Self-hypnotic relaxation during interventional radiological procedures: Effects 012 pain perception and intravenous drug use

Lang, Elvira V.; Joyce, Janet S.; Spiegel, David; Hamilton, Donna; Lee, Kelvin K.

doi:10.1080/00207149608416074

Cited by 109 publications

(83 citation statements)

References 26 publications

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“…Hypnosis can be induced in a matter of seconds, and patients can be taught self-hypnosis to provide ongoing analgesia and to maintain physical relaxation even in the face of emotional distress. 13 Lang et al 10,11 reported that adults who underwent invasive radiologic procedures and were randomized to learn hypnosis used less medication, reported less pain and anxiety, experienced fewer procedural complications, and were able to complete their procedures in an average of 17 minutes less time. The implementation of these procedures also saved money, an average of $338 per procedure, despite the addition of a professional conducting the hypnosis, as a result of reduced medication use, fewer complications, and shorter procedure time.…”

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confidence: 99%

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Hypnosis Reduces Distress and Duration of an Invasive Medical Procedure for Children

Butler¹,

Symons²,

Henderson

et al. 2005

Pediatrics

Self Cite

142

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ABSTRACT. Objective. Voiding cystourethrography (VCUG) is a commonly performed radiologic procedure in children that can be both painful and frightening. Given the distress that some children experience during the VCUG and the need for children to be alert and cooperative during the procedure, finding a psychological intervention that helps children to manage anxiety, distress, and pain is clearly desirable. This study was designed to examine whether relaxation and analgesia facilitated with hypnosis could reduce distress and procedure time for children who undergo this procedure.Methods. Forty-four children who were scheduled for an upcoming VCUG were randomized to receive hypnosis (n ‫؍‬ 21) or routine care (n ‫؍‬ 23) while undergoing the procedure. The sample consisted of 29 (66%) girls and 15 (34%) boys with a mean age of 7.6 years (SD: 2.5; range: 4 -15 years). Ethnic/racial backgrounds were 72.7% white, 18.2% Asian, 4.5% Latino, 2.3% black, and 2.3% Filipino. The mean number of previous VCUGs was 2.95 (SD: 2.51; mode: 2; range: 1-15). Potential participants were identified through computerized hospital records of upcoming VCUGs. Parents were contacted by telephone and invited to participate if their child was eligible. To be eligible for the study, the child must have undergone at least 1 previous VCUG, been at least 4 years of age at that time, and experienced distress during that procedure, and both the child and the participating parent had to be English speaking. Each eligible child and parent met with the research assistant (RA) before the day of the scheduled procedure for an initial assessment. Children were queried regarding the degree of crying, fear, and pain that they had experienced during their most recent VCUG. Parents completed a series of parallel questions. Immediately after this assessment, those who were randomized to the hypnosis condition were given a 1-hour training session in self-hypnotic visual imagery by a trained therapist. Parents and children were instructed to practice using the imaginative self-hypnosis procedure several times a day in preparation for the upcoming procedure. The therapist was also present during the procedure to conduct similar exercises with the child. The majority (83%) of those who were randomized to the routine care control group chose to participate in a hospital-provided recreation therapy program (offered as part of routine care). The program includes demonstration of the procedure with dolls, relaxation and breath work training, and assistance during the procedure. On the day of the VCUG, the RA met the family at the clinic before the procedure, and both the child and the parent rated the child's present level of fearfulness. During the procedure, the RA recorded observational ratings of the child's emotional tone and behavior and timed the overall procedure and its phases. Immediately after the VCUG, the child was asked how much crying, fear, and pain he or she had experienced during the procedure; the parent rated the child's experience on the same ...

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confidence: 99%

“…There is a growing body of evidence indicating that hypnosis can be a useful adjunct to medical procedures (eg, [7][8][9][10][11][12] ). Hypnosis is a state of highly focused attention, with a reduction in peripheral awareness and a heightened responsiveness to social cues.…”

mentioning

confidence: 99%

Hypnosis Reduces Distress and Duration of an Invasive Medical Procedure for Children

Butler¹,

Symons²,

Henderson

et al. 2005

Pediatrics

Self Cite

142

View full text Add to dashboard Cite

show abstract

“…A. Lambert, 1996;Lang, Joyce, Spiegel, Hamilton, & Lee, 1996), the treatment of a subgroup of patients with asthma (Ewer & Stewart, 1986), and the treatment of patients with dermatological disorders (Spanos, Stenstrom, &Johnston, 1988;Spanos, Williams, & Gwynn, 1990;Zachariae, 0ster, Bjerring, & Kragballe, 1996), irritable bowel syndrome (Harvey, Hinton, Gunary, & Barry, 1989; Faragher, 1984;Whorwell, Prior, & Colgan, 1987), hemophilia (SwirskySacchetti & Margolis, 1986), and postchemotherapy nausea and emesis (Lyles, Burish, Krozely, & Oldham, 1982;Zeltzer, Dolgin, LeBaron, & LeBaron, 1991). There are strong indications that hypnosis is helpful in the treatment of these diverse conditions, strengthening confidence in the possibility that larger studies with fully elaborated procedures will ultimately satisfy the criteria for empirical support for hypnotic interventions in these areas.…”

Section: A Summary Of the Evidencementioning

confidence: 98%

Hypnosis as an empirically supported clinical intervention: The state of the evidence and a look to the future

Lynn

Kirsch

Barabasz

et al. 2000

International Journal of Clinical and Experimental Hypnosis

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Drawing on the literature reviews of this special issue of the International Journal of Clinical and Experimental Hypnosis (2000), this article summarizes the evidence for the effectiveness of hypnosis as an empirically supported clinical intervention. As a whole, the clinical research to date generally substantiates the claim that hypnotic procedures can ameliorate some psychological and medical conditions, as judged against the Chambless and Hollon methodological guidelines. In many cases, these clinical procedures can also be quite cost-effective. It is probable that with some key empirical refinement a number of other hypnosis treatment protocols will have sufficient empirical documentation to be considered "well-established." However, it is noted that the Chambless and Hollon guidelines are not particularly well-suited for assessing hypnosis' impact when used adjunctly with other interventions. The article concludes with recommendations regarding the efficacy questions that need to be more fully addressed empirically and offers methodological guidelines for researchers and practitioners.

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“…These include patient-focused approaches like offering the choice of music, hypnosis or anodyne imagery (conditioned relaxation, induction of a trance state and guided processing of the patient's internal imagery). [18][19][20][21][22][23] Despite the success of these techniques, placement of TIVAP and PIVAD in interventional radiology in the USA is performed primarily under procedural sedation using intravenous pharmacologic agents. 3,4 The multiple proven methods to ease patient anxiety, including non-pharmacologic and a range of pharmacologic therapies, present an opportunity to employ shared decision-making so that patients can select the option that is most aligned with their comfort level.…”

Section: Discussionmentioning

confidence: 99%

Sedation shared decision-making in ambulatory venous access device placement: Effects on patient choice, satisfaction and recovery time

et al. 2016

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This study was undertaken to determine the impact of shared decision-making when selecting a sedation option, from no sedation (local anesthetic), minimal sedation (anxiolysis with a benzodiazepine) or moderate sedation (benzodiazepine and opiate), for venous access device placement (port-a-cath and tunneled catheters) on patient choice, satisfaction and recovery time. This is an IRB-approved, HIPPA-compliant, retrospective study of 198 patients (18-85 years old, 60% female) presenting to an ambulatory vascular interventional radiology department for venous access device placement between 22 October 2014 and 7 October 2015. Patients were educated about sedation options and given the choice of undergoing the procedure with no sedation (local anesthetic only), or minimal or moderate sedation. Satisfaction was assessed through three survey questions. No sedation was selected by 53/198 (27%), minimal sedation by 71/198 (36%) and moderate sedation by 74/198 (37%). All subjects would recommend the option to another patient and valued the opportunity to select a sedation option. Post-procedure recovery time differences were statistically significant (p<0.0001) with median recovery times of 0 minutes for no sedation, 38 minutes for minimal sedation and 64 minutes for moderate sedation. In conclusion, patient sedation preference for venous access device placement is variable, signifying there is a role for shared decision-making as it empowers the patient to select the option most aligned with his or her goals. The procedure is well-tolerated, associated with high satisfaction, and the impact on departmental flow is notable because patients choosing no or minimal sedation results in a decreased post-procedure recovery time burden.

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Self-hypnotic relaxation during interventional radiological procedures: Effects 012 pain perception and intravenous drug use

Cited by 109 publications

References 26 publications

Hypnosis Reduces Distress and Duration of an Invasive Medical Procedure for Children

Hypnosis Reduces Distress and Duration of an Invasive Medical Procedure for Children

Hypnosis as an empirically supported clinical intervention: The state of the evidence and a look to the future

Sedation shared decision-making in ambulatory venous access device placement: Effects on patient choice, satisfaction and recovery time

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