BEnefit of HYpnosis on Pain During Stitches in Emergency Room
ConditionWound of Skin
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorUniversity Hospital, Clermont-Ferrand
About this trial
Suturing is a daily practice in the emergency department, but it can be painful and stressful for patients. Hypnosis is increasingly used as a complement to the usual painkillers. The aim of our study was to investigate the impact of hypnosis on stitch placement in emergency department patients presenting with lacerations assessed by heart rate variability.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age > 18 years old
Admitted in the emergency department of Clermont-Ferrand University Hospital
Stitchable wound
Patient's agreement
Disqualifiers
Pregnancy
Breast feeding
Refusal to participate
Patient not able to participate
Trial design
Design model
Parallel
Treatments tested in this trial
Hypnosis
Other interventionBefore the beginning of stitches, the patient will be offered a hypnotic induction. The hypnotic induction is the initial phase of the hypnosis process. Its goal is to bring the patient to a state of dissociation: the hypnotic trance. Induction is usually achieved through progressive relaxation, sensory focusing, and a process of confusion.
Treatment groups
180 Participants
are divided into 2 treatment groupsGroup A: HypnosisExperimental treatment 1 intervention
Group B: Standard of CareNo intervention 0 interventions
Trial outcomes
Primary outcomes
1
Heart rate variability
The heart rate variability will be measured using Bittium Faros
Time frame
Hour 0Secondary outcomes
1
Changes on visual analog scale of pain and stress
Visual analog scale (VAS) of pain and stress will be performed at two different times by the patient. A VAS is a 100-mm long horizontal line with verbal descriptors at each end to express the extremes of the feeling. Patients mark the point on the line that best corresponds to their pain and severity between 0 (no symptoms) to 100 (the worst pain and stress). Cut points on the pain VAS : no pain or low pain (0-29 mm), moderate pain (30-59 mm), and severe pain (\>59 mm). Cut points on the stress VAS : no pain or low stress (0-19 mm), moderate stress (19-49 mm), severe stress (50-81 mm), and at-risk stress (\>81 mm).
Time frame
Hour 0; Hour 0+30 minutes2
Evaluation of stress biomarkers in blood samples
Evaluation of cortisol, DHEA, DHEA-s, ghrelin, leptin, TNF-alpha, epinephrin, norepinephrine, dopamine
Time frame
Hour 0; Hour 0+30 minutes3
Evaluation of blood pressure
Evaluation of hypnosis impact on systolic and diastolic blood pressure in millimeter of mercury (mmHg)
Time frame
Hour 0; Hour 0+30 minutes4
Evaluation of heart rate
Evaluation of hypnosis impact on physiological parameters heart rate in beats per minute (bpm)
Time frame
Hour 0; Hour 0+30 minutesSponsors and contacts
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Source ClinicalTrials.gov