relevant topics in anesthesia

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1 N AW S Northwest Anesthesia Seminars Continuing Education for the Anesthesia Professional relevant topics in anesthesia essence of china tour with yangtze river cruise april 19-May 2, 2014 JOINTLY SPONSORED BY:

2 RELEVANT TOPICS IN ANESTHESIA 14-DAY ESSENCE OF CHINA TOUR WITH YANGTZE RIVER CRUISE APRIL 19-MAY 2, 2014 China s most awe-inspiring sites and cities are included in this 14-day feast of travel adventure. After arriving in Beijing you will explore the Great Wall, Forbidden City, the Temple of Heaven, and the Terra Cotta Warriors. Then, embark on a three night cruise down the Yangtze River, seeing beautiful sights and gorges. Finally, you ll have time to enjoy and explore Shanghai, Paris of the East. ITINERARY** DAY DATE LOCATION Sat-Sun Apr Arrive in Beijing, China Hotel - The Peninsula Beijing Mon Apr 21* Tiananmen Square, Forbidden City, and Summer Palace Tue Apr 22* Great Wall Excursion Wed Apr 23 Temple of Heaven and Hutong Tour Th u Apr 24 Fly to Xi an, China Hotel - Hiton Xi an Hotel Fri Apr 25* Terra Cotta Warriors Sat Apr 26 Fly to Chongqing, China Embark on Century Legend Ship Sun Apr 27* Fengdu/Shiboazhai Mon Apr 28* Qutang Gorge/Wu Gorge/Shennong Stream Tue Apr 29 Xiling Gorge/Disembark in Yichang Fly to Shanghai, China Hotel - Hilton Shanghai Hotel or Hyatt on the Bund Hotel Wed Apr 30* Shanghai Sightseeing Th u May 1* Zhujiajiao Sightseeing Fri May 2 Departure from Shanghai, China *Indicates meetings that t day. See full meeting schedule. **Dates and locations subject to change. PASSPORT VALID for 6 MONThS AfTER RETURN & VISA REQUIRED PACKAGE ONLY AVAILABLE ThROUGh NWAS/NWWT

3 Meeting Schedule Lectures and times subject to change due to local circumstances. Any change will be announced in class. Saturday-Sunday, April Arrive in Beijing, China Hotel - The Peninsula Beijing Monday, April 21 Tiananmen Square, Forbidden City, and Summer Palace 1545 Registration - Mandatory Sign In 1600 The Obesity Epidemic M.Murphy 1700 A Routine Case, Then Anaphylaxis M.Murphy 1800 Preoperative Evaluation of the Patient with Heart Disease: What are the Current Guidelines 1900 Adjourn Tuesday, April 22 Great Wall Excursion 1445 Registration - Mandatory Sign In 1500 Mechanisms of Coagulation: Round Up the Usual Suspects 1600 Common Bleeding Disorders: What to Do? 1700 When the Airway is Traumatized M.Murphy 1800 The Procedure Went Well, but the Patient Remembers It! M.Murphy 1900 Adjourn Wednesday, April 23 Temple of Heaven and Hutongs Tour Thursday, April 24 Fly to Xi an, China Hotel - Hilton Xi an Hotel Friday, April 25 Terra Cotta Warriors 1415 Registration - Mandatory Sign In 1430 Is There Anything New in PONV? M.Murphy 1530 Newer Drugs That Affect the Hemostatic Mechanism 1630 Anesthesia for the Patient with Diabetes Mellitis 1730 Adjourn Saturday, April 26 Fly to Chongqing, China 1900 Board Century Legend Ship 2130 Embarkation Sunday, April 27 Fengdu/Shiboazhai 0845 Registration - Mandatory Sign In 0900 Anesthesia for the Patient with Thyroid Disease 1000 Herbs and Supplements: How They Affect Our Patients (2 hours) M.Murphy 1200 Adjourn Monday, April 28 Qutang Gorge/Wu Gorge/Shennong Stream 0845 Registration - Mandatory Sign In 0900 P4P, Core Measures, and Other Nuisances M.Murphy 1000 Anesthesia for Abdominal Aneurysm Surgery 1100 Colloids, Crystalloids, and Starches - Is There a Superior Fluid in the OR? 1200 Adjourn Tuesday, April 29 Xiling Gorge/Disembark in Yichang, China Fly to Shanghai, China Hotel - Hilton Shanghai Hotel or Hyatt on the Bund Hotel Wednesday, April 30 Shaghai Sightseeing 1845 Registration - Mandatory Sign In 1900 Fluid Management and Goal Directed Therapy - Goodbye to the CVP Catheter? 2000 Avoiding Fires in the OR: The ASA s New Fire Prevention Advisory 2100 Adjourn Thursday, May 1 Zhujiajiao Sightseeing 1545 Registration - Mandatory Sign In 1600 Postoperative Vision Loss: Is it Preventable? M.Murphy 1700 Case Discussion: What Would You Do? M.Murphy 1800 Adjourn Friday, May 2 Departure from Shanghai Faculty Mark T. Murphy, MD Anesthesiologist MSN Education Austin, Texas Medical Director Northwest Anesthesia Seminars Charise Petrovitch, MD Professor of Anesthesiology George Washington University Veterans Affairs Medical Center, Washington D.C. Chief, Anesthesia Section Washington, District of Columbia

4 Location Details Saturday-Sunday, April Arrive in Beijing, China Hotel - The Peninsula Beijing Arrive in China, the ancient Land of the Dragon. Upon arrival you will be welcomed at the airport and escorted to your hotel. The rest of the day is free for you to relax and recover from the long flight. Beijing, the capital city of the Republic of China, is known for its artificial lakes as well as its parks and temples. It contains many spectacular examples of the architecture of the Ming and Ch ing dynasties. Beijing consists of two districts, the Outer or Chinese City and the Inner or Tatar City. To aid in traffic flow, the ramparts and gates that once surrounded the cities were replaced by wide avenues. Monday, April 21 Tiananmen Square, Forbidden City, and Summer Palace Today you will visit the Tiananmen Square, which is located on the southern edge of the Tatar City and is the largest public square in the world. Pass through the Gate of Heavenly Peace into the Forbidden City to see how Chinese emperors lived. This is an architectural masterpiece, with a breathtaking symmetry of palatial pavilions, courtyards, gates, treasure halls, and gardens. The Forbidden City was not open to the public until the 1920s. The 250- acre palace contains more than 9,000 rooms and is now a vast museum. Later in the day you will explore the Summer Palace, which is located just outside of Beijing. The Summer Palace is the largest imperial garden in the world and is filled with reproductions of garden architecture and landscaping from various palaces throughout China. Tuesday, April 22 Great Wall Excursion The highlight of your stay in the fascinating medieval city of Beijing will be today s visit to the Great Wall. En route we will stop at the Bird s Nest and Water Cube for a picture. Built 2,300 years ago and extending a length of 3,750 miles, the Great Wall can be seen from space. It was built section by section between the fifth century BC and the sixteenth century AD. It was designed to keep invaders from the north from penetrating the border into China. Today you will also have the opportunity to learn about Chinese Feng Shui while visiting the Ming Tombs, which are the ancient burial place of many Chinese emperors. The thirteen tombs are spread around a valley that looks like a natural courtyard. While there, you will walk along the Sacred Way, which was regarded as the formal entrance to the tombs. Wednesday, April 23 Temple of Heaven and Hutongs Tour This morning you will visit the beautiful Temple of Heaven, possibly the country s most popular symbol. It was believed to be the closest place to heaven and was where the emperors would communicate with the gods. You may join in for the morning Tai Chi exercises. Later, enjoy Beijing s hutongs tour by rickshaws including a visit to a local home. The hutongs, or ancient city alleys, were built as part of a city building plan that followed the etiquette systems of the Zhou dynasty, which had specific protocols regarding how residential areas should be set. Thursday, April 24 Fly to Xi an, China Hotel - Hilton Xi an Hotel This morning you will be transferred to the airport for your flight to Xi an, once the largest city in the world. Xi an was the national capital for eleven Chinese Dynasties and a major link between Asia and Europe. Upon arrival you will be met and transferred to your hotel. This afternoon visit the Big Wide Goose Pagoda Temple, regarded as a landmark in Xi an, as well as the Shaanxi Provincial Museum. Friday, April 25 Terra Cotta Warriors Today you will visit one of the most significant archeological excavations of the twentieth century: the Terra Cotta Warriors and Horses. In 1974, peasants who were digging wells uncovered pottery belonging to the astonishing third-century BC tomb of Emperor Qin Shi Huang. Three burial galleries have since been excavated and are now a part of a magnificent museum, where thousands of terra cotta warriors stand guard over the imperial tomb. The museum covers an area of a little over ten miles and is divided into three sections: No. 1 Pit, No. 2 Pit and No. 3 Pit, which were named in the order of their discovery. The life-sized armored warriors, who stand at attention or kneel in archery positions, were created to accompany the emperor into the afterlife. In the evening you are treated to a traditional Tang Dynasty Show, focusing on the ancient culture of the period. Saturday, April 26 Fly to Chongqing, China This morning you will be transferred to the airport for your flight to Chongqing, the biggest metropolis in western China. Visit the Hanling tombs on the way to the hotel. Visit the Panda hall. Fol-

5 lowing your tour, embark on the Century Legend ship to explore and discover the mysteries of the Yangtze River. Board around 7:00 pm and set sail around 9:30 pm. Website: Sunday, April 27 Fengdu/Shiboazhai Today s excursion is to Shiboazhai. This red wooden 12-story pagoda rises stunningly against a 100 foot high rock outcropping along the banks of the Yangtze River. Continue sailing and see all the activity on and along the mighty river. All the bridges on the Yangtze were built after A sumptuous captain s welcome dinner is arranged for this evening s repast. The crew presents an entertaining and colorful cabaret tonight. Monday, April 28 Qutang Gorge/Wu Gorge/Shennong Stream Today you will take a trip through the Three Gorges area. As you sail through the gorges you will see spectacular sights like ancient plank roads, ancient cave coffins, aqueous caves, a rainbow fountain, and rare animals like macaques and mandarin ducks. Your river journey begins in the Qutang Gorge. From there, you will have a chance to take an excursion by boat up Shennong Stream, enjoying the breathtaking scenery of Parrot and Dragon Boat Gorges. You will return to your cruise ship and continue through the wondrous Wu Gorge, a meandering landscape of dazzling peaks and rocks that form a whimsical gallery of natural beauty. You will stop at the dam site and then continue on through Qutang Gorge, which the river has carved out between sheer precipices of overhanging mountains. Here you will see the original site of the famous Fenbi Wall, the ruins of ancient cliff roads, and the Mengliang Steps. Wednesday, April 30 Shanghai Sightseeing Today you will enjoy a full day tour of Shanghai. You will get the opportunity to visit Yu Yuan Garden, a classical garden in downtown Shanghai, boasting a 400-year history. Each pavilion, hall, stone, and stream in the garden expresses the quintessence of South China landscape design from Ming and Qing Dynasty. Yu garden is reputed to be the most beautiful garden south of the Yangtze River. Discover the Jade Buddha Temple, built in the reign of Emperor Guangxu of the Qing Dynasty in The name of the temple is derived from the two jade Buddhas in the temple, one in sitting statue and another reclining, which were taken to, Burma by sea. This evening you will enjoy a Chinese Acrobats Performance. Thursday, May 1 Zhujiajiao Sightseeing Enjoy a morning drive to the quaint watertown of Zhujiajiao, known for its canals and ancient architecture. Return to Shanghai for a farewell dinner and prepare for your trip home. Friday, May 2 Departure from Shanghai Depart Shanghai today, filled with memories of your exciting sojourn in the Land of Dragons. Tuesday, April 29 Xiling Gorge/Disembark in Yichang, China Fly to Shanghai, China Hotel - Hilton Shanghai Hotel or Hyatt on the Bund Hotel Take a shore excursion to see the massive construction of Three Gorges Dam, the world largest hydroelectric project. Continue sailing down in the second section of Xiling Gorges. Disembark in Yichang and proceed to the airport for your flight to Shanghai, the Paris of the East, China s most westernized and largest city. Upon arrival, you are met and transferred to the hotel.

6 NWAS Information COURSE DIRECTOR Mark Murphy, MD, Medical Director, Northwest Anesthesia Seminars, Pasco, Washington TARGET AUDIENCE This course is designed for physicians, certified registered nurse anesthetists, 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 and 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 & 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, dosing considerations with methods of administration, safe use, and contraindications and precautions of presented pharmacological agents through the understanding of their physicochemical 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 an/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. ACCREDITATION The A. Webb Roberts Center for Continuing Medical Education of Baylor Health Care System, Dallas designates this live activity for a maximum of 20 AMA PRA Category 1 Credits TM. Physicians should claim only the 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. Canadian Physicians: The Royal College of Physicians and Surgeons of Canada lists The A. Webb Roberts Center for Continuing Medical Education of Baylor Health Care System, Dallas, as an approved ACCME accredited provider. The AMA PRA Category 1 Credits TM awarded may be submitted by the participant to the RCPSC for equivalent MOC Section 1 Credits. Physician Assistants: AAPA accepts Category I credit from AOA CCME, Prescribed credit from AAFP, and AMA PRA Category 1 Credits TM from organizations accredited by the ACCME. Certified Registered Nurse Anesthetists: This program has been prior approved by the AANA for 20 CEC; AANA Code # ; Expiration date 5/1/2014. Anesthesiologist Assistants: The NCCAA accepts these ACCME-approved programs for continuing educational credits. Registered Nurses: NWAS is approved by the California Board of Nursing, Provider Number and Florida and Washington, DC Boards of Nursing, Provider Number This program offers 20 contact hours. Meets the requirements of the Pennsylvania Board of Nursing, Rules and Regulations 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 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. 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.

7 Call One Number 1 (800) or 1 (509) to register for the seminar and reserve your tour (PLEASE PRINT OR TYPE) 19APR14 TOUR RESERVATION - China 14ABE Please reserve room(s) Persons 2 beds 1 bed #Adult #Child Ages* Name as it appears on passport AANA # or MD/RN last 4 digits of SS# Date of birth Today s Date rev: 6/11/13 2 nd Person s name as it appears on passport Date of birth Street City State Zip Phone ( ) Country PASSPORT valid for 6 months from return date & VISA REQUIRED Non-US citizens please check with your consulate for any additional requirements. Rate includes: All transfers and sightseeing tours as per itinerary, all intra-china airfare, airport tax and fuel surcharge, as specified in the itinerary, hotels as listed, breakfast, nine regular Chinese lunches at local restaurants, one Tang Dynasty Dinner and Show at Tang Dynasty Theater, one regular Chinese dinner at local restaurant in Chongqing, farewell Chinese dinner at local restaurant in Shanghai, and Century Legend Cruise (meals on board and listed shore excursions). Rate DOES NOT include: meals not specifically mentioned, departure taxes, visa fees, insurance, items of a personal nature (e.g. laundry, telephone calls, etc.), and airfare to Beijing and from Shanghai. No refund for any package items not used. *No children under age 12. Child (12-16 years old*) sharing with two adults $3,163 $5,537 (single occupancy) $3,726 (per person double occupancy) $3,554 (per person triple occupancy) DEPOSIT: $1,000 per person due at time of booking. Payment schedule will be as directed by the agent. Please call for third/fourth person or child rates. Space is limited and will not be held without a deposit. You must call us at Cancellation Policy: Full refund if cancellation received prior to December 20, Cancellation received December 21, 2013 to January 19, 2014, $ per person penalty. After January 19, 2014, no refund. No exceptions. TRAVEL INSURANCE: Purchase of travel insurance is highly recommended. We recommend you contact Passport Health or for questions regarding country-specific health questions. Travel at your own risk. Check payable to Northwest Worldwide Travel enclosed or charge my: MasterCard Visa Discover Amex Number EXP Date CVV Mail to: Northwest Worldwide Travel, PO Box 2797, Pasco, WA FAX (509) You must book our tour package to attend this meeting. COURSE REGISTRATION 19APR14 CHINA - 14ABE TUITION: In US$ MD/DO CRNA/PA RN/Others Early (Payment received prior to 12/20/13) $850 $800 $750 Regular (Payment received between 12/20/13 and 1/19/14) $925 $875 $825 Late (Payment received after 1/19/14) $1025 $975 $925 COURSE CANCELLATION FEE: $0 until Feb. 18, $100 between Feb. 18 and Mar. 20, No refund after Mar. 20; however, 50% of tuition paid may be applied toward tuition for another NWAS program within 12 months. Cancellation must be in writing. Check payable to NWAS enclosed (No credit cards) Check Number Mail To: NWAS, PO Box 2797, Pasco, WA 99302

8 Northwest Anesthesia Seminars po Box 2797 pasco, Wa (800)