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Medical hypnosis as a tool to acclimatize children to noninvasive positive pressure ventilation: a pilot study

Vincent Delord1, Sonia Khirani2, Adriana Ramirez3

  • 1Pediatric Pulmonary Department, AP-HP, Hôpital Armand Trousseau, Paris.

Chest
|February 9, 2013
PubMed

Insights

Medical hypnosis effectively reduces anxiety and speeds up acclimatization for noninvasive positive pressure ventilation (NPPV) in children. This safe, inexpensive therapy improves long-term patient cooperation with NPPV, especially after traumatic medical experiences.

Area of Science:

  • Pediatric respiratory care
  • Medical hypnosis applications
  • Psychological interventions in medicine

Background:

  • Patient cooperation is vital for successful noninvasive positive pressure ventilation (NPPV).
  • Children often experience anticipatory anxiety and difficulties acclimatizing to NPPV devices.
  • Previous methods for managing NPPV initiation challenges in pediatric patients have limitations.

Purpose of the Study:

  • To evaluate the efficacy of medical hypnosis in reducing anticipatory anxiety in pediatric NPPV candidates.
  • To assess the impact of medical hypnosis on the acclimatization time required for NPPV.
  • To determine the long-term compliance rates with NPPV following hypnosis intervention.

Main Methods:

  • Medical hypnosis was administered by a trained nurse to pediatric patients.
  • Hypnosis techniques included distraction for younger children and suggestions for relaxation in older children.
  • Acclimatization time and subsequent long-term NPPV compliance were the primary outcome measures.

Main Results:

  • Nine children (aged 2-15) with high anxiety or prior NPPV failure underwent hypnosis.
  • All patients accepted the NPPV interface and device after the initial hypnosis session.
  • A median of three sessions led to overnight NPPV acceptance, with excellent 6-month compliance (median 7.5 hours/night).

Conclusions:

  • Medical hypnosis is a safe, effective, and affordable method to decrease distress and improve NPPV acclimatization in children.
  • This intervention is particularly beneficial for pediatric patients with histories of tracheotomy or facial surgery.
  • Hypnosis enhances patient cooperation and long-term adherence to NPPV therapy.
Abstract

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