Preoperative hypnosis reduces postoperative vomiting after surgery of the breasts

Enqvist, B.; Björklund, C.; Engman, Martin F.; Jakobsson, Jan

doi:10.1111/j.1399-6576.1997.tb04831.x

Cited by 85 publications

(42 citation statements)

References 8 publications

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“…113,114 Hypnosis has also been found effective when compared with placebo (IIIB). 115 Although some earlier reports suggested that ginger root might have a beneficial effect for PONV prophylaxis, this has not been confirmed in a recent meta-analysis (IIA). 116 …”

Section: Non-pharmacological Techniquesmentioning

confidence: 67%

Evidence-based management of postoperative nausea and vomiting: a review

Habib

Gan

2004

Can J Anesth/J Can Anesth

196

106

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P Pu ur rp po os se e: : To provide evidence-based guidelines for the prophylaxis and treatment of postoperative nausea and vomiting (PONV).S So ou ur rc ce e: : Literature from randomized controlled trials, systematic reviews, logistic regression analyses and expert opinion in the management of PONV.P Pr ri in nc ci ip pa al l f fi in nd di in ng gs s: : The etiology of PONV is multifactorial. Patient, anesthesia, and surgery related risk factors have been identified. Universal PONV prophylaxis is not cost-effective. Identification of patients at high-risk of PONV allows targeting prophylaxis to those who will benefit most from it. No prophylaxis is needed for patients at low risk for PONV. For patients at moderate risk for PONV, prophylaxis using a single antiemetic or a combination of two agents should be considered. Double and triple antiemetic combinations should be considered for patients at high risk for PONV. Furthermore, a multimodal approach should be adopted incorporating steps to keep the baseline risk of PONV low. The optimum cost-effective approach to the management of PONV will differ between an ambulatory centre and an inpatient hospital setting. For the treatment of established PONV in patients who failed prophylaxis, patients should not receive a repeat dose of the prophylactic antiemetic. Rather, a drug acting at a different receptor should be used. Beyond six hours after surgery, patients can be treated with any of the agents used for prophylaxis, except dexamethasone and transdermal scopolamine.C Co on nc cl lu us si io on n: : PONV are common after anesthesia and surgery. We provided evidence-based guidelines for the management of this problem based on the available literature. Objectif : Énoncer des lignes de conduite fondées sur des données probantes pour la prévention et le traitement des nausées et des vomissements postopératoires (NVPO). Source : Les publications d'essais contrôlés et randomisés, les études méthodiques, les analyses de régression logistique et l'opinion d'experts sur le traitement des NVPO. Constatations principales : L'origine des NVPO est multifactorielle. Les facteurs de risque reliés au patient, à l'anesthésie et au type de chirurgie sont connus. La prévention universelle des NVPO n'est pas rentable. L'identification des patients à haut risque de NVPO permet

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Section: Non-pharmacological Techniquesmentioning

confidence: 67%

Evidence-based management of postoperative nausea and vomiting: a review

Habib

Gan

2004

Can J Anesth/J Can Anesth

196

106

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“…Two articles were excluded because they included women undergoing elective breast surgery. 25,26 Another article was excluded because it was not randomized. 27 Thirteen RCTs with a total of 1357 patients were included in the review.…”

Section: Literature Searchmentioning

confidence: 99%

“…Three hundred and thirty-three records were retrieved in literature search, and 16 full-text articles were assessed for eligibility [25][26][27][28][29][30][31][32][33][34][35][36][37][38][39][40] ( Figure 1). Two articles were excluded because they included women undergoing elective breast surgery.…”

Section: Literature Searchmentioning

confidence: 99%

Hypnosis in Breast Cancer Care

et al. 2014

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Introduction. Many breast cancer patients and survivors experience pain and emotional stress related to their disease, its diagnostic procedures, or treatment. Hypnosis has long been used for the treatment of such symptoms. The aim of this review was to systematically assess the effectiveness of hypnosis in women with breast cancer, breast cancer survivors, and in women undergoing diagnostic breast biopsy. Methods. PubMed, Scopus, the Cochrane Library, PsycINFO, and CAMBASE were screened through February 2014 for randomized controlled trials (RCTs) of hypnosis in women with breast cancer or undergoing diagnostic breast biopsy. RCTs on postmenopausal women without a history of breast cancer were also eligible. Primary outcomes were pain, distress, fatigue, nausea/vomiting, and hot flashes. Safety was defined as secondary outcome measure. Risk of bias was assessed by 2 reviewers independently using the Cochrane Risk of Bias Tool. Results. Thirteen RCTs with 1357 patients were included. In women undergoing diagnostic breast biopsy (3 RCTs), hypnosis positively influenced pain and distress; 1 RCT on breast cancer surgery found effects of hypnosis on pain, distress, fatigue, and nausea. For women undergoing radiotherapy (3 RCTs), hypnosis combined with cognitive-behavioral therapy improved distress and fatigue. In 3 RCTs on women with and without a history of breast cancer experiencing hot flashes, hypnosis improved hot flashes and distress. Three RCTs on women with metastatic breast cancer found effects on pain and distress. Conclusions. This systematic review found sparse but promising evidence for the effectiveness of hypnosis in breast cancer care. While more research is needed to underpin these results, hypnosis can be considered as an ancillary intervention in the management of breast cancer-related symptoms.

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“…In our study, only 2 patients required pharmacological therapy for PONV. Previous studies have shown that hypnosis is effective for prevention of nausea and vomiting [1,2,18,19]. All 15 patients in our study also had smooth postoperative course and reported complete amnesia for intra-operative events.…”

Section: Discussionmentioning

confidence: 52%

Use of hypnosis as a substitute premedication and adjunct to anesthesia

Shanthanna¹,

Jeurkar²

2013

J Anesthesiol Clin Sci

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Background: Surgery is associated with significant anxiety and stress in a majority of patients. Most medications used to achieve anxiolysis and sedation are limited by their side effects. 'Non-pharmacological hypnosis' is defined as a subjective state, during which alterations of perception and memory can be elicited by suggestions. Methods: In this prospective, observational study, hypnosis was used in fifteen patients for a range of surgeries; as a complementary technique to achieve sedation, establishment of intravenous (IV) access, and to decrease the anesthetic dose and postoperative nausea, vomiting. Results: Hypnosis successfully reduced the anxiety from a range of 45 to 90 (median of 60) to a range of 1 to 20 (median of 10). When calculated and analysed as means, the mean decrease was 56 (95% CI: 51.81, 60.04) with a p<0.001. Twelve out of fifteen patients had their intravenous access established under hypno-analgesia with no memory of that event. Thirteen patients had successful prevention of nausea, vomiting without antiemetics. Hypnosis also decreased the dose of induction agent in all patients having general anesthesia. Conclusion: Increasing knowledge and sophistication in anaesthesiology has given a wide spectrum of anesthetic agents and equipments to choose. However, achievement of sedation, anxiolysis and IV access are still areas of challenge which need more human interaction rather than administration of a miracle agent. We aim to demonstrate that hypnosis is well suited for such a purpose and should be utilised, at least in suitable patients.

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Preoperative hypnosis reduces postoperative vomiting after surgery of the breasts

Abstract: Preoperative relaxation and/or hypnotic techniques in breast surgery contribute to a reduction of both PONV and postoperative analgesic requirements.

Cited by 85 publications

References 8 publications

Evidence-based management of postoperative nausea and vomiting: a review

Evidence-based management of postoperative nausea and vomiting: a review

Hypnosis in Breast Cancer Care

Use of hypnosis as a substitute premedication and adjunct to anesthesia

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