Premedication in children: hypnosis versus midazolam
Summary Background: The main objectives of premedication in children are to facilitate the separation from the parents, to reduce preoperative anxiety, to smooth the induction of anesthesia and to lower the risk of postoperative behavioral disorders. The most common technique is sedative premedicat...
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| Veröffentlicht in: | Pediatric anesthesia 2005-04, Vol.15 (4), p.275-281 |
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| creator | CALIPEL, SÉVERINE LUCAS-POLOMENI, MARIE-MADELEINE WODEY, ERIC ECOFFEY, CLAUDE |
| description | Summary
Background: The main objectives of premedication in children are to facilitate the separation from the parents, to reduce preoperative anxiety, to smooth the induction of anesthesia and to lower the risk of postoperative behavioral disorders. The most common technique is sedative premedication with midazolam. Hypnosis enables a state of relaxation to be achieved and has never been evaluated as a premedication technique. The aim of the present study was to evaluate the efficacy of hypnosis on anxiety and perioperative behavioral disorders versus midazolam.
Methods: Fifty children from 2 to 11 years of age were randomized into two groups: group H received hypnosis as premedication; group M were given 0.5 mg·kg−1 midazolam orally, 30 min before surgery. Preoperative anxiety was evaluated using the Modified Yale Preoperative Anxiety Scale (mYPAS) score when arriving in the department (T1), when entering the operating room (T2), and when fitting the facemask (T3). Postoperative behavioral disorders were evaluated using the Posthospitalization Behavioral Questionnaire (PHBQ) at days 1, 7 and 14.
Results: The two groups showed no significant difference preoperatively with the PHBQ: (M) 21 (17–25) vs (H) 20 (8–25) and mYPAS score: (M) 28 (23–75) vs (H) 23 (23–78). The number of anxious children was less during induction of anesthesia in the hypnosis group (T3: 39% vs 68%) (P |
| doi_str_mv | 10.1111/j.1460-9592.2004.01514.x |
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Background: The main objectives of premedication in children are to facilitate the separation from the parents, to reduce preoperative anxiety, to smooth the induction of anesthesia and to lower the risk of postoperative behavioral disorders. The most common technique is sedative premedication with midazolam. Hypnosis enables a state of relaxation to be achieved and has never been evaluated as a premedication technique. The aim of the present study was to evaluate the efficacy of hypnosis on anxiety and perioperative behavioral disorders versus midazolam.
Methods: Fifty children from 2 to 11 years of age were randomized into two groups: group H received hypnosis as premedication; group M were given 0.5 mg·kg−1 midazolam orally, 30 min before surgery. Preoperative anxiety was evaluated using the Modified Yale Preoperative Anxiety Scale (mYPAS) score when arriving in the department (T1), when entering the operating room (T2), and when fitting the facemask (T3). Postoperative behavioral disorders were evaluated using the Posthospitalization Behavioral Questionnaire (PHBQ) at days 1, 7 and 14.
Results: The two groups showed no significant difference preoperatively with the PHBQ: (M) 21 (17–25) vs (H) 20 (8–25) and mYPAS score: (M) 28 (23–75) vs (H) 23 (23–78). The number of anxious children was less during induction of anesthesia in the hypnosis group (T3: 39% vs 68%) (P < 0.05). Postoperatively, hypnosis reduced the frequency of behavior disorders approximately by half on day 1 (30% vs 62%) and day 7 (26% vs 59%).
Conclusions: Hypnosis seems effective as premedication in children scheduled for surgery. It alleviates preoperative anxiety, especially during induction of anesthesia and reduces behavioral disorders during the first postoperative week.</description><identifier>ISSN: 1155-5645</identifier><identifier>EISSN: 1460-9592</identifier><identifier>DOI: 10.1111/j.1460-9592.2004.01514.x</identifier><identifier>PMID: 15787917</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Science Ltd</publisher><subject>Abdomen - surgery ; Anesthesia ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Anxiety - psychology ; Behavior - drug effects ; Biological and medical sciences ; Child ; Child, Preschool ; children ; Double-Blind Method ; Female ; Humans ; Hypnosis ; Hypnotics and Sedatives ; Male ; Medical sciences ; Midazolam ; postoperative behavioral disorders ; Postoperative Complications - epidemiology ; Postoperative Complications - psychology ; Preanesthetic Medication ; premedication ; preoperative anxiety ; Psychiatric Status Rating Scales</subject><ispartof>Pediatric anesthesia, 2005-04, Vol.15 (4), p.275-281</ispartof><rights>2005 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5014-53be44f88d193a3c2f76c3a987bfc80bd613f8bf60133b97fce2532957c7fe103</citedby><cites>FETCH-LOGICAL-c5014-53be44f88d193a3c2f76c3a987bfc80bd613f8bf60133b97fce2532957c7fe103</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1460-9592.2004.01514.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1460-9592.2004.01514.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=16603905$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15787917$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>CALIPEL, SÉVERINE</creatorcontrib><creatorcontrib>LUCAS-POLOMENI, MARIE-MADELEINE</creatorcontrib><creatorcontrib>WODEY, ERIC</creatorcontrib><creatorcontrib>ECOFFEY, CLAUDE</creatorcontrib><title>Premedication in children: hypnosis versus midazolam</title><title>Pediatric anesthesia</title><addtitle>Paediatr Anaesth</addtitle><description>Summary
Background: The main objectives of premedication in children are to facilitate the separation from the parents, to reduce preoperative anxiety, to smooth the induction of anesthesia and to lower the risk of postoperative behavioral disorders. The most common technique is sedative premedication with midazolam. Hypnosis enables a state of relaxation to be achieved and has never been evaluated as a premedication technique. The aim of the present study was to evaluate the efficacy of hypnosis on anxiety and perioperative behavioral disorders versus midazolam.
Methods: Fifty children from 2 to 11 years of age were randomized into two groups: group H received hypnosis as premedication; group M were given 0.5 mg·kg−1 midazolam orally, 30 min before surgery. Preoperative anxiety was evaluated using the Modified Yale Preoperative Anxiety Scale (mYPAS) score when arriving in the department (T1), when entering the operating room (T2), and when fitting the facemask (T3). Postoperative behavioral disorders were evaluated using the Posthospitalization Behavioral Questionnaire (PHBQ) at days 1, 7 and 14.
Results: The two groups showed no significant difference preoperatively with the PHBQ: (M) 21 (17–25) vs (H) 20 (8–25) and mYPAS score: (M) 28 (23–75) vs (H) 23 (23–78). The number of anxious children was less during induction of anesthesia in the hypnosis group (T3: 39% vs 68%) (P < 0.05). Postoperatively, hypnosis reduced the frequency of behavior disorders approximately by half on day 1 (30% vs 62%) and day 7 (26% vs 59%).
Conclusions: Hypnosis seems effective as premedication in children scheduled for surgery. It alleviates preoperative anxiety, especially during induction of anesthesia and reduces behavioral disorders during the first postoperative week.</description><subject>Abdomen - surgery</subject><subject>Anesthesia</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Anxiety - psychology</subject><subject>Behavior - drug effects</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>children</subject><subject>Double-Blind Method</subject><subject>Female</subject><subject>Humans</subject><subject>Hypnosis</subject><subject>Hypnotics and Sedatives</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Midazolam</subject><subject>postoperative behavioral disorders</subject><subject>Postoperative Complications - epidemiology</subject><subject>Postoperative Complications - psychology</subject><subject>Preanesthetic Medication</subject><subject>premedication</subject><subject>preoperative anxiety</subject><subject>Psychiatric Status Rating Scales</subject><issn>1155-5645</issn><issn>1460-9592</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkMlOwzAQhi0EYn8FlAvcEux4i5E4oLIUqSqIRRwtx7GFS5Zit9Dy9Di0giu-zEj-fnvmAyBBMEPxnE4yRBhMBRV5lkNIMogoItliA-z-XmzGHlGaUkboDtgLYQIhwjnLt8EOorzgAvFdQO69aUzltJq5rk1cm-hXV1fetGfJ63LadsGF5MP4MA9J4yr11dWqOQBbVtXBHK7rPni-vnoaDNPR3c3t4GKUagoRSSkuDSG2KCoksMI6t5xprETBS6sLWFYMYVuUlsW5cCm41SanOBeUa24NgngfnKzenfrufW7CTDYuaFPXqjXdPEjGKRE45xEsVqD2XQjeWDn1rlF-KRGUvTE5kb0Y2YuRvTH5Y0wuYvRo_ce8jCL-gmtFETheAypoVVuvWu3CH8cYxALSyJ2vuE9Xm-W_B5D3F-O-i_l0lXdhZha_eeXf4p6YU_kyvpFPj8Mhf7yE8gF_A1pslTk</recordid><startdate>200504</startdate><enddate>200504</enddate><creator>CALIPEL, SÉVERINE</creator><creator>LUCAS-POLOMENI, MARIE-MADELEINE</creator><creator>WODEY, ERIC</creator><creator>ECOFFEY, CLAUDE</creator><general>Blackwell Science Ltd</general><general>Blackwell</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200504</creationdate><title>Premedication in children: hypnosis versus midazolam</title><author>CALIPEL, SÉVERINE ; LUCAS-POLOMENI, MARIE-MADELEINE ; WODEY, ERIC ; ECOFFEY, CLAUDE</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5014-53be44f88d193a3c2f76c3a987bfc80bd613f8bf60133b97fce2532957c7fe103</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Abdomen - surgery</topic><topic>Anesthesia</topic><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Anxiety - psychology</topic><topic>Behavior - drug effects</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>children</topic><topic>Double-Blind Method</topic><topic>Female</topic><topic>Humans</topic><topic>Hypnosis</topic><topic>Hypnotics and Sedatives</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Midazolam</topic><topic>postoperative behavioral disorders</topic><topic>Postoperative Complications - epidemiology</topic><topic>Postoperative Complications - psychology</topic><topic>Preanesthetic Medication</topic><topic>premedication</topic><topic>preoperative anxiety</topic><topic>Psychiatric Status Rating Scales</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>CALIPEL, SÉVERINE</creatorcontrib><creatorcontrib>LUCAS-POLOMENI, MARIE-MADELEINE</creatorcontrib><creatorcontrib>WODEY, ERIC</creatorcontrib><creatorcontrib>ECOFFEY, CLAUDE</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Pediatric anesthesia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>CALIPEL, SÉVERINE</au><au>LUCAS-POLOMENI, MARIE-MADELEINE</au><au>WODEY, ERIC</au><au>ECOFFEY, CLAUDE</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Premedication in children: hypnosis versus midazolam</atitle><jtitle>Pediatric anesthesia</jtitle><addtitle>Paediatr Anaesth</addtitle><date>2005-04</date><risdate>2005</risdate><volume>15</volume><issue>4</issue><spage>275</spage><epage>281</epage><pages>275-281</pages><issn>1155-5645</issn><eissn>1460-9592</eissn><abstract>Summary
Background: The main objectives of premedication in children are to facilitate the separation from the parents, to reduce preoperative anxiety, to smooth the induction of anesthesia and to lower the risk of postoperative behavioral disorders. The most common technique is sedative premedication with midazolam. Hypnosis enables a state of relaxation to be achieved and has never been evaluated as a premedication technique. The aim of the present study was to evaluate the efficacy of hypnosis on anxiety and perioperative behavioral disorders versus midazolam.
Methods: Fifty children from 2 to 11 years of age were randomized into two groups: group H received hypnosis as premedication; group M were given 0.5 mg·kg−1 midazolam orally, 30 min before surgery. Preoperative anxiety was evaluated using the Modified Yale Preoperative Anxiety Scale (mYPAS) score when arriving in the department (T1), when entering the operating room (T2), and when fitting the facemask (T3). Postoperative behavioral disorders were evaluated using the Posthospitalization Behavioral Questionnaire (PHBQ) at days 1, 7 and 14.
Results: The two groups showed no significant difference preoperatively with the PHBQ: (M) 21 (17–25) vs (H) 20 (8–25) and mYPAS score: (M) 28 (23–75) vs (H) 23 (23–78). The number of anxious children was less during induction of anesthesia in the hypnosis group (T3: 39% vs 68%) (P < 0.05). Postoperatively, hypnosis reduced the frequency of behavior disorders approximately by half on day 1 (30% vs 62%) and day 7 (26% vs 59%).
Conclusions: Hypnosis seems effective as premedication in children scheduled for surgery. It alleviates preoperative anxiety, especially during induction of anesthesia and reduces behavioral disorders during the first postoperative week.</abstract><cop>Oxford, UK</cop><pub>Blackwell Science Ltd</pub><pmid>15787917</pmid><doi>10.1111/j.1460-9592.2004.01514.x</doi><tpages>7</tpages></addata></record> |
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| subjects | Abdomen - surgery Anesthesia Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Anxiety - psychology Behavior - drug effects Biological and medical sciences Child Child, Preschool children Double-Blind Method Female Humans Hypnosis Hypnotics and Sedatives Male Medical sciences Midazolam postoperative behavioral disorders Postoperative Complications - epidemiology Postoperative Complications - psychology Preanesthetic Medication premedication preoperative anxiety Psychiatric Status Rating Scales |
| title | Premedication in children: hypnosis versus midazolam |
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