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1、Anesthesiology,Yesterday,TodayandTomorrowAdolphH.GieseckeMD.RetiredJenkinsProfessorandFormerChairman,AnesthesiologyandPainManagement,UTXSouthwesternMedicalCenter,DallasTX.TheFirstAnesthesiologist.1"AndtheLordGodcausedadeepsleeptofalluponAdam,andheslept."Genesis2:21.ManagingPain
2、BeforeAnesthesiaLocalapplicationofcoldwater,iceorpressure.Plantsandextracts.Cocaleaveschewedandsalivadrippedintoinjuredareasoropenwounds-IncaShamans.Alcoholor/withopiumorhemp–“soporificsponge.”HypnosisMostcommon,Opiumpoppy,Papaversomniferum,MandragoraormandrakefromAtropamandrag
3、ora,belladonnafromtheMorningGlory,marijuanaorCannabisindica.OpiumInthose“dark”daysmanypatientsapproachedsurgeryasthroughfacingexecution, anoftenappropriateassessmentofuncontainedrisks,includingpain,hemorrhage,shockandpostoperativeinfection.Theeasiestpaintobearissomeoneelse’s.Se
4、ishuHanaoka,1760-1835.2“AngelofMedicine.”Dutytorelievepain.“Tsusensan”1805.Motherandwifevolunteered.Breastcancerremovedwithtsusensan10/13/1805.Hanaoka1805GoldenEpochsofAnesthesiologyI.Inhalationanesthesia,1846.II.Regionalanesthesia,1884.III.Intravenousanesthesia,1932.IV.Neuromu
5、scularblockers,1942.V.Precisionanesthesia,1986.GoldenEpochsofAnesthesiologyI.Epochofinhalationanesthesia,1846.ETHERDAY.3Successfulpublicdemonstration10/16/1846atMGH.EtherDome,nowanationalshrine.WilliamThomasMorton1819-68.3Clothingmerchant,swindler,dentist,medicalstudent.Attende
6、dWells’demonstrationofN2Oin1845.Ideaofmorepotentagent,etherfromJackson.Patented“Letheon.”Ether“Sweetvitriol”discovered1275bySpanishchemistRaymundusLullius.1540,synthesisofetherdescribedbyGermanscientist,ValeriusCordus.SwissphysicianandalchemistParacelsusdiscoveredthehypnoticeff
7、ectsofether.CrawfordWilliamsonLong (1815-1878).4Firsttouseetherforsurgery.“Discovererofanesthesia?”03/30/1842painlessremovalofnecktumorafterdroppingetheronacloth(anesthesiafee0.25).Discoveryunpublished,predatesMorton’spublicdemonstrationby4years.TheanniversaryofLong’sgreataccom
8、plishment,March30th,iscelebratedintheUnitedStatesas“Do
