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December 2024

Self-hypnotic relaxation during interventional radiological procedures: Effects on pain perception and intravenous drug use

Author(s): Joyce, J. S., Spiegel, D., Hamilton, D., Lee, K. K.

Journal/Book: Int J Clin Exp Hypn. 1996; 44: 2455 Teller Rd, Thousand Oaks, CA 91320. Sage Publ Inc. 106-119.

Abstract: The authors evaluated whether self-hypnotic relaxation can reduce the need for intravenous conscious sedation during interventional radiological procedures. Sixteen patients were randomized to a test group, and 14 patients were randomized to a control group. All had patient-controlled analgesia. Test patients additionally had self-hypnotic relaxation and underwent a Hypnotic Induction Profile test. Compared to controls, test patients used less drugs (0.28 vs. 2.01 drug units; p < .01) and reported less pain (median pain rating 2 vs. 5 on a 0-10 scale; p < .01). Significantly more control patients exhibited oxygen desaturation and/or needed interruptions of their procedures for hemodynamic instability. Benefit did not correlate with hypnotizability. Self-hypnotic relaxation can reduce drug use and improve procedural safety.

Note: Article EV Lang, Univ Iowa Hosp & Clin, Dept Radiol 3890 Jpp, 200 Hawkins Dr, Iowa City, IA 52242 USA

Keyword(s): HYPNOSIS; IMAGERY; SEDATION; FENTANYL; ANXIETY; ANGIOGRAPHY; MIDAZOLAM; ANALGESIA


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