Therapeutic suggestions given during neurolept-anaesthesia decrease post-operative nausea and vomiting

Abstract

respect to demographic variables, anaesthetic technique, drug dosage, duration of anaesthesia and sur-A double-blind randomized study was performed in gery. Patients in the suggestion group suffered 100 patients undergoing thyroidectomy to evaluate significantly less from post-operative nausea or vomthe effect of positive therapeutic suggestions made iting (suggestion: 47.2% vs. control: 85.7%) and reduring neurolept-anaesthesia. The classic droperidolquired less anti-emetic treatment (suggestion: 30.6% fentanyl-N 2 O technique was used as these drugs prevs. control: 68.6%). We conclude that therapeutic sugserve the neurophysiological functions required to gestions heard during neurolept-anaesthesia are proprocess the information in the therapeutic suggestions cessed and decrease post-operative nausea and given during general anaesthesia. Patients in the sugvomiting in patients after thyroidectomy. gestion group heard positive non-affirmative suggestions during the whole operation. An autoreverse Keywords: post-operative nausea and vomiting;therapeutic suggestions, neurolept-anaesthesia, dro-tape player was used. The control group listened to an empty tape. Both groups were comparable with peridol.

Effect of a Nausea Expectancy Manipulation on Chemotherapy-Induced Nausea: A University of Rochester Cancer Center Community Clinical Oncology Program Study

“…It is possible that a stronger expectancy manipulation, perhaps one involving the use of audio or video tapes with hypnosis, might have been more effective. The use of audio tape-generated suggestions has been successful in mitigating health outcomes in various studies 22,23 and could potentially work in this situation.…”

“…[23][24][25] Changes in objectively measured outcomes, including reduction in blood loss during surgery 26 and resumption of normal gastrointestinal activity in the postoperative period, 27 have also been observed. A particularly interesting example of how response expectancies affect chemotherapy-related nausea comes from a large multicenter study conducted by our research group examining the efficacy of acustimulation and acupressure bands as an adjunct to standard antiemetics for nausea control.…”

Placebo Interventions for Nausea: a Systematic Review

“…1. Of the instructional articles, one article was excluded because the instructional manipulation was given under anaesthetic and no participants reported being able to remember the manipulation [34]. One was excluded because expectancies were used as a statistical mediator, but not manipulated [35].…”

Negative und positive Suggestionen in der Anästhesie

“…Zahlreiche Studien haben güns tige Effekte bei Patienten unter Allgemein anästhesie nachgewiesen, denen intra operativ Suggestionen direkt oder über Band zugesprochen wurden. Es wurden eine verringerte Inzidenz von PONV, Fie ber und Kopfschmerz, eine größere hä modynamische Stabilität, ein geringe rer postoperativer Analgetikabedarf, eine frühere Mobilisation und eine verkürz te Krankenhausliegedauer nachgewiesen [13,18,44,45,67]. Aus diesen klinischen Untersuchungen und der Hypnosefor schung sind vielfältige Wirkungen von positiven Suggestionen auf unterschied liche Parameter und Symptome bekannt (.…”