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Hypnosis as adjunct therapy in conscious sedation for plastic surgery
M E Faymonville1, J Fissette, P H Mambourg
1Department of Anesthesia and Intensive Care Medicine, University of Liège, Belgium.
Regional Anesthesia
|March 1, 1995
Summary
Hypnosis significantly reduced pain and anxiety during plastic surgery compared to traditional intravenous sedation. This technique also lowered medication requirements and improved patient satisfaction.
Area of Science:
- Anesthesiology
- Psychology
- Plastic Surgery
Background:
- Conscious sedation can be challenging for procedures like plastic surgery.
- Hypnosis is routinely used in plastic surgery for conscious sedation, yielding high satisfaction.
Purpose of the Study:
- To investigate the benefits of hypnosis as an adjunct to local anesthesia in plastic surgery.
- To compare hypnosis with traditional intravenous sedation for pain and anxiety management.
Main Methods:
- Retrospective study of 337 patients undergoing plastic surgery under local anesthesia.
- Three groups: intravenous sedation, hypnosis, and relaxation (hypnosis without trance).
- Compared midazolam/alfentanil requirements, pain, and anxiety scores (visual analog scale).
Main Results:
- Hypnosis group showed significantly lower intraoperative anxiety (0.7) and pain scores (1.36) vs. intravenous sedation (5.6 and 4.9).
- Reduced midazolam and alfentanil requirements in the hypnosis group compared to intravenous sedation.
- Lower incidence of postoperative nausea/vomiting (1.2%) and higher patient satisfaction in the hypnosis group.
Conclusions:
- Hypnosis effectively supplements conscious intravenous sedation for plastic surgery.
- Provides superior pain and anxiety relief compared to conventional intravenous sedation.
- Leads to significant reductions in sedative medication needs and improved patient satisfaction.