Preoperative hypnosis for pain management after arthroscopic repair of anterior cruciate ligament.
Analgesia
/ methods
Anesthesia, Epidural
/ methods
Anterior Cruciate Ligament
/ surgery
Anterior Cruciate Ligament Injuries
/ surgery
Anterior Cruciate Ligament Reconstruction
/ adverse effects
Arthroscopy
/ adverse effects
Combined Modality Therapy
/ methods
Historically Controlled Study
Humans
Hypnosis
/ statistics & numerical data
Pain Management
/ adverse effects
Pain Measurement
Pain, Postoperative
/ etiology
Pilot Projects
Preoperative Care
/ methods
Treatment Outcome
Journal
La Tunisie medicale
ISSN: 2724-7031
Titre abrégé: Tunis Med
Pays: Tunisia
ID NLM: 0413766
Informations de publication
Date de publication:
Feb 2020
Feb 2020
Historique:
entrez:
13
5
2020
pubmed:
13
5
2020
medline:
2
10
2020
Statut:
ppublish
Résumé
The practice of hypnoanalgesia in orthopedics is rare and the literature is poor. The purpose of this pilot study was to verify the efficacy of hypnosis for the management of postoperative analgesia after arthroscopic repair of anterior cruciate ligament. This was a prospective clinical trial over a period of 6 months (March - August 2015) including 25 patients scheduled for arthroscopic repair of anterior cruciate ligament under spinal anesthesia. All these patients had preoperative hypnosis in addition to the standard multimodal analgesia protocol (group H) and were compared to historical group (group S) who received only a standard multimodal analgesia protocol. Pain scores were significantly lower for the hypnosis group during the first 48 hours postoperatively (p = 0,006). The total dose of morphine at 48 hours was: 13,6 mg (95% CI [4,58; 22,62]) in the group H and 10,2 mg (95% CI [1,64 ; 18,76]) in group S with no statistically significant difference (p = 0,178) Conclusion: Results of this pilot study in orthopedic surgery suggested that hypnosis reduced postoperative pain scores as demonstrated in other surgeries.
Sections du résumé
BACKGROUND
BACKGROUND
The practice of hypnoanalgesia in orthopedics is rare and the literature is poor.
AIM
OBJECTIVE
The purpose of this pilot study was to verify the efficacy of hypnosis for the management of postoperative analgesia after arthroscopic repair of anterior cruciate ligament.
METHODS
METHODS
This was a prospective clinical trial over a period of 6 months (March - August 2015) including 25 patients scheduled for arthroscopic repair of anterior cruciate ligament under spinal anesthesia. All these patients had preoperative hypnosis in addition to the standard multimodal analgesia protocol (group H) and were compared to historical group (group S) who received only a standard multimodal analgesia protocol.
RESULTS
RESULTS
Pain scores were significantly lower for the hypnosis group during the first 48 hours postoperatively (p = 0,006). The total dose of morphine at 48 hours was: 13,6 mg (95% CI [4,58; 22,62]) in the group H and 10,2 mg (95% CI [1,64 ; 18,76]) in group S with no statistically significant difference (p = 0,178) Conclusion: Results of this pilot study in orthopedic surgery suggested that hypnosis reduced postoperative pain scores as demonstrated in other surgeries.
Types de publication
Clinical Trial
Journal Article
Langues
eng
Sous-ensembles de citation
IM