TARGET AUDIENCE:
This course is designed for Physicians, CRNAs, Physician Assistants, Registered Nurses, and other medical care providers who must maintain state-of-the-art knowledge of not only the specialty but also of all additional, related disciplines which may impact it.

PROGRAM PURPOSE:
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, pharmacologic 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 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.

OBJECTIVES: At the conclusion of this activity, the participant will be able to:
Discuss 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 profession.

Explain the selection and 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, 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.

Discuss 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.

Discuss incorporation, into practice, 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.

Describe the new techniques in the clinical setting of the participant.

PROGRAM SCHEDULE
Focus on Clinical Anesthesia
7-Day Glacier Bay Inside Passage Cruise
July 4-11, 2009
Saturday, July 4, 2009 - Vancouver, British Columbia
1700	Ship sails
Sunday, July 5 - Scenic cruising Inside Passage
0700	Registration - Mandatory Sign-In
0730	Introduction - Welcome	NWAS Staff
0745	Preop Evaluation	H.Ramakrishna
0845	Breakfast Break
0945	Geriatric Anesthesia Update	H.Ramakrishna
1045	Acid Base, Fluids, and Electrolytes	C.Popa
1145	Pulmonary Physiology	C.Popa
1245	Lunch Break
1345	Mechanical Ventilation	C.Popa
1445	Hemodynamic Monitoring	C.Popa
1545	Perioperative Management of Pacemakers and AICD's	H.Ramakrishna
1645	Question and Answer Session	Faculty
1745	Adjourn
Monday, July 6 - Scenic cruising Tracy Arm/Juneau, Alaska - Day Open
Tuesday, July 7 - Skagway, Alaska - Day Open
Wednesday, July 8 - Scenic Cruising Glacier Bay National Park - Morning Open
1630	Registration - Mandatory Sign-In
1640	Anesthesia for the Patient with Severe Cardiac Disease	H.Ramakrishna
1740	Anesthesia for Vascular Surgery	H.Ramakrishna
1840	Adjourn
Thursday, July 9 - Ketchikan, Alaska - Afternoon Open
0700	Registration - Mandatory Sign-In
0710	Anesthetic Considerations for Chemical Agent Casualties	C.Popa
0810	Anesthetic Considerations for Biological Agent Casualties	C.Popa
0910	Adjourn
Friday, July 10 - Scenic cruising Inside Passage
0720	Registration - Mandatory Sign-In
0730	Anesthesia for Bariatric Surgery	H.Ramakrishna
0830	Breakfast Break
0930	Coronary Stents: What You Need to Know	H.Ramakrishna
1030	Vasoactive Medications	C.Popa
1130	Obstetric Emergencies	C.Popa
1230	Lunch Break
1330	Anesthesia for Patients with Liver Disease	H.Ramakrishna
1430	Anesthetic Management of Patient with a Transplanted Organ	H.Ramakrishna
1530	Blood Transfusion	C.Popa
1630	Concluding Question and Answer Session	Faculty
1730	Adjourn	20 CME I / 20 CEC
Saturday, July 11 - Vancouver, British Columbia - Disembark
Departure as scheduled.

FACULTY
Christian Popa, MD
Major, Medical Corps, United States Army
Assistant Professor of Anesthesiology
Uniformed Services University of the Health Sciences
Chief, Critical Care Medicine Service
Walter Reed Army Medical Center
Washington, District of Columbia

Harish Ramakrishna, MD
Consultant
Department of Anesthesiology
Mayo Clinic, Scottsdale, Arizona
Asst Professor of Anesthesiology
Chief of Cardiothoracic Anesthesiology
Mayo Clinic College of Medicine
Scottsdale, Arizona

ACCREDITATION:
The A. Webb Roberts Center for Continuing Medical Education of Baylor Health Care System, Dallas designates this educational activity for a maximum of 20 AMA PRA Category 1 Credit(s). Physicians should only claim credit commensurate with the extent of their participation in the activity.

This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education through the joint sponsorship of A. Webb Roberts Center for Continuing Medical Education of Baylor Health Care System, Dallas and Northwest Anesthesia Seminars, Inc. The A. Webb Roberts Center for Continuing Medical Education of Baylor Health Care System, Dallas is accredited by the ACCME to provide continuing medical education for physicians.

Physician Assistants AAPA accepts Category I credit from AOACCME, Prescribed credit from AAFP, and AMA PRA Category 1 Credit? from organizations accredited by the ACCME.

CME Certificates will be mailed following completion of the course.

CRNAs: Check back shortly for approval status.

NWAS is an approved provider by the California and Florida State Boards of Nursing, Provider number #04833 and 50-7480 respectively. This program offers 20 contact hours.

COURSE DIRECTOR: Mark Murphy, MD Chief of Anesthesia, Mercy Medical Center, Durango, Colorado

COURSE CANCELLATION BY PROVIDER: We reserve the right to cancel a course for any reason. In such case, a minimum of 60 days notice will be given to those registered and 100% of tuition paid will be refunded. NWAS and NW-WWT will not be responsible for any non-refundable cruise fare, airfare, hotel, or other liabilities you may incur. We highly recommend purchase of travel insurance.

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.

FAP: (Frequent Attendee Points) FAP lets you accumulate points based on dollars spent with NWAS including net cruise, net hotel, and tuition booked through NWAS (but not air). These points can then be redeemed for tuition. A great program to reward you for supporting NWAS! FAP is an especially valuable bonus when you book your cruises through NWAS. Not only do you receive the lowest fare, but you get a 1.5% credit toward future tuition!!

Northwest Anesthesia Seminars, Inc. is going green! The environment takes a heavy hit with our printed lecture materials - over 8 tons of paper, toner cartridges, and shipping. NWAS has replaced the printed lecture notes for our seminars with a CD containing the lectures in PDF format. If you would prefer to receive printed notes after returning home, we will be happy to provide them to you for a nominal fee.

Click Here For Course and Cruise Registration