Anesthesia operating room

【Growth Process】

In the late 1960s, Qiu Xianji went to Fuyang to go to the countryside and started clinical anesthesia in Fuyang. (Qiu Xianji: former director of the Anesthesiology Teaching and Research Office of Zhejiang Medical University, Hangzhou Branch, and an anesthesiologist at a hospital in Hangzhou at that time) In 1969, Zhao Fa'e worked full-time in the anesthesiology department and was the person in charge of the operating room. Epidural anesthesia, spinal anesthesia, brachial plexus and cervical plexus anesthesia, and ether inhalation general anesthesia were carried out. It was not until the 1980s that Zhao Fa'e introduced general anesthesia with tracheal intubation. In 1973, Li Zhiyun entered the anesthesiology department as an apprentice. In 1984, Feng Guoxiang entered the anesthesiology department. Zhang Gendi, Zhang Kaiwa, and Han Ying successively switched from nurses to anesthesiologists. The anesthesia team gradually expanded. In 1989, the hospital moved to a new inpatient building, and the operating room was moved to the seventh floor on the top floor of the inpatient building. The Department of Anesthesiology was officially established. There are 4 anesthesia operating rooms and 1 ophthalmology and minor surgery room each. In August 1993, Yu Guocan entered the workforce as the first graduate of anesthesia major in Zhejiang Province. In the late 1980s, combined spinal-epidural anesthesia and intravenous inhalation combined general anesthesia were carried out. (Main developer: Zhang Gendi) In 2000, brachial plexus block guided by electrical stimulator. (Main developer: Li Zhiyun) In December 2003, the anesthesiology department moved to the third floor of the new inpatient building in the old hospital area. There are 11 operating rooms in total. Established 6 anesthesia operating rooms. There are 1 ophthalmology room and 1 minor surgery room each. In November 2006, according to the requirements of the hospital's Grade II-A accreditation, it opened a pain clinic, anesthesia recovery room, and preoperative preparation room. (Main developer: Yu Guocan) In 2009, fiberoptic bronchoscopy was used for bronchial positioning. In 2011, intraoperative autoblood transfusion technology was carried out using an autoblood transfusion machine. (Main developer: Yu Guocan) In 2012, deep vein catheterization and nerve block technology under ultrasound were carried out for the first time in the hospital. (Main developers: Yu Guocan, Zang Hongcheng) In 2013, visual tracheal intubation technology was launched. Develop intraoperative laryngeal mask ventilation technology. In May 2015, the hospital was completely relocated. The operating room anesthesia department is located on the 4th floor of the medical technology building. There are 18 operating rooms in total. The pain clinic is on the 3rd floor of the outpatient building, with 2 consulting rooms and 2 treatment rooms each. In 2015, painless gastroscopy was launched in the hospital. Painless colonoscopy was performed in 2017. (Main developer: Yu Guocan) In 2016, the technology of bronchial occlusion and intubation for one-lung ventilation was launched. (Main developer: Yu Guocan) In 2016, transversalis fascia plane block was used for postoperative analgesia in colorectal cancer. (Main developer: Wu Tianliang) Application of ultrasound-guided dorsal penile nerve block in children in 2017. Application of fiberoptic bronchoscope-guided tracheal intubation through laryngeal mask approach in difficult airway in 2019. (Main developer: Shao Gang) Acupuncture was introduced in 2018 For chronic pain treatment. Skin acupuncture technology for chronic pain treatment in 2019. (Main developer: Hu Fang) In 2019, with the help of Tian Suming from the Pain Department of Shaw Hospital and others, shock wave treatment for chronic pain and shoulder joint release under brachial plexus anesthesia were carried out. (Main initiators: Hu Fang, Sun Haoliang) In March 2019, painless delivery was launched. In July 2020, monitoring of blood output in the surgical center was carried out. In May 2021, painless bronchoscopy will be performed. In August 2022, painless endoscopic ultrasound and ERCP will be carried out.

[Successively served as diagnosis and treatment team leader, director, and head nurse]

From the late 1960s to 1990, Zhao Fa'e was the person in charge of the operating room and the director of the anesthesiology department. From 1990 to November 2005, Zhang Gendi was the director of the Department of Anesthesiology. From November 2005 to present, Yu Guocan is the director of the Department of Anesthesiology. In May 2018, Shao Gang became deputy director of the department.

【Current status of subject】

Since its establishment, the Department of Anesthesiology and Surgery of Fuyang District First People's Hospital currently has 28 anesthesiologists, including 4 chief physicians, 1 deputy chief physician, 10 attending physicians, 13 residents, and 3 anesthesia nurses. The operating room has 18 operating rooms. Currently, there are 10 anesthesia operating rooms, each of which is regularly equipped with anesthesia machine monitors such as GE and Drager. Other main instruments in the operating room include: 4 ventilators, 3 autoblood transfusion machines, 1 ultrasound machine, 1 cardiac output monitor, 1 set of fiberoptic bronchoscopes, 3 sets of flexible visual lenses, and 2 warming blanket machines Taiwan, 3 blood transfusion warming machines, etc. In 2022, more than 13,000 annual operations will be completed in the operating room, and more than 9,000 cases of painless gastroenteroscopy, bronchoscopy and other anesthesia will be completed outside the operating room. Routinely perform general surgery, hepatobiliary, cardiothoracic, brain surgery, urology, orthopedics, obstetrics and gynecology, burns and plastic surgery, etc., and are proficient in the rescue of severe systemic multiple injuries, complex and difficult, and critical patients, and protect the lives of patients. Carry out anesthesia and pain diagnosis and treatment clinics, and carry out comfortable medical projects such as painless gastrointestinal endoscopy, painless delivery, painless bronchoscopy, and painless endoscopic ultrasound to improve the quality of medical services.

【Diagnosis and treatment scope】

The business scope of the anesthesiology department covers surgical anesthesia, pain diagnosis and treatment, comfort diagnosis and treatment, first aid and resuscitation, etc. Surgical anesthesia includes: general surgical anesthesia, urological anesthesia, orthopedic anesthesia, thoracic surgery anesthesia, obstetrics and gynecology anesthesia, neurosurgery anesthesia, pediatric anesthesia, ENT anesthesia, etc. We also carry out outdoor anesthesia and anesthesia clinics outside the operating room. Pain diagnosis and treatment focuses on various types of chronic pain, including cervical spondylosis, frozen shoulder, waist and leg pain, herpetic neuralgia and cancer pain, etc., using acupuncture, acupuncture, nerve block, shock wave and other treatment methods. Comfortable diagnosis and treatment services include painless gastrointestinal endoscopy, painless delivery, painless abortion, painless hysteroscopy, painless bronchoscopy, painless endoscopic ultrasound, etc., providing patients with a comfortable and safe diagnosis and treatment environment. The Anesthesiology Department has completed the rescue and tracheal intubation treatment of critically ill patients in the hospital.

【Technical Features】

1. Master various clinical anesthesia techniques, including general anesthesia, nerve block (under ultrasound guidance), spinal anesthesia, etc., and be familiar with and master the anesthetic treatment and rescue of various difficult and critical surgeries. 

2. Painless and comfortable medical treatment: Anesthesia technology is applied in clinical diagnosis and treatment, allowing patients to receive examination and treatment in a safe, painless and comfortable state. This ensures medical safety while pursuing medical comfort and humanity, embodying more humanity. Care and dignity. 

3. Minimally invasive pain diagnosis and treatment: Since the opening of the outpatient clinic, treatment methods such as acupuncture, silver needles, minimally invasive acupuncture, and nerve blocks have been used to solve the pain of countless pain patients, especially cervical spondylosis, frozen shoulder, and low back and leg pain. , patients with diseases such as herpes zoster neuralgia and cancer pain. 

4. Visual medical technology: Video laryngoscope, rigid scope, flexible scope and fiberoptic bronchoscope are used in difficult airway treatment, double-lumen bronchial intubation, etc. to improve the success rate of intubation. Ultrasound visualization technology is used in nerve blocks and invasive puncture operations to reduce operating injuries and ensure success rates.

【Scientific research results】

The department now has a doctoral clinical research workstation, established and completed 2 municipal and district-level scientific research projects, and published more than 10 academic papers, including 5 SCI papers.