Added Conversational Hypnosis Reduced General Anesthesia Side Effects for Day Case Breast Surgery (HYPNOSEIN)

Institut du Cancer de Montpellier - Val d'Aurelle

Status

Completed

Conditions

Breast Cancer

Treatments

Behavioral: Hypnosis

Study type

Interventional

Funder types

Other

Identifiers

NCT03253159

ICM-URC-2014/30

Details and patient eligibility

About

Evaluate the impact of the support in reducing postoperative adverse events in particular on the pain but also on anxiety, comfort, nausea, vomiting, and fatigue.

Full description

Drug premedication with anxiolytics (benzodiazepine or equivalent) are usually prescribed to alleviate patient anxiety. However, alternative techniques, additional non-pharmacological, have proven effective in alleviating pain and anxiety perioperative. These techniques are retained relaxation therapy, reinsurance, breathing techniques and medical hypnosis as a technique of choice. Regarding medical hypnosis techniques, many studies have shown that performing a hypnotic technique performed perioperative could reduce the doses of anesthetics, postoperative pain, length of stay in the post room Interventional (SSPI) and a number of postoperative adverse effects.

Among the various techniques of hypnosis that can be offered to patients in the perioperative, conversational hypnosis is to accompany the patient on admission to the block to realization of general anesthesia. This technique aims to suggest a pleasant environment and not anxiety.

This study evaluate the impact of this support in reducing postoperative major adverse effects in particular on the pain but also on anxiety, comfort, nausea, vomiting, and fatigue.

Enrollment

150 patients

Sex

Female

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Female > 18 years
Patient with ASA* score 1, 2, 3
Minor Unilateral breast surgery indication (tumorectomy, lumpectomy, limited axillary node dissection, minor breast reconstruction...)
Day case surgery (ambulatory surgery - living Day0-Day1)
General anesthesia required
Written informed consent
French medical benefit

Exclusion criteria

Age < 18 years
Patient with ASA score > 4;
Body mass index < 15 or 45kg/T;
Major Surgery indication : mastectomy, bilateral surgery, full axillary dissection, major breast reconstruction
Patient refusing hypnosis
Psychic or mental Disorders
Chronic pain
Opiate therapeutic > 3 months
Not ability to speak and read French language
Deaf and dumb patient
Under guardianship patient or guardianship