The effectiveness of hypnosis for reducing pain was evaluated in various medical specialities. However, only few studies have demonstrated the efficacy of hypnosis for the management of pain in the emergency medicine. Anteromedial dislocation is a very common Reason for admission in emergency department. Many methods for reduction have been described but there is no consensus on the optimum technique or sedation procedures. Some pain medication and tranquilizers used during a shoulder dislocation management include hemodynamic, respiratory and behavioral adverse effects with the requirement of strengthened surveillance. Hypnosis could provide to reduce sedative and analgesic use during the reduction of anteromedial dislocation. The main objective of this study is to evaluate the efficacy of a hypnosis session for reducing the consumption of analgesic in patient throughout a reduction of shoulder dislocation. The investigators also examine the effect of hypnosis on hemodynamic parameters, patient's pain, patient and practitioner satisfaction, sedative consumption, number of attempts for reduction and length of stay in the emergency department.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
DIAGNOSTIC
Masking
NONE
Hypnosis session will precede therapeutic strategies and reduction
All dislocation would be reduced Under adequate analgesia and sufficient sedation. All methods for reduction can be used.
CHR Fleyriat- Hôpital de Bourg en Bresse
Bourg-en-Bresse, Ain, France
Centre Hospitalier Lucien Hussel
Vienne, Isère, France
CHR Metz Thionville
Metz, Moselle, France
Hôpital Robert Pax
Sarreguemines, Moselle, France
Centre Hospitalier Saint Luc Saint Joseph
Lyon, Rhône, France
Groupement hospitalier Sud-Hôpital Lyon Sud
Lyon, Rhône, France
Hôpital Nord-Ouest Villefranche sur Saône
Villefranche-sur-Saône, Rhône, France
Analgesic consumption
Calculated as the equal dose of morphine
Time frame: Day 1
Dose of sedative drug
Dose of sedative drug
Time frame: Day 1
Patients'satisfaction
Patients'satisfaction was assessed with a Likert scale after reduction. The satisfaction was scored on 5-point Likert scale, ranging from 1 to 5 (with 1=excellent and 5=catastrophic).
Time frame: Day 1
Practitioners'satisfaction
Practitioners'satisfaction was assessed with a Likert scale after reduction. The satisfaction was scored on 5-point Likert scale, ranging from 1 to 5 ( with 1=excellent and 5=catastrophic).
Time frame: Day 1
Number of attempts for reduction
Number of attempts for reduction
Time frame: Day 1
Length of stay
Length of stay in the emergency department
Time frame: Day 1
Method use for reduction
Method use for reduction
Time frame: Day 1
Adverse events
number of adverse events
Time frame: Day 1
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