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1、IntroductionofClinicalAnesthesiaDepartmentofAnesthesiologyLiWenzhiConceptUsingDrugsorothermethodsCentralNerveSystemorperipheralnervesystemLosingsense,painlessandcomfortable,temporarilyWhatcanyoudoforyourfuture?expertiseinresuscitationfluidreplacementairwaymanagem
2、entoxygentransportoperativestressreductionpostoperativepaincontrolICUArchaicanesthesiaStoneAge:spiculaanalgesiaAcupunctureTraditionalmedicinePressureCryotherapyAndothersHistoryofanesthesiology1846publicdemonstrationofetheranesthesiabyWilliamT.G.MortonMorton'sethe
3、rinhaler(1846)JohnSnow,thefirstanesthesiologist（1846）MachineofInhalationalanesthesiain1847Facemask (1847)HistoryofinhalationAnesthesiamachine(1930)Intravenousanesthetics1934:thiopental1959:diazepam1960:hydroxybutyrate,r-OH1970:ketamine1972:etomidate1976:midazolam
4、1983:propofolOthersOpioidsMorphine,fentanyl,sufentanil,alfentanil,remifentanilRelaxantsCurare,succinylcholine,pancuronium,vecuronium,atracurium,rocuronium,mivacurium,atal.Localanesthetics1884：Cocaineasophthalmicanesthesia,nerveblock1885：Epiduralanesthesia1898:Spi
5、nalanesthesia1901：Caudalanesthesia1905：Procaine1930：Dibucaine1932：Dicaine1943：Lidocaine1996:RopivacaineDevelopingofClinicalAnesthesiology80年代90年代21世纪BPPulseABPCVPS-GcatheterECGTemp.ABP、CVPPETCO2Anesthesia-gasesECGNo-invasiveBP,SPO2TEEBISTOFCCOWorkstationHowabouto
6、urdepartmentofanesthesiology?～1956：surgeon1957：anesthesiagroup60-70：epidural,spinal,nerveblock70-80：CPB,intravenousanesthesia,andinhalationalanesthesia80-85:intravenousanesthesia,inhalationalanesthesia,ECG,arterialbloodpressure,CVP,S-G80-90：inhalationalanesthesia
7、withtiminginjectionofvolatileanesthetics90-prsent：depthofanesthesia,balanceanesthesiaPETCO2work-station,BIS,TOF,PiCCO21centuryKeydept.&keylab.ofprovince,painclinicalwardPopularanesthesiawordsASAphysicalstatusclassificationsystemTOF:trainoffourBIS:bispectralindexS
8、G:SwanGanzcatheterMAC:minimumalveolarconcentrationTEE:transesophagealechocardiographyTheworkingfieldofAnesthesiologistsClinicanesthesiaOperatingroom,PACU,outpa
