Women’s Center for Mind-Body Health

 

Hospital Research  (Sedated Awake Procedures)

 

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The focus of this research database is on how stress affects women's health, and options for treatment using mind-body therapies.  To obtain full summaries of the articles, see "How to Get Abstracts" below

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General Preop ICU Bleeding
MRI Intraop CCU Wound Healing
Endoscopy Major Surgery NICU Postop
Sedated Awake Procedures Minor Surgery Burn Unit Cardiac & Neuro Rehab
Anesthesia Recovery Room ER Long Term Care
Pain  

** How to Get Abstracts **

 

 

 

Sedated Awake Procedures

 

Imagery

Massage

Music

 

Imagery

 

9365755 CT

Educating interventional radiology personnel in nonpharmacologic analgesia: effect on patients' pain perception

Radiology personnel were trained in "rapport skills, correct use of language and suggestions, distraction, relaxation training and self-hypnosis." Patients seen subsequently had significantly lower pain scores.

1997 Acad Radiol 4;11:753-7

Lang, E. V. and Berbaum, K. S.

 

10801169 RCT

Adjunctive non-pharmacological analgesia for invasive medical procedures: a randomised trial

Interventional radiology patients reported significantly less pain, less anxiety, used less medication and had fewer complications when using hypnotic relaxation imagery.

2000 Lancet 355;9214:1486-90  [See Preparing for Surgery for powerpoint slides of this study]

Lang, E. V., Benotsch, E. G., Fick, L. J., Lutgendorf, S., Berbaum, M. L., Berbaum, K. S., Logan, H., and Spiegel, D.

 

1729430 RCT

The effectiveness of teaching a relaxation technique to patients undergoing elective cardiac catheterization

Cardiac cath patients who were taught relaxation skills had significantly less anxiety and medication use.

1992 J Cardiovasc Nurs 6;2:66-75

Warner, C. D., Peebles, B. U., Miller, J., Reed, R., Rodriquez, S., and Martin-Lewis, E.

 

10318002 JA

The preoperative use of the relaxation response with ambulatory surgery patients

1987 Hosp Top 65;4:30-5

Domar, A. D., Noe, J. M., and Benson, H.

 

8871338 RCT

Self-hypnotic relaxation during interventional radiological procedures: effects on pain perception and intravenous drug use

Patients undergoing interventional radiology procedures who were taught self-hypnotic relaxation had less pain, used less drugs, and were hemodynamically more stable. Benefit did not correlate with hypnotizability.

1996 Int J Clin Exp Hypn 44;2:106-19

Lang, E. V., Joyce, J. S., Spiegel, D., Hamilton, D., and Lee, K. K.

 

1951141 MCC

Use of hypnosis before and during angioplasty

Patients hypnotized prior to angioplasty used less pain medication and tolerated the procedure better. They paradoxically had higher norepinephrine levels.

1991 Am J Clin Hypn 34;1:29-37

Weinstein, E. J. and Au, P. K.

 

2406782 RCT

Relaxation response in femoral angiography

During femoral angiography, patients listening to a relaxation response tape had less pain, anxiety and medication use than patients listening to music or a blank tape.

1990 Radiology 174;3 Pt 1:737-9

Mandle, C. L., Domar, A. D., Harrington, D. P., Leserman, J., Bozadjian, E. M., Friedman, R., and Benson, H.

 

10480041 CT

Imagery content during nonpharmacologic analgesia in the procedure suite: where your patients would rather be

A group of random patients with an average range of hypnotizability were able to engage in relaxation imagery using a standardized script. Patients created their own imagery scenarios, which were widely divergent, suggesting that provider directed imagery might not be as successful.

1999 Acad Radiol 6;8:457-63

Fick, L. J., Lang, E. V., Logan, H. L., Lutgendorf, S., and Benotsch, E. G.

 

6624836 CT

Practical hypnotic suggestion in ophthalmic surgery

Listening to a four minute relaxation script prior to radial keratotomy did not change any parameters.

1983 Am J Ophthalmol 96;4:540-2

John, M. E. Jr and Parrino, J. P.

 

9469526 RCT

Psychological approaches during conscious sedation. Hypnosis versus stress reducing strategies: a prospective randomized study

Patients receiving hypnosis during plastic surgery procedures had less anxiety and pain, used less medication, and had more stable vital signs than those receiving just emotional support.

1997 Pain 73;3:361-7

Faymonville, M. E., Mambourg, P. H., Joris, J., Vrijens, B., Fissette, J., Albert, A., and Lamy, M.

 

1401822 JA

Liver biopsy under hypnosis

Case report of two patients, one with severe allergy to local anesthesia, and the other with severe anxiety due to previous liver biopsy with complications, successfully having liver biopsy under hypnosis. Both described "no pain and would be most willing to have the procedure done under hypnosis in the future."

1992 J Clin Gastroenterol 15;2:122-4

Adams, P. C. and Stenn, P. G.

[Top]

 

Massage

 

11408136 RCT

Effects of hand massage on anxiety in cataract surgery using local anesthesia

Hand massage prior to cataract surgery significantly decreased anxiety, blood pressure, pulse rate and epinephrine and norepinephrine levels.

2001 J Cataract Refract Surg 27;6:884-90

Kim, M. S., Cho, K. S., Woo, H., and Kim, J. H.

 

11489026 RCT

The effects of handholding on anxiety in cataract surgery patients under local anaesthesia

Patients undergoing cataract surgery who had someone hold their hand during the procedure had significantly decreased anxiety and epinephrine levels.

2001 J Adv Nurs 35;3:407-15

Moon, J. S. and Cho, K. S.

[Top]

 

Music

 

11382277 RCT

Normalization of hypertensive responses during ambulatory surgical stress by perioperative music

A group of elderly eye surgery patients who listened to music pre- intra- and postop had significantly less stress and increased coping as well as normalized BP in the OR.

2001 Psychosom Med 63;3:487-92

Allen, K., Golden, L. H., Izzo, J. L. Jr, Ching, M. I., Forrest, A., Niles, C. R., Niswander, P. R., and Barlow, J. C.

 

9710387 RCT

The sedative and analgesic sparing effect of music

Conscious sedated patients who listened to music during surgery used significantly less pain medication.

1998 Anesthesiology 89;2:300-6

Koch, M. E., Kain, Z. N., Ayoub, C., and Rosenbaum, S. H.

 

9128748 CT

Music therapy for patients undergoing regional anesthesia

Orthopedic patients using spinal anesthesia listened to music via earphones during the procedure. They reported less anxiety, and anesthesiologists reported more stable pulse and blood pressure measurements, and less use of anesthesia (not quantified).

1995 AORN J 62;6:947-50

Eisenman, A. and Cohen, B.

 

 

 

 

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