Nashville, Tennessee

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Take a tour of an Antebellum home rich in history, or take in a comedy while enjoying dinner with your date. Hear live bands playing blues, rock, country, gospel, jazz, or contemporary Christian. Throughout the city, small dives hidden away from the limelight showcase Nashville’s true legends – songwriters.

Every night the music scene in Nashville is vibrant and contagious. Fans rush to get a seat in the clubs while the latecomers crowd the walls and dance floors. By late evening, the clubs are alive and rocking, and there are still many hours left before the clubs close. Let Chopin and Mozart carry you away as you watch the Nashville Ballet or listen to the Grammy-nominated Nashville Symphony. Take in a performance of the Nashville Opera or enjoy an off-Broadway performance at the Tennessee Performing Arts Center. Beyond the great sounds is shopping. Posh boutiques, guitar stores filled with instruments, chic clothing and fashionable shops – Nashville’s shopping scene covers the gamut in style and appeal.

When hunger strikes, Nashville’s plate has many unique options to tempt your taste buds. Known for “meat and threes” and zesty barbecue, Nashville also specializes in New Southern and Southern fusion, a blend of down-home cooking and uptown dining.

Take the kids to explore the Adventure Science Center, Cheekwood Botanical Garden and Museum of Art, Fort Nashborough, Bicentennial Capitol Mall State Park, Nashville Zoo at Grassmere, or Valley Amusement Park. For the sports fan, Nashville boasts three professional sports teams as well as Busch and Indy series car racing. Nashville is surrounded by lush, rolling hills and sparkling blue lakes. Walk 18 holes on Nashville’s five resort courses or eight public golf courses. Ride amusement park rides or slide down Tennessee’s largest waterslides. Rent a jet ski for the day or just cruise upon the world’s largest showboat. When it’s time to unwind, enjoy a day of pampering and relaxation at one of many great day spas.

Renaissance Nashville Hotel

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Escape to the Music Capital of the World at Renaissance Nashville Hotel.  Enjoy perfect location within walking distance of premier downtown attractions, including B.B. King's Blues Club, Country Music Hall of Fame, Ryman Auditorium and the historic Second Avenue District. See NFL and NHL action at nearby Nissan Stadium and Bridgestone Arena.

After an eventful day in Music City, sit down to Southern favorites at Commerce Street Grille or sip a specialty cocktail, while watching the big game on eight 60-inch HD LCD televisions. Guests can enjoy a refreshing dip in the indoor heated pool and whirlpool, or stay fit in the fitness center. Embrace total comfort in spacious rooms and suites, well-appointed with deluxe bedding, and amenities such as LCD TV, alarm clock, coffee maker/tea service, mini-refrigerator, hair dryer, iron/board, safe, and more.

Discover one of America's top travel destinations at a unique downtown hotel that makes your comfort a top priority. The Renaissance Nashville Hotel is located approximately 8.4 miles from the Nashville International Airport (BNA). Valet Overnight parking is approximately $40 plus tax, per night. Parking rates are subject to change without notice.

Email us at or call us (800) 222-6927 • (509) 547-7065


This course is designed for physicians, physician assistants, nurse practitioners, registered nurses, and all other medical care providers who must maintain state-of-the-art knowledge of the critical care specialty or are impacted by it.


The practitioner of critical care medicine 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, 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 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.


At the conclusion of this activity, the participant will be able to:

Apply the pertinent physical and behavioral sciences as they impact and are affected by the planning, delivery, and monitoring of critical care services.

Explain the selection, dosing considerations with methods of administration, safe use, and contraindications and precautions of drugs based on their chemical and pharmacologic properties.

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 all aspects of patient care regardless of the clinical environment in which the practice resides.

Incorporate the appropriate recommendations and/or requirements of pertinent external organizations, institutions, and professional groups in the provision of critical care services, whether medical, legal, philosophical, ethical, or health care management standards.

Critical Care: The Team Approach
Nashville, Tennessee
June 20-23, 2019

Thursday, June 20

  0630 Registration - Mandatory Sign In - Continental Breakfast
  0655 Welcome NWAS Staff  
  0700 ICU Liberation and the ABCDEF Bundle W.Ely  
  0800 Delirium W.Ely  
  0900 End of Life W.Ely  
  1000 Break
  0900 Ventilator-Induced Lung Injury: "Iatrogenic" ARDS N.MacIntyre  
  1115 Beyond the Stethoscope: When the MD Becomes Family T.Osborn  
  1215 Common Procedures in the ICU: Tracheostomy, PEGs, Debridement R.Sawyer  
  1315 Adjourn

Friday June 21

  0630 Registration - Mandatory Sign In - Continental Breakfast
  0700 Contemporary Approach to the Burn Patient C.Hayhurst  
  0800 Approach to Pain in the ICU C.Hayhurst  
  0900 Initial Management of the Multi-Trauma Patient R.Sawyer  
  1000 Break
  1015 Sepsis Definitions: What's in a Name? T.Osborn  
  1115 Managing Severe Hypoxemic Respiratory Failure: Beyond the ARDSnet Protocol N.MacIntyre  
  1215 Noninvasive Ventilation: Applications and Tricks of the Trade N.MacIntyre  
  1315 Adjourn

Saturday June 22

  0630 Registration - Mandatory Sign In - Continental Breakfast
  0700 ECMO Basics A.King  
  0800 Ventricular Assist Devices in the ICU B.Alvis  
  0900 Vasopressors: What and When? T.Osborn  
  1000 Break
  1015 Managing Severe Airway Obstruction in the ICU: When Less May Be More N.MacIntyre  
  1115 Necrotizing Fasciitis R.Sawyer  
  1215 Necrotizing Pancreatitis: When to Operate? R.Sawyer  
  1315 Adjourn

Sunday June 23

  0630 Registration - Mandatory Sign In - Continental Breakfast
  0700 Intra-Abdominal Infections in the ICU R.Sawyer  
  0800 Promise, Process, Arise: Where Are We Now? T.Osborn  
  0900 Emergent Intubation of the Morbidly Obese T.Osborn  
  1000 Break
  1015 Patient-Ventilator Interactions: Optimizing Synchrony Without Drugs N.MacIntyre  
  1115 Intracranial Hypertension T.McGrane  
  1215 The Geriatric ICU Patient and Understanding the Principle of Frailty B.Alvis  
  1315 Adjourn

24 CME

24 Class A CEC

Pharmacology Hours TBD†

  Refreshments served at the meeting are for registered attendees only.  


Bret D. Alvis, MD
Assistant Professor of Anesthesiology
Division of Critical Care Medicine
Vanderbilt University Medical Center
Nashville, Tennessee

Wesley Ely, MD
Professor of Medicine and Pulmonary Critical Care
Vanderbilt University Medical Center
Nashville, Tennessee

Christina Hayhurst, MD
Assistant Professor of Anesthesiology and Critical Care
Vanderbilt University Medical Center
Nashville, Tennessee

Adam King, MD
Assistant Professor of Anesthesiology and Critical Care
Vanderbilt University Medical Center
Nashville, Tennessee

Neal MacIntyre, MD
Professor of Medicine and Pulmonary Critical Care
Duke University Medical Center
Durham, North Carolina

Tracy McGrane, MD
Assistant Professor of Anesthesiology and Neurology
Vanderbilt University Medical Center
Nashville, Tennessee

Tiffany Osborn, MD
Professor of Surgery, Emergency Medicine and Surgical Critical Care
University of Washington
St Louis, Missouri

Robert G. Sawyer, MD, FACS, FIDSA, FCCM
Professor of Surgery and Medical Engineering
Chair, Department of Surgery
Western Michigan University
Homer Stryker MD School of Medicine
Kalamazoo, Michigan


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 24 AMA PRA Category I Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Approved by the American College of Emergency Physicians for a maximum of 24.00 hour(s) of ACEP Category I credit.

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 24 Class A CEC; AANA Code #1037214; Expiration Date 6/23/2019.

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 I Credit™ from organizations accredited by ACCME or a recognized state medical society. Physician assistants may receive a maximum of 24 hours of Category I credit for completing this program.

Registered Nurses: NWAS is an approved provider for the following state nursing boards: Arkansas State Board of Nursing (Provider Number 50-7480), 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 24 contact hours.

†Pharmacology hours subject to change.


Mark T. Murphy, MD, MSN Education, LLC, St. Petersburg, Florida 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. 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 21, 2019 to May 21, 2019. No refund after May 21, 2019; however, 50% of tuition paid may be applied toward tuition for another NWS 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 NWS including net hotel and tuition booked through NWS (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 NWS!

Lecture notes will be provided via download in PDF format.

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.

We have a block of rooms for seminar participants. Once this block is sold, rooms are based upon availability only and may be at a higher rate. Rooms are available only through us 1 (800) 222-6927.

Travel at your own risk.

Airfare available through Universal Travel. Be sure to mention Northwest Seminars when booking. Contact Kellee Gray: Phone number: (858) 456-7962 - Email:


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.