RESUMO
This two-center quasiexperimental pilot study was to determine the effect of conversational hypnosis on patient comfort and parasympathetic tone, which may represent a quantitative measure of hypnotic depth, during regional anesthesia. The patients received conversational hypnosis in one center and oral premedication in the other. The patients' subjective comfort (0-10 rating scale) and objective parasympathetic tone, as assessed by the Analgesia/Nociception Index (ANI), were measured before and after regional anesthesia. The parasympathetic tone and comfort scores evidenced a significantly greater increase in the hypnosis patients than in controls. These findings suggest that using conversational hypnosis during regional anesthesia may be followed by a subjective increase in patient comfort and an objective increase in parasympathetic tone, monitored by ANI.
Assuntos
Braço/cirurgia , Bloqueio do Plexo Braquial/métodos , Hipnose/métodos , Conforto do Paciente/métodos , Adulto , Bloqueio do Plexo Braquial/efeitos adversos , Bloqueio do Plexo Braquial/psicologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Sistema Nervoso Parassimpático/fisiologia , Projetos Piloto , Estudos ProspectivosRESUMO
The purpose of this study was to evaluate the effects of a hypnotically-based intervention for pain and fear in women undergoing labor who are about to receive an epidural catheter. A group of 155 women received interventions that included either (a) patient rocking, gentle touching, and hypnotic communication or (b) patient rocking, gentle touching, and standard communication. The authors found that the hypnotic communication intervention was more effective than the standard communication intervention for reducing both pain intensity and fear. The results support the use of hypnotic communication just before and during epidural placement for women who are in labor and also indicate that additional research to evaluate the benefits and mechanism of this treatment is warranted.
Assuntos
Doulas/psicologia , Medo/psicologia , Hipnose Anestésica/métodos , Dor do Parto/terapia , Adulto , Feminino , Humanos , Hipnose Anestésica/psicologia , Dor do Parto/psicologia , Pessoa de Meia-Idade , GravidezRESUMO
OBJECTIVE: To assess the relationship between the base deficit value in the immediate postoperative period of coronary surgery for cardiopulmonary bypass and the length of stay in the ICU. DESIGN AND SETTING: Prospective descriptive study in the department of anesthesia and cardiovascular surgery of a university hospital. PATIENTS: 185 consecutive patients. INTERVENTIONS: Coronary artery bypass graft with cardiopulmonary by pass. MEASUREMENTS AND RESULTS: Thirty variables were determined during the pre-, intra-, and postoperative periods; a statistical univariate analysis was performed differentiating patients whose length of stay in the ICU was 2 days or less and those whose stay was more than 2 days. Secondly, a logistic regression model was performed on the variables shown to have a statistically significant difference in univariate analysis, with determination of the odd ratio. Fourteen variables had a statistically significant difference in univariate analysis and three of them highlighted by the logistic regression model: administration of catecholamines, base deficit value in the 1st h postoperatively, and age with odd ratios, respectively, of 3.15, 1.51, and 1.07). CONCLUSIONS: The value of base deficit measured during the 1st h after coronary surgery for cardiopulmonary bypass is correlated with the length of stay in ICU.