Benefit of Hypnosis on Smartphone for Acute Post-operative Pain (HYPNO-APP)
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Use of hypnosis videos.
- Who it may be relevant to
- Registry conditions: Appendicitis With Peritonitis. Basic parameters: from 18 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- France
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Benefit of Hypnosis on Smartphone for Acute Post-operative Pain
Overview
Appendicitis is a common pathology and the one of the most common surgical procedures performed in France. Young subjects are the most frequent patients with appendicitis. Appendicular peritonitis increases post-operative pain, morbidity, and the average length of hospital stay compared to uncomplicated appendicitis. Pain alters perioeprative rehabilitation of patients. Surgery, performed urgently, generates more anxiety and pain than scheduled surgery. But, intensity of chronic postoperative pain is in correlation to intensity of acute postoperative pain. In addition, admission of emergency cases is more axiety-inducing, due to wait times, packed emergency room, worklaod of medical staff. Sex and age also modify perception of postoperative pain. Adults under 50 feel more pain than older patients for similar procedures. Medication for pain is required in perioperative period et is administered according protocol of each medical center ; these protocols include analgesics, opioids or not, benzodiazepine... However, opioids analgesic (example: morphine) can induce side effect, such as confusional syndrome, cardio-pulmonary manifestations, ileus, nausea and vomiting... Non-pharmacological approaches have been also proposed to reduce anxiety and pain. Hypnosis is frequently used but not always adapted to the emergency: need for qualified and available staff, environment not conducive to hypnotic induction... Hypnosis is a modified state of consciousness ; it is neither a state of vigilance nor a state of sleep. Several types of hypnosis can be distinguished according to the medical application, such as hypnoanalgesia or hypnosedation. Using hypnosedation during surgical or invasive procedure can reduce the use of painkillers and sedatives. Interest of hypnosis has been observed for extraction of wisdow teeth, delivery... Young patients are very comfortable with the use of their smartphone which is often the first object recovered when they return from the operating room. Many hypnosis videos are available free of charge on Internet, and some of which are produced by specialized practitioners and university teachers. A recent study has shown that among young people, addiction to smartphone is a predisposition to hypnosis. However, the use of hypnosis videos on smartphone has never been studied for the control of postoperative pain.
Interventions
- Procedure Use of hypnosis videos
Hypnosis on smartphone will be used to manage pain for emergent coelioscopy surgery of patients with acute and complicated appendicitis, with generalized peritonitis
Primary outcome measures
- To study the effect of hypnosis on smartphone on postoperative pain in patients operated in emergency by coelioscopy of acute and complicated appendicitis with peritonitis. [Time frame: During the first postoperative week]
Secondary outcome measures (4)
- To study the effect of hypnosis on smartphone on the use of analgesics during hospitalization. [Time frame: 30 days post surgery]
- To study the effect of hypnosis on smartphone on the average length of hospital stay after the beginning of hypnosis sessions [Time frame: 30 days post surgery]
- To study the effect of hypnosis on smartphone on the anxiety before and after hypnosis sessions [Time frame: At inclusion and 2 days after inclusion]
- To study the effect of hypnosis on smartphone on morbidity at postoperative day 30. [Time frame: 30 days post surgery]
Eligibility criteria
Inclusion criteria
- Patients aged 18 years and over
- Complicated acute appendicitis with generalized appendicitis, coelioscopy emergency surgery
- Signature of the written informed consent form by the patient
- Affiliation to a French health insurance scheme or equivalent
- Patient inderstands French and has a smartphone with internet access
Non inclusion Criteria:
- Uncomplicated or complicated appendicitis of abscesses, presence of an intraperitoneal abscess, a plastron, uncomplicated appendicitis of generalized peritonitis
- Patient with a neurological, visual or auditory condition where videos cannot be viewed
- Presence of active cancer, a malignant hemopathy, drug addiction, coagulopathy, immunosuppressive treatment
- Non-acute or interval appendectomy, i.e. after antibiotic treatment of a complicated appendicitis of the plastron or drainage of an appendicular abscess;
- Vulnerable people: adult under guardianship, curator ship or deprived of freedom.
- Medication or pathology affecting ability to discern: Severe psychotic disorders
- Patient refusing to monitor anxiety and pain via smartphone
- Patient already medically monitored for anxiety, depressive or chronic pain syndrome
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- N/A
- Model
- Single group
- Masking
- Open label
- Primary purpose
- Treatment
Study locations
France · 1 center
- Nice University Hospital — Nice
Identifiers
NCT: NCT05854914 · 21-AOIP-05