PMID: 9647460Jul 1, 1998Paper

Hypnosis after an adverse response to opioids in an ICU burn patient

The Clinical Journal of Pain
R OhrbachN S Gibran

Abstract

Burn injuries produce severe wound care pain that is ideally controlled on intensive burn care units with high-dosage intravenous opioid medications. We report a case illustrating the use of hypnosis for pain management when one opioid medication was ineffective. Intensive burn care unit at a regional trauma center. A 55-year-old man with an extensive burn suffered from significant respiratory depression from a low dosage of opioid during wound care and also experienced uncontrolled pain. Rapid induction hypnotic analgesia. Verbal numeric pain scale, and pain and anxiolytic medication usage. The introduction of hypnosis, supplemented by little or no opioids, resulted in excellent pain control, absence of need for supplemental anxiolytic medication, shortened length of wound care, and a positive staff response over a 14-day period. This case illustrates that hypnosis can not only be used easily and quite appropriately in a busy medical intensive care unit environment, but that sometimes this treatment may be a very useful alternative when opioid pain medication proves to be dangerous and ineffective. This case also illustrates possible clinical implications both pain relief and side-effect profiles for opioid receptor specificit...Continue Reading

References

Jan 1, 1977·The American Journal of Clinical Hypnosis·J Barber
Aug 1, 1989·Journal of Abnormal Psychology·N P SpanosL A Robertson
Jul 1, 1987·The Journal of Burn Care & Rehabilitation·D R PattersonM D Boltwood
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Citations

Feb 5, 2004·Journal of the American College of Surgeons·Robert L Sheridan, Ronald G Tompkins
Sep 21, 2004·The American Journal of Clinical Hypnosis·David R PattersonSam R Sharar
Apr 4, 2006·The International Journal of Clinical and Experimental Hypnosis·David R PattersonSam R Sharar
Mar 1, 2008·The International Journal of Clinical and Experimental Hypnosis·Fereshteh ShakibaeiPejman Salehi
Nov 3, 2009·Burns : Journal of the International Society for Burn Injuries·Mette M BergerRené L Chiolero
Jan 28, 2009·Brain Research Reviews·G DussorD C Molliver
Mar 3, 2001·The Journal of Burn Care & Rehabilitation·R B FratianneJ M Standley

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