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Hypnosis as an alternative to general anaesthesia for paediatric superficial surgery: a randomised controlled trial

Chrystelle Sola1, Julie Devigne2, Sophie Bringuier3

  • 1Department of Maternal, Child and Women's Anaesthesiology and Intensive Care Medicine, Paediatric Anaesthesia Unit, Montpellier University Hospital, Montpellier, France; Institute of Functional Genomics, University of Montpellier, CNRS, INSERM, Montpellier, France.

British Journal of Anaesthesia
|January 23, 2023
PubMed

Insights

Hypnosis significantly reduced hospital stay and preoperative anxiety in children undergoing superficial surgery compared to general anesthesia. This study highlights hypnosis as a safe and effective alternative for pediatric patients.

Area of Science:

  • Pediatric Anesthesiology
  • Medical Hypnosis
  • Clinical Trials

Background:

  • Perioperative anxiety and pain in children negatively impact recovery.
  • Hypnosis modulates sensory and affective pathways, making it useful in medical settings.
  • This study compares general anesthesia with intraoperative hypnosis for pediatric superficial surgery.

Purpose of the Study:

  • To evaluate the efficacy of intraoperative hypnosis versus general anesthesia in pediatric patients undergoing superficial surgery.
  • To compare length of hospital stay, anxiety levels, pain scores, and postoperative behavioral changes between the two groups.

Main Methods:

  • A randomized controlled trial involving 60 children aged 7-16 years undergoing day-case superficial surgery.
  • Participants were assigned to either general anesthesia or hypnosis support groups.
  • Outcomes measured included hospital stay, child and parent anxiety, pain, and behavioral changes.

Main Results:

  • Hypnosis was successful in 59 out of 60 children.
  • The hypnosis group had a significantly shorter hospital stay (120 min vs. 240.5 min).
  • Higher preoperative anxiety was observed in the general anesthesia group for both children (30% vs. 11%) and parents (55% vs. 30%).

Conclusions:

  • Hypnosis is a feasible, accepted, and effective alternative to general anesthesia for pediatric superficial surgery.
  • It improves the perioperative experience and supports rapid recovery.
  • Hypnosis is a safe option for managing pediatric surgical patients.
Abstract

Keywords:
general anaesthesiahypnosispaediatric anaesthesiaperioperative anxietyplastic surgery

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