Procedural pain in resuscitation is common in the conscious patient. However, analgesia and sedation may be impossible because of the acute pathology leading to resuscitation, comorbidities or the urgency of the invasive procedure. In addition, the use of analgesics and sedatives is responsible for adverse effects. In this context, hypnosis appears to be an additional analgesic tool that would reduce the consumption of analgesics and sedatives and thus reduce their side effects.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
SINGLE
Enrollment
80
The hypnosis session : * Creation of the therapist-patient link * Choice of a theme and the preferred sensory channel by the patient * Collection of the theme chosen by the patient * Orientation in the here and now. * Induction * Realization of the gesture and hypnosis * At the end of the procedure, reassociation of the patient in the here and now
No hypnosis
Saint-Brieuc Hospital
Saint-Brieuc, Brittany Region, France
Rennes University Hospital
Rennes, France
Pain assessment
Oral assessment scale (0 : no pain - 10 : maximal pain)
Time frame: Immediately after the end of the invasive procedure (Hour 0)
Pain assessment
Oral assessment scale (0 : no pain - 10 : maximal pain)
Time frame: The first hour after the end of the procedure (Hour 1)
Morphine equivalent dose
Cumulative use of morphine-morphine analgesics in morphine equivalent during the procedure and the first hour after the end of the procedure (H1)
Time frame: Immediately after the end of the invasive procedure (H0) and the first hour after the end of the procedure (H1)
Sedatives dose
Cumulative use of sedatives during the procedure and the first hour after the end of the procedure (H1)
Time frame: Immediately after the end of the invasive procedure (Hour 0) and the first hour after the end of the procedure (Hour 1)
Local Anesthesia dose
Consumption of local anesthesia during the invasive procedure
Time frame: Immediately after the end of the invasive procedure (Hour 0)
Comfort scale
Comfort measured by the numerical comfort scale (0 no comfort - 10 most comfortable situation imaginable)
Time frame: Immediately after the end of the invasive procedure (H0) and the first hour after the end of the procedure (H1)
Anxiety
Patient anxiety measured by the numerical anxiety scale (0 no anxiety - 10 greatest anxiety imaginable) .
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Time frame: Immediately after the end of the invasive procedure (Hour 0) and the first hour after the end of the procedure (Hour 1)
Duration
Duration of the invasive procedure including the period of hypnosis
Time frame: Immediately after the end of the invasive procedure (Hour 0)
Number of attempts and failures of the procedure
Number of attempts and failures of the procedure
Time frame: The first hour after the end of the procedure (Hour 1)
Adverse events
Number of adverse events occurring during the procedure (hematoma, failure to pose, ...)
Time frame: The first hour after the end of the procedure (Hour 1)
Nurse stress
Stress of the nurse in charge of the patient quantified by a numerical scale of evaluation (0 no stress - 10 greatest stress imaginable)
Time frame: Immediately after the end of the invasive procedure (Hour 0)
Length of stay in intensive care unit
Length of stay in intensive care unit, measured until D28
Time frame: Day 28