title: [A role for hypnosis in cataract surgery: Report of 171 procedures].
abstract: OBJECTIVE
  To study the effectiveness of relaxation hypnosis in outpatient cataract surgery.
  
  
  METHODS
  Prospective study of 171 patients undergoing cataract surgery under hypnosis, performed by the same nurse anesthetist. The procedures were performed by 2 senior surgeons, A and B (A=78 surgeries, and B=93 surgeries) under topical anesthesia and with a 2.2-mm mini-incision. The hypnosis group (n=102) was compared to a control group (n=69) according to quantitative, objective criteria: hemodynamic changes and the need for intravenous medication in operating room, as well as subjective, qualitative criteria: surgical comfort, effectiveness of hypnosis, and patient satisfaction. Subgroup analyses by surgeon, 1st and 2nd eye surgery, were performed.
  
  
  RESULTS
  Hemodynamic parameters were not significantly different between the 2 groups: systolic blood pressure (P=0.06) and maximum heart rate (P=0.25). However, the use of intraoperative intravenous medication was significantly higher in the control group (49.3% versus 21.6%, P<0.001). The effectiveness of relaxation was scored at a mean of 5.25/6 by the nurse anesthetist. The patients in the hypnosis group reported a mean comfort rating of 8.4/10, and 100% were satisfied with this hypnosis experience.
  
  
  CONCLUSIONS
  Preliminary results of this study are very positive for all three parties: patient/anesthetist/surgeon. They are leading to an expanded university training program for operating room personnel in order to improve quality of care and reduce premedication in elderly patients so as to facilitate their return to home.
authors: Service d'ophtalmologie, HIA Desgenettes, 108, boulevard Pinel, 69003 Lyon, France. Electronic address: emilie.agard@hotmail.fr.
authors: E
authors: E
authors: Agard
authors: Service d'anesthésie-réanimation, HIA Desgenettes, 108, boulevard Pinel, 69003 Lyon, France.
authors: C
authors: C
authors: Pernod
authors: Service d'ophtalmologie, HIA Desgenettes, 108, boulevard Pinel, 69003 Lyon, France.
authors: H
authors: H
authors: El Chehab
authors: Service d'ophtalmologie, HIA Desgenettes, 108, boulevard Pinel, 69003 Lyon, France.
authors: A
authors: A
authors: Russo
authors: Service d'anesthésie-réanimation, HIA Desgenettes, 108, boulevard Pinel, 69003 Lyon, France.
authors: M
authors: M
authors: Haxaire
authors: Service d'ophtalmologie, HIA Desgenettes, 108, boulevard Pinel, 69003 Lyon, France.
authors: C
authors: C
authors: Dot
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000556:Ambulatory Surgical Procedures / Q000379:methods; D001291:Attitude of Health Personnel; D002387:Cataract Extraction / Q000379:methods*; D005260:Female; D006801:Humans; D006990:Hypnosis; D008297:Male; D017060:Patient Satisfaction; D012064:Relaxation Therapy
keywords: Ambulatoire; Ambulatory; Anesthesia; Anesthésie; Cataract surgery; Chirurgie de cataracte; Hypnose; Hypnosis; Intraoperative intravenous medication; Médication intraveineuse peropératoire