title: Rapid hypnosis as an anaesthesia adjunct for evacuation of postpartum vulval haematoma.
abstract: Hypnosis can be a useful therapeutic adjunct to pharmacological analgesia or anaesthesia in obstetrics. However, it is rarely considered a primary anaesthetic technique and is seldom employed in the acute surgical setting. Few obstetricians and anaesthetists currently utilise this technique in their clinical practice. We present a case report of a 34-year-old woman who successfully underwent evacuation of a large vulval haematoma using the simple hypnosis technique of 'believed-in imagination' as the principal anaesthetic technique with only minimal adjunctive pharmacological analgesia.
authors.affiliation: Women's and Babies' Division, Women's and Children's Hospital, 72 King William Road, North Adelaide, SA 5006, Australia. lufeew@gmail.com
authors.forename: Lufee
authors.initials: L
authors.lastname: Wong
authors.forename: Allan M
authors.initials: AM
authors.lastname: Cyna
authors.forename: Geoffrey
authors.initials: G
authors.lastname: Matthews
mesh_terms: D000082:Acetaminophen / Q000627:therapeutic use; D000328:Adult; D018686:Anesthetics, Intravenous / Q000627:therapeutic use; D016063:Blood Loss, Surgical; D005260:Female; D005283:Fentanyl / Q000627:therapeutic use; D006406:Hematoma / Q000601:surgery*; D006801:Humans; D006991:Hypnosis, Anesthetic; D010146:Pain / Q000188:drug therapy; D010502:Perineum / Q000293:injuries / Q000601:surgery; D006473:Postpartum Hemorrhage / Q000601:surgery; D011247:Pregnancy; D011250:Pregnancy Complications, Hematologic / Q000601:surgery*; D014844:Vulva / Q000601:surgery*
chemical_list: D018686:Anesthetics, Intravenous; D000082:Acetaminophen; D005283:Fentanyl