Study protocol: hypnosis versus standard care for shoulder dislocation reduction in the emergency department - a...

Area of Science:

• Emergency Medicine
• Pain Management
• Psychological Interventions

Background:

• Anterior shoulder dislocation is a frequent emergency department (ED) presentation.
• Current pain management strategies for shoulder dislocation reduction often rely on analgesics.
• Evidence supporting hypnosis as an effective pain relief method for this procedure is limited.

Purpose of the Study:

• To evaluate if hypnosis reduces analgesic use during shoulder dislocation reduction compared to usual care.
• To assess the efficacy of hypnosis as an alternative pain management technique in the ED setting.

Main Methods:

• A multicentre, randomised controlled trial involving 44 patients with shoulder dislocation.
• Patients were allocated to either a hypnosis group (N=22) or a usual care group (N=22).
• The primary endpoint was the consumption of morphine equivalent analgesics; secondary endpoints included haemodynamic parameters, satisfaction, and procedural details.

Main Results:

• The study aims to demonstrate a decrease in analgesic consumption in the hypnosis group.
• Secondary outcomes will provide further insights into the safety and effectiveness of hypnosis.

Conclusions:

• Hypnosis shows promise as a safe and effective adjunct for pain relief during shoulder dislocation reduction.
• Further research and clinical implementation could optimize pain management in emergency settings.