title: Hypnosis as sole anaesthesia for skin tumour removal in a patient with multiple chemical sensitivity.
abstract: A female patient with multiple chemical sensitivity and previous anaphylactoid reactions to local anaesthetics was admitted for removal of a thigh skin tumour under hypnosis as sole anaesthesia. The hypnotic protocol included hypnotic focused analgesia and a pre-operative pain threshold test. After inducing hypnosis, a wide excision was performed, preserving the deep fascia, and the tumour was removed; the patient's heart rate and blood pressure did not increase during the procedure. When the patient was de-hypnotised, she reported no pain and was discharged immediately. Our case confirms the efficacy of hypnosis and demonstrates that it may be valuable as a sole anaesthetic method in selected cases. Hypnosis can prevent pain perception and surgical stress as a whole, comparing well with anaesthetic drugs.
authors.affiliation: Department of Neurosciences University of Padua, and the Italian Center for Clinical and Experimental Hypnosis, Turin, Italy.
authors.forename: E
authors.initials: E
authors.lastname: Facco
authors.forename: S
authors.initials: S
authors.lastname: Pasquali
authors.forename: G
authors.initials: G
authors.lastname: Zanette
authors.forename: E
authors.initials: E
authors.lastname: Casiglia
mesh_terms: D000328:Adult; D000758:Anesthesia / Q000379:methods* / Q000523:psychology; D005260:Female; D006801:Humans; D006990:Hypnosis / Q000379:methods*; D018777:Multiple Chemical Sensitivity / Q000150:complications*; D010146:Pain / Q000517:prevention & control*; D017288:Pain Threshold / Q000523:psychology; D012878:Skin Neoplasms / Q000150:complications / Q000601:surgery*; D013848:Thigh / Q000601:surgery