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February 06, 2005

麻酔を“かける”

麻酔科医のなかには「ソースや醤油じゃあるまいし,『麻酔をかける』という表現はやめろ。『麻酔を行う』または『麻酔を施行する』と言え」と主張するひとがいる。しかし,私は麻酔をかけるという言い方は好きである。かけるという動詞は『魔法をかける』『術をかける』など,神秘的な行為に用いられるからだ。こんなことを言うと,頭の固い麻酔科医は「麻酔を魔法や魔術と一緒にするな。麻酔は科学だ」と反論するだろう。しかし,吸入麻酔薬の作用機序がよく分かっていないのは有名な話だ。「作用機序が完全に解明されていないと科学とは言えないのかね」と言われそうだが,自分が普段使用しているものが,実は科学的には正体がよく分かっていないというのは面白い。
エピがまだ外科系医師にそれほど知られていなかった頃,エピを十分効かせながら全麻を覚醒し,患者が痛みなくすっきり覚めるのを見た外科系医師のひとりは「魔法のようだ」と言ってくれた。そう,私は魔法のような麻酔を目指すとしよう。

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