Clark
  • 1000
    Cardiac Arrest Situations in the Perioperative Period
    L.Clark
  • 1100
    Lipid Emulsions: Guidelines for Local Anesthetic Toxicity and Other Drugs
    L.Clark
  • 1200
    Lunch Break
  • 1315
    Rarities: Cases You Rarely Encounter That Have Anesthetic Implications
    E.Frost
  • 1415
    Vaping: For, Against, Undecided
    E.Frost
  • 1515
    “I Have a Question for You”
    E.Frost
  • 1615
    Adjourn
Saturday, April 19 - San Diego, California - Disembark

Faculty

Laura D. Clark, MD

Professor of Anesthesiology
Chairman of the Institutional Review Board
Director of Acute Pain and Regional Anesthesia
Department of Anesthesiology and Perioperative Medicine
University of Louisville School of Medicine
Louisville, Kentucky

Elizabeth Frost, MD

Clinical Professor of Anesthesia
Icahn Medical Center at Mount Sinai
New York, New York

About the Cruise

Itinerary

Day Date Port Arrive Depart
Saturday Apr 12 San Diego, California - Embark - 3:00 pm
Sunday Apr 13 At Sea - -
Monday Apr 14 At Sea - -
Tuesday Apr 15 Pichilingue (La Paz), Mexico - Docked 8:00 am 5:00 pm
Wednesday Apr 16 Loreto, Mexico - Tendered 7:00 am 4:00 pm
Thursday Apr 17 Cabo San Lucas, Mexico - Tendered 7:00 am 3:00 pm
Friday Apr 18 At Sea - -
Saturday Apr 19 San Diego, California - Disembark 7:00 am -

Saturday, April 12 - San Diego, California - Embark

Easygoing San Diego embodies the Southern California surfer town fantasy, with its more than 300 days of sun, mild year-round temperatures, and accessible, sporty pastimes and tourist attractions. Cruise to San Diego and hike the Torrey Pines State Natural Reserve to get a glimpse of whale migrations, go sailing in the bay, and, of course, surf the famous swells of Del Mar, Oceanside, and La Jolla (among many other superb spots). Cruise from San Diego and explore the sixth-largest city in the United States. Discover San Diego’s distinctive neighborhoods on a San Diego shore excursion. Visit Old Town, North Park, Point Loma, and Coronado are all within a few miles of the port, while the bustling Gaslamp Quarter and Little Italy are within walking distance.

And while there are lots of things to do for everyone on a San Diego Cruise—from visiting the country’s largest urban park to taking in the famous horse-racing season in Del Mar to riding the charming Old Town Trolley—definitely don’t pass up the chance to investigate San Diego’s quickly growing reputation as a culinary destination. Its inventive new restaurants and huge craft-brewing industry are something to be explored.

Sunday, April 13 - At Sea

Monday, April 14 - At Sea

Tuesday, April 15 - Pichilingue (La Paz), Mexico - Docked

The port of Pichilingue sits just over 20 kilometers (12 miles) north of La Paz, a city of 215,000 on the Baja California Peninsula. The name La Paz translates as 'peace,' but it is possible that the Spaniards chose that with some sense of irony. The first Spanish conquistadores landed here in 1535, yet it took them nearly 200 years to build the first settlement due to resistance from the indigenous people in the area. Modern La Paz, however, certainly lives up to its name. The capital of Baja California Sur is a friendly, vibrant city nestled into a calm bay along the Sea of Cortez. The palm-lined malecón stretches along the waterfront, perfect for a stroll or bike ride, and the bustling city center boasts broad boulevards where you can shop the wares of artisans at local markets. Whale-watching and fishing expeditions depart from the harbor, or you can choose to go sea kayaking around nearby islands. The Regional Museum of Anthropology and History provides an introduction to the Baja Peninsula, from the prehistoric indigenous cultures who lived here to the state’s role in the Mexican Revolution. The new Whale Museum, opened in 2016, explains the differences between the six whale species that migrate to Mexico’s Pacific Coast every winter.

Wednesday, April 16 - Loreto, Mexico - Tendered

Peaceful seaside Loreto dates to 1697, when it became the first colonial settlement on the Baja Peninsula and the capital of the Spanish colony of the Californias. These days, the town has spread beyond its colonial origins, but it retains beautiful relics from the past, especially of the Dominican, Franciscan, and Jesuit orders, all of which were active here. These include the Mission of Our Lady of Loreto, which stands at the beginning of the famous Camino Real connecting the Spanish missions in both Baja and Alta California. Loreto, tucked between the rugged Sierra de la Giganta range and the calm waters of the Sea of Cortez, is also blessed with spectacular natural scenery. Just offshore, a string of islands beckon divers, snorkelers, and sea kayakers with secluded coves, dramatic rock formations, and crystal-clear waters that are protected within Loreto Bay National Marine Park. A day trip into the mountains offers the opportunity to see cave paintings from pre-colonial indigenous groups, some of which are now part of a UNESCO World Heritage Site. After a paddling adventure offshore or a trek into the mountains, take a stroll along the malecón, Loreto’s waterfront boardwalk, where you can have a drink or a plate of fish tacos overlooking the water.

Thursday, April 17 - Cabo San Lucas, Mexico - Tendered

Los Cabos—or the Capes—sits at the southernmost tip of the Baja California Peninsula, a narrow strip of land whose varied geography makes for plenty of interesting and unusual activities. You can ride a camel, or enjoy more predictable pursuits including fishing, golfing, and whale-watching. On your Cabo cruise, you can visit picture-perfect El Arco, an arch that may look familiar thanks to its cameo on postcards and advertisements. North of the capes, you can drop by the famed Hotel California. And if you've worked up an appetite on your Cabo cruise, you won't be disappointed: Los Cabos offers plenty to enjoy at the table as well, with farm-fresh fruits and vegetables and, of course, seafood being the mainstays here. Regardless, Holland America Line makes sure that Cabo cruises have plenty of new and traditional things for guests to experience.

Friday, April 18 - At Sea

Saturday, April 19 - San Diego, California - Disembark

Easygoing San Diego embodies the Southern California surfer town fantasy, with its more than 300 days of sun, mild year-round temperatures, and accessible, sporty pastimes and tourist attractions. Cruise to San Diego and hike the Torrey Pines State Natural Reserve to get a glimpse of whale migrations, go sailing in the bay, and, of course, surf the famous swells of Del Mar, Oceanside, and La Jolla (among many other superb spots). Cruise from San Diego and explore the sixth-largest city in the United States. Discover San Diego’s distinctive neighborhoods on a San Diego shore excursion. Visit Old Town, North Park, Point Loma, and Coronado are all within a few miles of the port, while the bustling Gaslamp Quarter and Little Italy are within walking distance.

And while there are lots of things to do for everyone on a San Diego Cruise—from visiting the country’s largest urban park to taking in the famous horse-racing season in Del Mar to riding the charming Old Town Trolley—definitely don’t pass up the chance to investigate San Diego’s quickly growing reputation as a culinary destination. Its inventive new restaurants and huge craft-brewing industry are something to be explored.

The Ship

ms Zaandam

Designed to carry fewer guests while offering greater space, Zaandam is elegant and comfortable. Her décor is inspired by music and features musical instruments including signed guitars from Queen, Iggy Pop, Eric Clapton and the Rolling Stones and a Baroque-style pipe organ. While on board, rejuvenate with a spa treatment in the serene Greenhouse Spa & Salon®, indulge in a tantalizing meal at a fine dining restaurant or play a friendly game of pickleball at sea.

$1,029.00

Ocean View Stateroom (Category D - window only)
Per Person - Double Occupancy

$1,039.00

Ocean View Stateroom (Category C - window only)
Per Person - Double Occupancy

Signature Features

World Stage: The largest theater on board is home to a variety of performances day and night. An exclusive EXC® Talk lecture series features captivating regional stories told by local experts and narrated by your Cruise & Travel Director. In the evenings, Step One Dance Company, vocal sensation Cantaré, BBC Earth in Concert, and more take the stage.
Casino Action: Your Holland America Line ship’s Casino offers a wide array of gaming options. Whether you prefer slot machines or want to try your hand at blackjack or poker, dealers and staff are available to provide complimentary instruction — and Holland America offers many engaging tournament options. The Casino is only open at sea.
Pickleball at Sea: Play the fastest-growing sport in the U.S. with Holland America Line, the exclusive cruise line partner of the Professional Pickleball Association. All our cruise ships feature pickleball courts with amazing top-deck views. The equipment and courts are available for a match anytime, so long as the weather allows. Frequent pickler? Join a pickleball tournament at sea and put your dink shot to the test. Hesitant amateur? Learn the basics at complimentary beginner’s lessons, starting in spring 2023. Commemorative starter kits will soon be available in our retail shops — purchase as gifts for avid players or as souvenirs, so that you can always look back on your pickleball cruise memories.
Kids Club: Holland America Line's youth activities program, Kids Club, offers an array of entertaining events for kids and teens ages 3-17, supervised by a full-time, professionally trained staff. They'll have an opportunity to join other kids their age for arts and crafts, sports, video game competitions, scavenger hunts, challenging team games, and themed parties.
The Dining Room: For an elegant breakfast, leisurely lunch or unforgettable multi-course dinner, The Dining Room is your destination. For dinner, choose from classics such as Boneless Lamb Loin en Croute, Rosemary Roasted Chicken, as well as regionally inspired cuisine and artfully prepared vegetarian dishes.
* Pinnacle Grill: Pinnacle Grill is the ultimate steakhouse at sea, where an exceptional menu and impeccable service make for one of the finest meals you’ll ever have. The refined menu features a selection of 28-day wet-aged USDA Prime steaks — meticulously chosen to guarantee the finest quality — as well as classic steakhouse dishes and innovative recipes. Every dish is exquisitely prepared, beautifully plated, and complemented by a vast collection of award-winning wines. Here, your meal is an event unto itself, a celebration of fine dining and a triumph of flavor.
* Canaletto: In Italy, there’s nothing more important than coming together to celebrate the joy of great food. This is the inspiration for this onboard Italian restaurant, Canaletto. Enjoy amazing Italian classics like braised chicken cacciatore al forno, branzino ai ferri or garlic shrimp ravioli. And for dessert: tiramisù, cannoli alla Siciliana, gelato, and more. Including pasta made fresh daily. Buon Appetito!
Lido Market: Explore a world of intriguing culinary possibilities in the Lido Market. Steps from the Lido pool, this modern marketplace includes a curated selection of delicious options that you can grab on the go or have made to order: Breadboard, with freshly baked breads and pastries; Wild Harvest, offering a bountiful selection of hearty salads; Homestead, serving up comfort classics; Distant Lands, featuring global cuisine; Sweet Spot, for ice cream creations and desserts; Roasting Pan, hand-carved meats, fish and other hearty entrees; Perk, freshly brewed beverages, and chilled juices; Quench, premium coffee, beer, wine, and soda available for purchase; Rise, savory quiches, croissants and sandwiches, and more.
Dive In: Dive-In offers a variety of casual culinary classics, using the highest quality ingredients. Enjoy a burger, grilled to perfection and served on a toasted brioche with our own trade-marked secret sauce. Savor a succulent Nathan’s Famous gourmet hot dog with golden French fries. Or choose a grilled chicken breast sandwich or juicy portabella mushroom stack. Dive-In is the perfect spot to dine poolside on the best burgers at sea.
Onboard Shopping: Enjoy a wide variety of duty-free shopping in such signature shops as The Vault, Diamonds, and Gemstones by Merabella, which offers the best diamonds at sea, brought to you by Effy.

* additional cost

Cruise Policies

Passport valid for six months after return required. Non-US Citizens check with your consulate for documentation requirements.

Pricing and availability subject to change until deposit has been made.

DEPOSIT REQUIRED: Cabins MUST be reserved with a deposit per cabin to qualify for these low fares. Cabin selection is limited and the above listed categories may not be available. A single supplement is charged if there is only one person in a cabin. Due to the number of details needed to complete cruise cabin booking accurately, a cabin will not be booked for you until you have spoken with one of our cruise agents via phone or via direct email correspondence. Please contact our office at 1-800-222-6927 or 1-509-547-7065 to complete your cruise reservation. Reservations will be secured and cabins assigned upon receipt of passenger deposit per cabin. Final payment as instructed by our travel agent.

Any unsold cabins with our group price will be released on final payment date (however, we may still be able to book with the cruise line with their prevailing rates). Pricing and availability subject to change until deposit has been made.

CANCELLATIONS: Penalties apply for cancellation of the cruise for any reason. We strongly recommend purchase of the cancellation insurance. Ask us for details. Please be aware that premiums paid for insurance are non-refundable.

Book your accommodations through us and earn Frequent Attendee Points!
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Accreditation

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 Credits™. 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 AnesthesiologyTM (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 hours Class A CE credits; AANA approval number 1044434; Expiration Date 04/18/2025
Nurse Practitioners: The American Academy of Nurse Practitioners Certification Board (AANPCB) 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 I 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: AR, DC, FL, GA, KS, KY, NH, SC, WV, and WY (Provider Number 50-7480). This program offers ___ contact hours. This program offers 20 contact hours.
AANA is an approved provider by the California Board of Registered Nursing, CEP #10862.

†Pharmacology hours subject to change. 

Who Should Attend?

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.

Program Purpose

This continuing education program is designed for anesthesia providers seeking to enhance their clinical skills and knowledge in the field. The program aims to provide attendees with the latest updates, innovations, and practical techniques to advance their anesthesia practice. Through a combination of lectures, case studies, and discussion with faculty/peers, participants will gain valuable insights and skills to help in the provision of safe, effective anesthesia care. 

Objectives

  • Improve knowledge, competence, and utilization of the most recent evidence-based clinical practice guidelines.
  • Bolster competence in the management of patients with complex co-morbidities and less common medical conditions, thereby improving patient outcomes and safety.
  • Improve skills/strategies in the use of newer equipment/technologies and improve performance within multidisciplinary protocols in order to optimize patient outcomes.
  • Increase knowledge of newer pharmacologic agents, thereby improving competence in medication management via anticipation of potential polypharmacy interactions.
  • Improve knowledge and competence in the timely recognition and management of complications during the perioperative period. By enhancing competence, patient outcomes improve by reducing complications.
  • Enhance recognition and coping strategies to mitigate the effects of workplace stressors and burnout and achieve well-being in the clinical setting.
  • Improve knowledge and competence in the provision of anesthesia care outside of the operating room.

Medical Director

Mark T. Murphy, MD, MSN Education, Cozumel, Mexico, and Medical Director, Northwest Anesthesia Seminars / Northwest Seminars, Pasco, Washington

Tuition

  • MD/DO
    $ 1050 Regular Registration Fee
    $ 1075 Late Registration Fee
    $ 275 Daily Rate
  • CRNA/PA
    $ 1000 Regular Registration Fee
    $ 1025 Late Registration Fee
    $ 265 Daily Rate
  • Resident/RN/Others
    $ 900 Regular Registration Fee
    $ 925 Late Registration Fee
    $ 240 Daily Rate

Register Early

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.
Lecture notes will be provided via download in PDF format.
You must sign-in/log 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.

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Schedule and Faculty Changes

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.

Course Cancellation By Provider

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.

Frequent Attendee Points (FAP)

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.

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