Hypnosis is defined as an altered state of consciousness characterized by an increased susceptibility to suggestion. It is a technique commonly used in the medical field, primarily for the management of pain and anxiety. The literature demonstrates that better pain management is correlated with a shorter length of stay in the ICU and a shorter duration of mechanical ventilation. In patients hospitalized in the ICU requiring invasive mechanical ventilation, the emotional component plays a significant role in dyspnea, which can become an obstacle to weaning from ventilation. The analgesic and anxiolytic treatments used carry numerous side effects and contraindications, limiting their use in ICU patients. Furthermore, pulmonary edema is a common cause of failure to wean from invasive mechanical ventilation. By reducing the occurrence of hypertension and tachycardia, hypnosis could be used as a therapeutic strategy to limit its incidence. Thus, hypnosis could be a valuable therapeutic tool for improving tolerance and the success of ventilator weaning. Although hypnosis is already commonly used in intensive care units, its use is still limited by a lack of evidence for more specific indications. It is in this context that this study was conducted, to assess the feasibility of conducting a hypnosis session during weaning from invasive mechanical ventilation in the intensive care unit.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
30
The intervention consists of a standardized hypnosis session delivered by a trained practitioner during the weaning phase from invasive mechanical ventilation in an intensive care unit.
Central Hospital
Nancy, France
Feasibility of a hypnosis session during weaning from invasive mechanical ventilation.
Number of hypnosis sessions conducted, relative to the number of eligible patients.
Time frame: At the end of the recruitment period
Progression of pain and anxiety during weaning from invasive mechanical ventilation using hypnosis.
Assessment of pain and anxiety using visual analog scales before and after the hypnosis session.
Time frame: During the hypnosis session (Day 1)
Frequency of failed weaning from invasive mechanical ventilation among patients who underwent a hypnosis session.
Ventilator weaning failure rate.
Time frame: During ICU stay
Complications associated with weaning from mechanical ventilation using hypnosis.
Number and types of complications.
Time frame: During the ICU stay
Length of stay in the intensive care unit following weaning from mechanical ventilation using hypnosis.
Length of stay in the intensive care unit.
Time frame: ICU stay
Mortality following weaning from mechanical ventilation using hypnosis.
Death rate
Time frame: At day 28
Patients' experiences
Form for patients who received hypnosis during weaning from mechanical ventilation.
Time frame: On the day of discharge from the ICU, and no later than Day 28
Professionals' perceptions of hypnosis
Form for healthcare professionals who have conducted at least one hypnosis session.
Time frame: Throughout the study's enrollment period.
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