Impact of Hypnosis During Invasive Procedure in Intensive Care Unit

Study Overview
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Brief Summary
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Pain during ICU stay remains one of the major complaints for patients. Beside pain intensity, well described by patients' self reports, pain distress, which is an emotional experience, cannot be treated with usual analgesia. The aim of the study is to analyze the impact of hypnosis on pain intensity and distress on short and long term outcomes in non-sedated ICU patients.

Official Title
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Impact of Hypnosis During Invasive Procedure in Intensive Care Unit

Conditions
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Pain

Intervention / Treatment
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* Other: Hypnosis group


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Adult patients aged 18 years and older ICU hospitalisation Non-sedated patients who need an invasive procedure (Invasive procedures are defined as chest tube (insert or remove), fibroscopy, catheter insert, lumbar punction and bone marrow aspiration) Physician experienced in hypnosis available written informed consent health insurance Exclusion Criteria: sedation and intubation, delirium, end-of-life decision, deaf patient, patient who does not understand French language, pregnancy patient under guardianship or curatorship lack of health insurance

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Other
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Patients who receive hypnosis<br>Patients who receive hypnosis during procedure by experiment physician | Other: Hypnosis group<br>* Patients who receive hypnosis<br>|
| No Intervention: Control arm<br>Patient with conventional pain management | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Pain distress | Pain distress change in the hypnosis group measured before and within the first hour after the procedure. Pain distress will be assessed using Numeric rating scale, which goes from 0 (no pain stress) to 10 (maximum pain stress). | within the before and the first hour after the procedure | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Pain intensity | Pain intensity will be assessed using Numeric rating scale, which goes from 0 (no pain) to 10 (maximum pain imaginable). | within first hour and first 24 hours after procedure | 
| Number of adverse events |  | during procedure | 
| Length of each painful procedure |  | up to 3 months | 
| Analgesia dose | The dose of each analgesia treatment received by the patient will be collected. | within first and 24 hours after procedure | 
| Type of analgesia | The type of each analgesia treatment received by the patient will be collected. | within first and 24 hours after procedure | 
| Anxiety | Anxiety within first and 24 hours after procedure will be assessed using Numeric rating scale, which goes from 0 (no anxiety) to 10 (maximum anxiety imaginable). | within first and 24 hours after procedure | 
| Hospital Anxiety and Depression scale | The HAD scale is a self-assessment scale for detecting states of depression and anxiety in the setting of an hospital medical outpatient clinic. HADS is a self-administered scale of 14 items which assessed levels of depression and anxiety, divided into 2 subscales of 7 items (Anxiety or HADS-A, Depression or HADS-D). Each item is scored on a scale of 0 to 3. A score is generated for each of the two sub-scales (sum of the 7 items, ranging from 0 to 21). A higher score indicates worse outcome. | at 3 months | 
| Post traumatic stress disorder assessed using Impact of Event Scale Revisited (IES R) | The IES-R is a 22-item self-report measure (for DSM-IV) that assesses subjective distress caused by traumatic events. Items are rated on a 5-point scale ranging from 0 to 4 . The IES-R yields a total score (ranging from 0 to 88) | at 3 months | 
| Proportion of patients who had hypnosis transe |  | during procedure | 
| Description of the experience of hypnosis | Qualitative analysis of the experience of hypnosis will be performed using the semi-structured interview | at 3 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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invasive procedure, pain distress, hypnosis