Assessing effect of addition of hypnoanaesthesia to existing anaesthetic techniques in reducing anxiety and pain in children undergoing minor dermatosurgical procedures

Phase 2/3

Not yet recruiting

Brief Summary: Hypnotherapyor trance-induction is a well-documented technique of intentionally inducing analtered conscious state where increased acceptability of verbal suggestions hasbeen noted, along with a profound reduction of stress and anxiety. This can beused to alter perception of sensations including pain. This can be helpful forreduction of anxiety, as well as the perception of the needle prick, burningsensation of local anaesthetic agent, and residual sensations despite use oflocal anaesthetic agent. It has been used by small groups of surgeons, since1946, by itself and as an adjunct for a host of surgical procedures includingthose otherwise requiring general aanesthesia. Post-hypnotic suggestions can beused to have effects which continue after the trance and can be used to modifyperception of post-operative pain.

Recruitment & Eligibility

Inclusion Criteria

Children 6 to 13 years of age undergoing minor procedures in the Dermatology Minor Operation theatre complex.
Can understand English or Hindi well 3.
Can follow verbal suggestions for modulating breathing rate, contracting or relaxing muscles.
Patients agreeing to have their vitals monitored before, during and at end of procedure.

Exclusion Criteria

Patients with an inability to follow verbal instructions.

Primary Outcome Measures

Name	Time	Method
To assess the percentage difference in mean VAS (Visual Analogue Scale) score of perceived pain of local anaesthetic injection between children receiving additional hypnoanaesthesia in combination with standard infiltration anaesthetic technique versus those receiving standard infiltration anaesthetic technique alone during minor dermatosurgical procedures	Just after the injection of local anaesthetic agent

Secondary Outcome Measures

Name	Time	Method
To assess the percentage difference in mean VAS score of perceived pain	During & after the surgery
To assess the percentage reduction in VAS score of anxiety before & immediately after the hypnoanaesthesia in the intervention arm.	Before & immediately after the hypnoanaesthesia
To evaluate the changes in respiratory rate, heart rate & blood pressure before & immediately after the administration of hypnoanaesthesia.	before & immediately after the administration of hypnoanaesthesia
To assess the percentage difference in mean VAS score of post-operative pain at the end of 1 week between the control & intervention group	Day 7
To assess the percentage difference in mean VAS score of anxiety in parents during the surgical procedure of their child	During the surgical procedure

Locations (1): All India Institute of Medical Sciences, New Delhi
🇮🇳
Delhi, DELHI, India
All India Institute of Medical Sciences, New Delhi
🇮🇳Delhi, DELHI, India
Dr Priya Yadav
Principal investigator
7976649004
www.yspriya@gmail.com