To Compare Efficacy of Hypnosis and Intravenous Sedation in Controlling of Important Variables of Vital Signs and Evaluate the Patient Anxiety Before and after Topical Anesthesia in Ophthalmic Surgery
Novelty in Biomedicine,
Vol. 4 No. 3 (2016),
3 July 2016
,
Page 93-99
https://doi.org/10.22037/nbm.v4i3.7925
Abstract
Background: Stress is one of the most important problems among preoperative patients. In order to reduce these signs and symptoms, some medications are used for patients. The aim of this study was to compare the efficacy of hypnosis to intravenous sedation on controlling the important variables of vital signs and to evaluate the patient anxiety before and after regional or topical anesthesia in ophthalmic surgery.Materials and Methods: This study was designed as a double-blind stratified randomized clinical trial. Hypnotism was administered to hypnotism group, and midazolam, fentanyl, and propofol were given intravenously to the IV sedation group. The patients were monitored and the baseline variables consisted of mean arterial pressure, pulse rate, respiratory rate, and O2 saturation were registered every 15 minutes during surgery. Patient anxiety was measured via Spielbeger`s State Anxiety Index (STAI) score before and after surgery.
Results: 90 patients were participated in the study, with 50% (n=45) assigned to hypnosis group and 50% (N=45) assigned to IV sedation group. Patients characteristics, including age, gender, and body mass index (BMI) duration of surgery were similar among the groups (P>0.05). Spielbeger`s State Anxiety Index (STAI) score before and after surgery were not significantly different in both groups (P>0.05). Heart rate, respiratory rate, mean arterial pressure were lower among hypnosis group as well as this group had higher O2 saturation during surgery (P<0.05).
Conclusion: Hypnosis can be an effective means of controlling vital signs at different intervals of starting the ophthalmic surgery compared to intravenous sedation. In the hypnosis group anxiety was similar to IV sedation group, but O2 saturation was more desirable.
- Hypnosis
- Intravenous sedation
- Vital signs
- O2 saturation
- Anxiety
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References
Chiutu L. Potentiated loco-regional anesthesia in ophtalmological surgery Oftalmologia. 1999;49:43-6.
Hernandez A, Tatarunis AM. The use of pre-, intra-, and posthyponic suggestion in anesthesia and surgery. CRNA. 2000;11:167-72.
Dimsdale J, Keefe F, Stein M. Stress and psychiatry. In: Sadock J, Sadock A, Kaplan`s &Sadaock`s Comprehensive Textbook of Psychiatry. 7th Philadelphia: Lippincott Williams and Wilkins. 2000. pp. 1835-46.
Meurisse M, Hamoir E, Defechereux T, Gollogly L, Derry O, Postal A, et al. Bilateral neck exploration under nosedation: a new standard of care in primary hyperparathyroidism? Ann Surg. 1999;229:401-8.
Schulz-Stubner S Hypnosis-a side effect-free alternative to medical sedation in regional anesthesia. Anaesthesist. 1996;45:965-9.
Schulz-Stubner S. Clinical hypnosis instead of drug-based sedation for procedures under regional anesthesia. Reg Anesth Pain Med. 2002;27:622-3.
Practice guidelines for sedation and analgesia by non-anesthesiologist. In: Miller D. Anesthesia. 5th Philadelphia: Churchill Livingstone. 2000. pp. 2807.
Bayat A, Arscott G. Continuous intravenous versus bolus parenteral midazolam: a safe technique for conscious sedation in plastic surgery. Br J PlastSurg. 2003;56:272-5.
Harman DM. Combined sedation and topical anesthesia for cataract surgery. J Cataract Refract Surg. 2000;26:109-13.
Accardi MC, Milling LS. The effectiveness of hypnosis for reducing procedure-related pain in children and adolescents: a comprehensive methodological review. J Behav Med. 2009;32:328-39.
Hermes D, Trubger D, Hakim SG, Sieg P. Perioperative use of medical hypnosis. Therapy options for anaesthetists and surgeons. Anaesthesist 2004; 53: 326-33.
Abeles G, Warmuth IP, Sequeira M, Swensen RD, Bisaccia E, Scarborough DA. The use of conscious sedation for outpatient dermatologic surgical procedures DermatolSurg 2000; 26: 121-6.
Rodrigo MR. Use of inhalational and intravenous sedation in dentistry. Int Dent J. 1997;47:32-8.
Gallacchi G. Algorithm for diagnosis and therapy of pain. Praxis. 2003;92:1955-60. [Article in German]
Shang AB, Gan TJ. Optimising postoperative pain management in the ambulatory patient. Drugs. 2003;63:855-67.
Spiegel H, Greenleaf M, Spiegel D. Hypnosis. In: Sadock J, Sadock A, Kaplan`s &Sadaock`s Comprehensive Textbook of Psychiatry. 7th Philadelphia: Lippincott Williams and Wilkins; 2000. pp. 2128-46.
Bergeron J, Landry, Belanger D. The development and validation of a french form of the state-trait anxiety inventory. In C.D. Spielberger and Diaz-Guerrero (Eds), Cross-cultural anxiety. New York, NY: Halsted Press/Wiley. 1976;41-50.
Levitas E, Parmet A, Lunenfeld E, Bentov Y, Burstein E, Friger M, et al. Impact of hypothesis during embryo transfer on the outcome of in vitro fertilization-embryo transfer: A case control study.Fertility and sterility. 2006;85:1404-8.
Catoire P, Delaunay L, Dannappel T, Baracchini D, Marcadet-Fredet S, Marret E. Hypnosis versus Diazepam for embryo transfer: A randomized controlled study. American J of Clinical Hypnosis. 2013;55:378-86.
.Lu DP, Lu GP. Hypnosis and pharmacological sedation for medically compromised patients. Compend Contin Educ Dent. 1996;17:32.
Montgomery GH, David D, Winkel G, Silvestein JH, Bovbjerg DH. The effectiveness of adjunctive hypnosis with surgical patients: a meta-analysis. Anesth Analg. 2002;94:1639-45.
Faymonville ME, Mambourg PH, Joris J, Vrijens B, Fissette J, Albert A, et al. Psychological approaches during conscious sedation. Hypnosis versus stress reducing strategies: a prospective randomized study. Pain. 1997;73:361-7.
Kirsch I. Changing expectations: a key to effective psychotherapy. Pacific Grove, CA: Brooks/Cole. 1990.
Vann MA, Ogunnaike Bo, Joshi GP. Sedation and anesthesia care for ophthalmologic surgery during local/regional anesthesia. Anesthesiology. 2007;107:502-8.
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