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Self hypnotic relaxation combined with structured attention reduced the discomfort of invasive medical procedures

https://doi.org/10.1136/ebn.4.1.16

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    Lang EV, Benotsch EG, Fick LJ, et al.Adjunctive non-pharmacological analgesia for invasive medical procedures: a randomised trial.Lancet2000 Apr 29;355:1486–90OpenUrlCrossRefPubMedWeb of Science

    QUESTION: Do self hypnotic relaxation and structured attention reduce discomfort and adverse effects in patients having percutaneous vascular and renal radiological procedures?

    Design

    Randomised {allocation concealed}*, unblinded, controlled trial.

    Setting

    An interventional radiology division of a university medical centre in the US.

    Patients

    241 patients who were 18–92 years of age (median age 56 y, 53% women) and were referred for percutaneous transcatheter diagnostic and therapeutic peripheral vascular and renal interventions. Exclusion criteria included severe chronic obstructive pulmonary disease, psychosis, intolerance of midazolam or fentanyl, and pregnancy. Follow up was complete.

    Intervention

    Patients were allocated to self hypnotic relaxation plus structured attention (n=82), structured attention alone (n=80), or standard treatment of intravenous conscious sedation (n=79). A manual was used to standardise treatment in each group. In the structured attention group and the self hypnosis group, …

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