Journal article
Tape-Recorded Hypnosis Instructions as Adjuvant in the Care of Patients Scheduled for Third Molar Surgery
Anesthesia and analgesia, Vol.90(1), pp.64-68
01/2000
DOI: 10.1097/00000539-200001000-00016
PMID: 10624980
Abstract
As medical costs continue to escalate, there is willingness to consider the role played by nontraditional factors in health. We investigated the usefulness of tape-recorded hypnosis instruction on perioperative outcome in surgical patients in a prospective, randomized, and partially blinded study. Sixty patients scheduled for third molar surgery were studied. Patients were allocated to either an experimental group (E) or a control group (C). Group E received an audio tape to listen to daily for the immediate preoperative week, which guided the patients through a hypnotic induction and included suggestions on enhancement of perioperative well-being. Group C did not receive any tapes. The same surgeon administered local anesthesia and a standard regimen of sedation and performed the operation for all patients. The following variables were assessed 1 wk before surgery, immediately before and after surgery, and for 3 days after surgery by the indicated measurements: State anxiety by a Spielberger scale; nausea and pain by visual analog scales; number of tablets of the analgesics that were used; number of episodes of vomiting; and complications. In addition, the surgeon's assessment of ease of surgery was recorded. Two variables showed differences between the groups. First, Group C exhibited a mean increase of 11.7 points on the Spielberger scale from the screening to the presurgery period, while Group E showed only a mean increase of 5.5 points during the same period, P = 0.01. Second, the mean number of vomiting episodes was more in Group E, 1.3, than in Group C, 0.3, P = 0.02. In conclusion, anxiety was reduced before surgery by means of an audio tape containing hypnotic instructions; however, for no apparent reason, there was also an increase in the incidence of vomiting.
Implications: We administered hypnosis instructions to patients before third molar surgery. Anxiety was reduced, but there was an increase in the incidence of vomiting. Although an easy and cost-effective method, the value of this approach remains to be established.
Details
- Title: Subtitle
- Tape-Recorded Hypnosis Instructions as Adjuvant in the Care of Patients Scheduled for Third Molar Surgery
- Creators
- Mohamed M GhoneimRobert I BlockDaniel S SarasinCharles S DavisJames N Marchman
- Resource Type
- Journal article
- Publication Details
- Anesthesia and analgesia, Vol.90(1), pp.64-68
- DOI
- 10.1097/00000539-200001000-00016
- PMID
- 10624980
- NLM abbreviation
- Anesth Analg
- ISSN
- 0003-2999
- eISSN
- 1526-7598
- Language
- English
- Date published
- 01/2000
- Academic Unit
- Psychological and Brain Sciences; Iowa Neuroscience Institute; Anesthesia
- Record Identifier
- 9984006442802771
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