Nonpharmacologic analgesia and anxiolysis for interventional radiological procedures: Pain management in interventional radiology

E. V LANG; S LUTGENDORF; H LOGAN; E. G BENOTSCH; E LASER; D SPIEGEL

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Nonpharmacologic analgesia and anxiolysis for interventional radiological procedures: Pain management in interventional radiology

Journal article

Peer reviewed

Nonpharmacologic analgesia and anxiolysis for interventional radiological procedures: Pain management in interventional radiology

E. V LANG, S LUTGENDORF, H LOGAN, E. G BENOTSCH, E LASER and D SPIEGEL

Seminars in interventional radiology, Vol.16(2), pp.113-123

1999

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Abstract

Conventional pain management with drugs has limitations and potentially serious side effects. Use of structured empathic attention and self-hypnosis can effectively reduce patients' pain perception and anxiety during interventional procedures, with the effect becoming more pronounced the longer a procedure lasts. Both nonpharmacologic interventions result in use of less sedatives and narcotics during procedures and fewer episodes of respiratory depression. However, in a prospective randomized study, only patients who had self-hypnosis had also fewer incidents of hemodynamic instability. Applied correctly and according to a written set of instructions, nonpharmacologic analgesia intervention can shorten total room time significantly, resulting in savings of precious resources. The techniques presented have been structured so that they are relatively immune to interruptions and can be applied safely in the procedure suite. Techniques include establishing of rapport by adapting verbal and nonverbal communication patterns to the patients' preferred mode, use of positive suggestions, avoidance of negatively loaded suggestions, and rapid induction of hypnosis where patients concentrate on a sensation of floating in a safe and comfortable place. With this approach, average, nonselected patients can easily engage in an imagery process regardless of their hypnotic potential.

Relaxation. Biofeedback. Hypnosis. Selfregulation. Meditation

Psychology. Psychoanalysis. Psychiatry

Psychopathology. Psychiatry

Biological and medical sciences

Medical sciences

Treatments

Details

Title: Subtitle: Nonpharmacologic analgesia and anxiolysis for interventional radiological procedures: Pain management in interventional radiology
Creators: E. V LANG - Department of Radiology, Harvard Medical School, Beth Israel Deaconess Medical Center, Boston, Massachusetts, United States
S LUTGENDORF - Department of Psychology, Department of Radiology, University of Iowa, Iowa City, Iowa, United States
H LOGAN - Department of Community and Preventive Dentistry, Department of Radiology, University of Iowa, Iowa City, Iowa, United States
E. G BENOTSCH - Department of Psychology, Institute for AIDS Research, Wisconsin College of Medicine, Milwaukee, Wisconsin, United States
E LASER - Department of Psychology, Institute for AIDS Research, Wisconsin College of Medicine, Milwaukee, Wisconsin, United States
D SPIEGEL - Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, California, United States
Resource Type: Journal article
Publication Details: Seminars in interventional radiology, Vol.16(2), pp.113-123
ISSN: 0739-9529
eISSN: 1098-8963
Publisher: Thieme; New York, NY
Language: English
Date published: 1999
Academic Unit: Preventive and Community Dentistry; Psychological and Brain Sciences; Iowa Neuroscience Institute; Obstetrics and Gynecology; Urology
Record Identifier: 9984065880902771

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