Article: Clinical hypnosis instead of drug-based sedation for procedures under regional anesthesia

To the Editor:

Clinical hypnosis has been used in psychotherapy for a long time, although the neural mechanism behind this induced trance state remains unclear.1,2 Its utilization for sedation3 or analgesia4 in the operating room has also been described.

We retrospectively surveyed 48 patients undergoing different surgical procedures under regional anesthesia (epidural, spinal, or axillary plexus block). We used clinical hypnosis induced by fixation and command techniques as an adjunct to regional anesthesia. Our intent was to evaluate the personal learning curve and factors influencing effects of hypnosis in clinical practice and to develop recommendations for the use of hypnosedation.

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