Introduction
In elderly patients, chronic subdural hematoma is often associated with such complications as cardiac disease, asthma and bronchiectasis. Acupuncture anesthesia was given to a group of such patients instead of endotracheal anesthesia.
Method
Anesthesia was applied to acupoints of chinese acupuncture anesthesia from ante to just post operation. Patients were four men and one woman ranging from 64 to 73 years old who had not only fundamental disorders such as right bundle-branch block, atrial fibrillation, myocardiopathy, asthma and bronchiectasis, but also had comparatively disturbed levels of consciousness. One of them was incompatible with endotracheal anesthesia. Another patient received acupuncture anesthesia together with an injection of diazepan (10mg) and pentazocine (30mg).
Conclusion
The postoperative course in these five cases was uneventful and all of them left the hospital unassisted.

In 1991, the committee on postgraduate clinical training proposed revised behavioral objectives for basic clinical training in the initial two years. We present here a model for a clinical training program that should enable most residents to attain these objectives within two years.
The program begins with orientation for 1-2 weeks, including a workshop on team care, and nursing practice.
Basic clinical skills for primary care and emergency managements should be learned by experience during rotations through various clinical specialities. All staff members, even senior residents, should participate in teaching beginning residents in hospitals.