Hypnosis for sedation in transesophageal echocardiography: a comparison with midazolam

Eren, Gülay; Doğan, Yüksel; Demir, Güray; Tülübaş, Evrim Küçür; Hergünsel, Oya; Tekdöş, Yasemin; Doğan, Murat; Bilgi, Deniz Özel; Abut, Yesim Cokay

doi:10.5144/0256-4947.2015.58

Cited by 12 publications

(11 citation statements)

References 21 publications

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“…They have shown lower level of post-procedural anxiety and better maintenance of vigilance in the hypnosis group. Moreover, similar to our results, both cardiologists and patients rated the probing significantly higher when the non-pharmacological approach was applied ( 8 ). In the randomized trial of Lang et al ( 4 ), the structured attention and self-hypnotic relaxation has been proven to be beneficial during invasive medical procedures, resulting in pain and anxiety reduction.…”

Section: Discussionsupporting

confidence: 88%

“…Many different non-pharmacologic approaches to patients’ preparation of the various invasive medical procedures have previously been described. Eren et al ( 8 ) in recent prospective single-blinded study on patients scheduled for TEE have shown hypnosis to be associated with positive therapeutic outcomes in comparison to the traditional sedation in TEE (intravenous midazolam). They have shown lower level of post-procedural anxiety and better maintenance of vigilance in the hypnosis group.…”

Section: Discussionmentioning

confidence: 99%

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Feasibility and clinical benefit of cognitive–behavioral intervention for preparing patients for transesophageal echocardiography

Wejner‐Mik¹,

Sobczak²,

Miśkowiec³

et al. 2015

Anatol J Cardiol

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Objective:Despite premedication, anxiety in patients undergoing transesophageal echocardiography (TEE) is prevalent, often causing adverse physiological and psychological effects and contributing to decreased patient compliance. We aimed to evaluate the feasibility of cognitive–behavioral intervention (CBI) in patients undergoing TEE and to assess its impact on the severity of anxiety, patient’s and physician’s comfort, and administered dose of sedatives.Methods:Our study was designed as a prospective, single-center, single-blinded, case-controlled pilot study. The study group comprised 49 patients (26 men, 66±8 years old) referred for TEE. Before the examination, 26 randomly selected patients underwent CBI. Sedatives were administered, if necessary. After the examination, patient anxiety and patient’s and physician’s comfort were evaluated using dedicated questionnaires and scores. Intergroup comparison was performed using Student’s t-test for independent variables and Mann–Whitney U test and Pearson’s chi-square test or Fisher’s exact test for categorical variables.Results:The mean level of pre-TEE distress and anxiety were significantly lower in patients receiving CBI than in those without intervention (p=0.022). Furthermore, the application of CBI significantly reduced patient’s discomfort (p<0.001) and resulted in increased comfort of physician (p<0.001) during TEE. The need of sedative administration (31% vs. 91%, p<0.001) and its mean dose was significantly lower in patients receiving CBI (1.6±0.5 mg vs. 2.7±1.6 mg midazolam, p=0.009).Conclusions:CBI is feasible in patients undergoing TEE. It decreases patient’s anxiety and discomfort and increases physician’s comfort. It also results in reduced use of sedatives during the examination.

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Section: Discussionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 99%

Feasibility and clinical benefit of cognitive–behavioral intervention for preparing patients for transesophageal echocardiography

Wejner‐Mik¹,

Sobczak²,

Miśkowiec³

et al. 2015

Anatol J Cardiol

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“…Previous investigations show a positive effect of hypnosis on other medical procedures especially in terms of the need for medical sedation [19,[27][28][29]. Hypnosis can reduce the amount of medications needed or even completely replace benzodiazepines [22,[30][31][32]. Particularly, patients with comorbidities precluding sedating drug therapy or children might benefit from hypnosis [33,34].…”

Section: Effect Of Hypnosismentioning

confidence: 99%

Audio-guided self-hypnosis for reduction of claustrophobia during MR imaging: results of an observational 2-group study

Napp

Diekhoff

Stoiber³

et al. 2021

Eur Radiol

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Objectives To evaluate the influence of audio-guided self-hypnosis on claustrophobia in a high-risk cohort undergoing magnetic resonance (MR) imaging. Methods In this prospective observational 2-group study, 55 patients (69% female, mean age 53.6 ± 13.9) used self-hypnosis directly before imaging. Claustrophobia included premature termination, sedation, and coping actions. The claustrophobia questionnaire (CLQ) was completed before self-hypnosis and after MR imaging. Results were compared to a control cohort of 89 patients examined on the same open MR scanner using logistic regression for multivariate analysis. Furthermore, patients were asked about their preferences for future imaging. Results There was significantly fewer claustrophobia in the self-hypnosis group (16%; 9/55), compared with the control group (43%; 38/89; odds ratio .14; p = .001). Self-hypnosis patients also needed less sedation (2% vs 16%; 1/55 vs 14/89; odds ratio .1; p = .008) and non-sedation coping actions (13% vs 28%; 7/55 vs 25/89; odds ratio .3; p = .02). Self-hypnosis did not influence the CLQ results measured before and after MR imaging (p = .79). Self-hypnosis reduced the frequency of claustrophobia in the subgroup of patients above an established CLQ cut-off of .33 from 47% (37/78) to 18% (9/49; p = .002). In the subgroup below the CLQ cut-off of 0.33, there were no significant differences (0% vs 9%, 0/6 vs 1/11; p = 1.0). Most patients (67%; 35/52) preferred self-hypnosis for future MR examinations. Conclusions Self-hypnosis reduced claustrophobia in high-risk patients undergoing imaging in an open MR scanner and might reduce the need for sedation and non-sedation coping actions. Key Points • Forty percent of the patients at high risk for claustrophobia may also experience a claustrophobic event in an open MR scanner. • Self-hypnosis while listening to an audio in the waiting room before the examination may reduce claustrophobic events in over 50% of patients with high risk for claustrophobia. • Self-hypnosis may also reduce the need for sedation and other time-consuming non-sedation coping actions and is preferred by high-risk patients for future examinations.

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“…The efficacy of hypnosis for reducing an abnormally high respiratory rate had been previously demonstrated for a cohort of asthmatic patients. 44 Additionally, Eren et al 45 had compared midazolam use vs hypnosis for sedation in transesophageal echocardiography and found that oxygenation (as determined by SpO2) was more efficiently stabilized in the hypnosis group than in the midazolam group. Our findings confirmed that both of these hypnotic benefits could be extended to severe COPD patients: after a brief hypnotic intervention, participants experienced a diminishment in RR accompanied by an increase in SpO2.…”

Section: Discussionmentioning

confidence: 99%

Hypnosis for the Management of Anxiety and Dyspnea in COPD: A Randomized, Sham-Controlled Crossover Trial

Anlló¹,

Herer

Delignières

et al. 2020

COPD

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Hypnosis for sedation in transesophageal echocardiography: a comparison with midazolam

Cited by 12 publications

References 21 publications

Feasibility and clinical benefit of cognitive–behavioral intervention for preparing patients for transesophageal echocardiography

Feasibility and clinical benefit of cognitive–behavioral intervention for preparing patients for transesophageal echocardiography

Audio-guided self-hypnosis for reduction of claustrophobia during MR imaging: results of an observational 2-group study

Hypnosis for the Management of Anxiety and Dyspnea in COPD: A Randomized, Sham-Controlled Crossover Trial

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