Therapeutic suggestions given during neurolept-anaesthesia decrease post-operative nausea and vomiting

Eberhart, Leopold; Doring, H; Holzrichter, P.; Roscher, R.; Seeling, W.

doi:10.1046/j.1365-2346.1998.00321.x

Cited by 18 publications

(9 citation statements)

References 18 publications

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“…Two reported short-lasting PONV relief directly after surgery but not later that day, 62 , 63 while three studies found PONV to be reduced when patients had been exposed to positive therapeutic suggestions. 60 , 64 , 65 Postoperative antiemetic requirement was assessed in seven studies, but given the different auditory interventions and data presentation, no meta-analysis was performed.…”

Section: Resultsmentioning

confidence: 99%

“…Postoperative opioid requirements were assessed in 12 studies, with nine included in the metaanalysis. [52][53][54][55][56][57][59][60][61] Intraoperative music significantly reduced postoperative opioid requirements (pooled SMD, -0.29; 95% CI, -0.57 to -0.02; P = 0.04; I 2 = 36; n = 336 patients in five studies), whereas positive therapeutic suggestions did not (pooled SMD, -0.12; 95% CI, -0.40 to 0.16; P = 0.41; I 2 = 39; n = 372 patients in five studies) (Fig. 3).…”

Section: Explicit Memory Formationmentioning

confidence: 99%

“…therapeutic suggestions. 60,64,65 Postoperative antiemetic requirement was assessed in seven studies, but given the different auditory interventions and data presentation, no meta-analysis was performed.…”

Section: Denotes Evidence For Explicit Memory Formationmentioning

confidence: 99%

“…Length of stay was assessed in 12 studies, six of which qualified for inclusion in the meta-analysis. 50,52,59,60,66,67 All evaluated positive therapeutic suggestions, but no significant differences in length of hospital stay (pooled SMD, -0.17; 95% CI, -0.67 to 0.33; P = 0.52; I 2 = 73; n = 286 patients in four studies) or postoperative anesthesia care unit stay (pooled SMD, -0.09; 95% CI, -0.42 to 0.24; P = 0.58; I 2 = 0; n = 141 patients in two studies) were observed. Patient satisfaction or subjective well-being was assessed in seven studies, of which three assessing intraoperative music qualified for inclusion in the metaanalysis.…”

Section: Denotes Evidence For Explicit Memory Formationmentioning

confidence: 99%

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Perception of auditory stimuli during general anesthesia and its effects on patient outcomes: a systematic review and meta-analysis

Sleurink

Janssen

et al. 2021

Can J Anesth/J Can Anesth

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Purpose Interest in implicit memory formation and unconscious auditory stimulus perception during general anesthesia has resurfaced as perioperative music has been reported to produce beneficial effects. We conducted a systematic review and meta-analysis of randomized controlled trials (RCTs) evaluating explicit and implicit memory formation during general anesthesia and its effects on postoperative patient outcomes and recovery.Source We performed a systematic literature search of Embase, Ovid Medline, and Cochrane Central from inception date until 15 October 2020. Eligible for inclusion were RCTs investigating intraoperative auditory stimulation in adult surgical patients under general anesthesia in which patients, healthcare staff, and outcome assessors were all blinded. We used random effects models for meta-analyses. This study adhered to the PRISMA guidelines and was registered in PROSPERO (CRD42020178087). Principal findings Fifty-three of 5,859 identified articles (4,200 patients) were included. There was evidence of implicit memory formation in seven out of 17 studies (41%) when assessed using perceptual priming tasks. Mixed results were observed on postoperative behavioural and motor response after intraoperative suggestions. Intraoperative music significantly reduced postoperative pain (standardized mean difference [SMD], -0.84; 95% confidence interval [CI], -1.1 to -0.57; P \ 0.001; I 2 = 0; n = 226) and opioid requirements (SMD, -0.29; 95% CI, -0.57 to -0.015; P = 0.039; I 2 = 36; n = 336), while positive therapeutic suggestions did not. Conclusion The results of this systematic review and meta-analysis show that intraoperative auditory stimuli can be perceived and processed during clinically adequate, general anesthesia irrespective of surgical procedure severity, leading to implicit memory formation without explicit awareness. Intraoperative music can exert significant beneficial effects on postoperative pain and opioid requirements. Whether the employed intraoperative anesthesia regimen is of influence is not yet clear.

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Section: Resultsmentioning

confidence: 99%

Section: Explicit Memory Formationmentioning

confidence: 99%

Section: Denotes Evidence For Explicit Memory Formationmentioning

confidence: 99%

Section: Denotes Evidence For Explicit Memory Formationmentioning

confidence: 99%

See 2 more Smart Citations

Perception of auditory stimuli during general anesthesia and its effects on patient outcomes: a systematic review and meta-analysis

Sleurink

Janssen

et al. 2021

Can J Anesth/J Can Anesth

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“…There have been a handful of studies that have looked at the efficacy of using audiotapes to provide the hypnotic intervention (Johnson and Wiese, 1979; Hart, 1980; Block, Ghoneim, Sum Ping and Ali, 1991; Enqvist, Bjorklund, Engman and Jakobsson, 1997; Eberhart, Doring, Holzrichter, Roscher and Seeling, 1998; Perugini, Kirsch, Allen, et al, 1998; Forbes, MacAuley, Chiotakakou-Faliakou, 2000; Ghoneim, Block, Sarasin, Davis and Marchman, 2000). These studies have yielded mixed results.…”

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confidence: 99%

Virtual reality hypnosis

Askay

Patterson

Sharar

2009

Contemporary Hypnosis

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Scientific evidence for the viability of hypnosis as a treatment for pain has flourished over the past two decades (Rainville, Duncan, Price, Carrier and Bushnell, 1997;Montgomery, DuHamel and Redd, 2000;Lang and Rosen, 2002;Patterson and Jensen, 2003). However its widespread use has been limited by factors such as the advanced expertise, time and effort required by clinicians to provide hypnosis, and the cognitive effort required by patients to engage in hypnosis.The theory in developing virtual reality hypnosis was to apply three-dimensional, immersive, virtual reality technology to guide the patient through the same steps used when hypnosis is induced through an interpersonal process. Virtual reality replaces many of the stimuli that the patients have to struggle to imagine via verbal cueing from the therapist. The purpose of this paper is to explore how virtual reality may be useful in delivering hypnosis, and to summarize the scientific literature to date. We will also explore various theoretical and methodological issues that can guide future research.In spite of the encouraging scientific and clinical findings, hypnosis for analgesia is not universally used in medical centres. One reason for the slow acceptance is the extensive provider training required in order for hypnosis to be an effective pain management modality. Training in hypnosis is not commonly offered in medical schools or even psychology graduate curricula. Another reason is that hypnosis requires far more time and effort to administer than an analgesic pill or injection. Hypnosis requires training, skill and patience to deliver in medical centres that are often fast-paced and highly demanding of clinician time. Finally, the attention and cognitive effort required for hypnosis may be more than patients in an acute care setting, who may be under the influence of opiates and benzodiazepines, are able to impart. It is a challenge to make hypnosis a standard part of care in this environment.Over the past 25 years, researchers have been investigating ways to make hypnosis more standardized and accessible. There have been a handful of studies that have looked at the efficacy of using audiotapes to provide the hypnotic intervention (Johnson and Wiese, 1979;Hart, 1980;Block, Ghoneim, Sum Ping and Ali, 1991;Enqvist, Bjorklund, Engman and Jakobsson, 1997;Eberhart, Doring, Holzrichter, Roscher and Seeling, 1998; Perugini, Kirsch, Allen, et al., 1998;Forbes, MacAuley, Chiotakakou-Faliakou, 2000;Ghoneim, Block, Sarasin, Davis and Marchman, 2000). These studies have yielded mixed results. Generally, we can conclude that audio-taped hypnosis is more effective than no treatment at all, but less effective than the presence of a live hypnotherapist. Grant and Nash (1995) were the first to use computer-assisted hypnosis as a behavioural measure to assess hypnotizability. They used a digitized voice that guided subjects through a procedure and tailored software according to the subject's unique responses and reactions. However, it utilized conventional ...

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Negative und positive Suggestionen in der Anästhesie

Hansen

Bejenke

2010

Anaesthesist

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In extreme situations, for example during emergencies or when facing surgery, patients exhibit heightened and focused attention and increased susceptibility to suggestion. In this trance-like state negative suggestion, usually spoken unintentionally can aggravate anxiety, stress and pain. On the other hand words can offer an opportunity to benefit the patient via positive suggestion. In order to improve communication with anxious patients during stressful and painful medical procedures, certain hypnotherapeutic insights and methods can be employed, such as utilization, reframing, indirect suggestion, safe place, dissociation, metaphors, posthypnotic instructions and non-verbal communication and this without requiring formal hypnotic induction and without need for additional time, premises or personnel. Indications for such approaches are the preoperative visit, induction of anaesthesia, as well as operations under local or regional anaesthesia. An extreme example of the latter is awake craniotomy employing cranial nerve blocks and an awake-awake technique avoiding centrally acting drugs. Such hypnotic communication can help the patient to regain self-control and access to inner resources.

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Therapeutic suggestions given during neurolept-anaesthesia decrease post-operative nausea and vomiting

Cited by 18 publications

References 18 publications

Perception of auditory stimuli during general anesthesia and its effects on patient outcomes: a systematic review and meta-analysis

Perception of auditory stimuli during general anesthesia and its effects on patient outcomes: a systematic review and meta-analysis

Virtual reality hypnosis

Negative und positive Suggestionen in der Anästhesie

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