Clinical Anaesthesiology

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Clinical Anaesthesiology

• Qiu Wei FanAssociate Professor
• Department of AnaesthesiologyRui Jin
  HospitalShanghai Second Medical University

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Contents

• The history of Anaesthesia
• The scope of anaesthesia
• Classification of Anaesthesia Methods
• Definition of the practice of anaesthesiology
• Preoperative assessment and premedication

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The History of AnaesthesiaBritish Origins

• John Snow was the first to scientifically
  investigate ether and the physiology of general
  anaesthesia. Snow was also a pioneer in
  epidemiology who helped stop a cholera epidemic
  in London by proving that the causative agent was
  transmitted by ingestion rather than inhalation.

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The History of AnaesthesiaBritish Origins

• In 1847, Snow published the first book on
  general anaesthesia, On the Inhalation of Ether.
  When the anaesthetic properties of chloroform
  were made known, he also quickly investigated and
  developed an inhaler for that agent as well. He
  felt that an inhaler should be used in
  administering these agents in order to control
  the dose of the anaesthetic.

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The History of AnaesthesiaBritish Origins

• In 1893, then first organization of
  physician specialists in anaesthesia , the
  Society of Anaesthetists, was formed by J. F.
  Silk in England.

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The History of AnaesthesiaAmerican Origins

• Three physicians stand out in the
  early development of anaesthesia in the United
  States after the turn of the century Arthur E.
  Guedue, Ralph M. Waters, and John S. Lundy.
  Guedue was the first to elaborate on the signs of
  general amaesthesia after Snow