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Pediatric hypnosis: pre-, peri-, and post-anesthesia
1Department of Pediatrics, BC Children's Hospital & University of British Columbia, Vancouver, BC, Canada. kuttner@sfu.ca
Insights
Pediatric hypnosis effectively reduces anxiety and pain for children undergoing anesthesia. This child-centered approach offers long-term benefits, improving recovery and comfort during and after procedures.
Area of Science:
- Anesthesiology
- Pediatric Psychology
Background:
- Pediatric hypnosis is a child-centered intervention with immediate and long-term benefits.
- It can be integrated into presurgical consultations to manage fears and improve recovery.
- Hypnosis prepares children for anesthesia, enhancing receptivity to beneficial suggestions.
Purpose of the Study:
- To review the literature on hypnosis in pediatric anesthesia.
- To highlight the role and relevancy of hypnosis in managing pre-, peri-, and post-anesthesia.
- To emphasize hypnosis as an adjunctive treatment for pain and anxiety control.
Main Methods:
- Literature review of pediatric hypnosis in anesthesia.
- Discussion of hypno-anesthesia techniques, such as The Magic Glove.
- Emphasis on the need for training and supervised practice in hypnosis.
Main Results:
- Hypnosis minimizes anticipatory anxiety before anesthesia.
- It serves as an adjunctive treatment to reduce and control pain.
- Hypnosis aids in extubation, reduces nausea, and eases recovery post-anesthesia.
Conclusions:
- Hypnosis significantly reduces anxiety and pain in pediatric patients.
- Patients receiving hypnosis experience shorter hospital stays and less long-term discomfort.
- There is a strong rationale for incorporating hypnosis as an adjunctive treatment for pediatric anesthesia.
Objective:
Pediatric hypnosis has a useful role in pre-, peri-, and post-anesthesia to minimize anticipatory anxiety, and as adjunctive treatment to reduce and control pain. This article reviews the literature in the use of hypnosis in pediatric anesthesia to highlight its role and relevancy.
Background:
Current research indicates there is an immediate and enduring impact, and long-term benefits of this child-centered intervention. Hypnosis can be included in presurgical consultations to establish cooperation and signals for increasing comfort and to address fears and provide suggestions for rapid recovery with changed expectations for the child's own benefit. Thus prepared, the child is in a heightened state of receptivity and statements and suggestions carry through to peri- and post-anesthesia, when hypnosis can help with extubation, reduce nausea, and ease recovery.
Method:
The Magic Glove is one hypno-anesthesia technique that simultaneously addresses pain and anxiety. The process of hypnosis requires training and supervised practice.
Conclusion:
Patients in hypnosis treatment conditions have less anxiety and shorter hospital stays and experience less long-term pain and discomfort than do patients in control conditions. There appears little reason not to provide hypnosis as an adjunctive treatment for pediatric patients undergoing anesthesia.
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