Hypnosis with conscious sedation instead of general anaesthesia? Applications in cervical endocrine surgery.
Between April 1994 and June 1997, 197 thyroidectomies and 21 cervical explorations for hyperparathyroidism were performed under hypnosedation (HYP) and compared to the operative data and postoperative courses of a closely-matched population (n = 121) of patients operated on under general anaesthesia (GA). Conversion from hypnosis to GA was needed in two cases (1%). All surgeons reported better operating conditions for cervicotomy using HYP. All patients having HYP reported a very pleasant experience and had significantly less postoperative pain while analgesic use was significantly reduced in this group. Hospital stay was also significantly shorter, providing a substantial reduction of the medical care costs. The postoperative convalescence was significantly improved after HYP and full return to social or professional activity was significantly shortened. We conclude that HYP is a very efficient technique providing physiological, psychological and economic benefits to the patient.
Meurisse
M
M
Department of Surgery, University of Liege, Belgium.
Defechereux
T
T
Hamoir
E
E
Maweja
S
S
Marchettini
P
P
Gollogly
L
L
Degauque
C
C
Joris
J
J
Faymonville
M E
ME
D000082:Acetaminophen / Q000031:analogs & derivatives / Q000627:therapeutic use; D000328:Adult; D000700:Analgesics / Q000627:therapeutic use; D000768:Anesthesia, General; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000627:therapeutic use; D016292:Procedural Sedation / Q000009:adverse effects / Q000379:methods*; D005260:Female; D017048:Health Care Costs; D006760:Hospitalization; D006801:Humans; D006961:Hyperparathyroidism / Q000601:surgery; D006991:Hypnosis, Anesthetic / Q000009:adverse effects / Q000379:methods*; D007431:Intraoperative Complications; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D010149:Postoperative Pain / Q000517:prevention & control; D016105:Parathyroidectomy / Q000009:adverse effects; D017060:Patient Satisfaction; D010894:Piroxicam / Q000031:analogs & derivatives / Q000627:therapeutic use; D011355:Prodrugs / Q000627:therapeutic use; D020127:Recovery of Function; D013965:Thyroidectomy / Q000009:adverse effects
D000700:Analgesics; D000894:Anti-Inflammatory Agents, Non-Steroidal; D011355:Prodrugs; D010894:Piroxicam; D000082:Acetaminophen; C063776:propacetamol; C032801:tenoxicam