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1、IntroductionofClinicalAnesthesiaDepartmentofAnesthesiologyLiWenzhiConceptUsingDrugsorothermethodsCentralNerveSystemorperipheralnervesystemLosingsense,painlessandcomfortable,temporarilyWhatcanyoudoforyourfuture?expertiseinresuscitationfluidreplacementairwa
2、ymanagementoxygentransportoperativestressreductionpostoperativepaincontrolICUArchaicanesthesiaStoneAge:spiculaanalgesiaAcupunctureTraditionalmedicinePressureCryotherapyAndothersHistoryofanesthesiology1846publicdemonstrationofetheranesthesiabyWilliamT.G.Mo
3、rtonMorton'setherinhaler(1846)JohnSnow,thefirstanesthesiologist （1846）MachineofInhalationalanesthesiain1847Facemask (1847)HistoryofinhalationAnesthesiamachine(1930)Intravenousanesthetics1934:thiopental1959:diazepam1960:hydroxybutyrate,r-OH1970:ketamine197
4、2:etomidate1976:midazolam1983:propofolOthersOpioidsMorphine,fentanyl,sufentanil,alfentanil,remifentanilRelaxantsCurare,succinylcholine,pancuronium,vecuronium,atracurium,rocuronium,mivacurium,atal.Localanesthetics1884：Cocaineasophthalmicanesthesia,nerveblo
5、ck1885：Epiduralanesthesia1898:Spinalanesthesia1901：Caudalanesthesia1905：Procaine1930：Dibucaine1932：Dicaine1943：Lidocaine1996:RopivacaineDevelopingofClinicalAnesthesiology80年代90年代21世纪BPPulseABPCVPS-GcatheterECGTemp.ABP、CVPPETCO2Anesthesia-gasesECGNo-invasi
6、veBP,SPO2TEEBISTOFCCOWorkstationHowaboutourdepartmentofanesthesiology?～1956：surgeon1957：anesthesiagroup60-70：epidural,spinal,nerveblock70-80：CPB,intravenousanesthesia,andinhalationalanesthesia80-85:intravenousanesthesia,inhalationalanesthesia,ECG,arterial
7、bloodpressure,CVP,S-G80-90：inhalationalanesthesiawithtiminginjectionofvolatileanesthetics90-prsent：depthofanesthesia,balanceanesthesiaPETCO2work-station,BIS,TOF,PiCCO21centuryKeydept.&keylab.ofprovince,painclinicalwardPopularanesthesiawordsASAphysicalstat
8、usclassificationsystemTOF:trainoffourBIS:bispectralindexSG:SwanGanzcatheterMAC:minimumalveolarconcentrationTEE:transesophagealechocardiographyTheworkingfieldofAnesthesiologistsClinicanesthesiaOperatingroom,PACU,outp
