Hypnosis to Reduce Pain and Drugs for Shoulder Dislocation Management
- Conditions
- Shoulder Dislocation
- Interventions
- Other: Hypnosis sessionProcedure: Reduction
- Registration Number
- NCT04992598
- Lead Sponsor
- Centre Hospitalier R茅gional Metz-Thionville
- Brief Summary
The effectiveness of hypnosis for reducing pain was evaluated in various medical specialities. However, only few studies have demonstrated the efficacy of hypnosis for the management of pain in the emergency medicine.
Anteromedial dislocation is a very common Reason for admission in emergency department. Many methods for reduction have been described but there is no consensus on the optimum technique or sedation procedures.
Some pain medication and tranquilizers used during a shoulder dislocation management include hemodynamic, respiratory and behavioral adverse effects with the requirement of strengthened surveillance.
Hypnosis could provide to reduce sedative and analgesic use during the reduction of anteromedial dislocation.
The main objective of this study is to evaluate the efficacy of a hypnosis session for reducing the consumption of analgesic in patient throughout a reduction of shoulder dislocation.
The investigators also examine the effect of hypnosis on hemodynamic parameters, patient's pain, patient and practitioner satisfaction, sedative consumption, number of attempts for reduction and length of stay in the emergency department.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- WITHDRAWN
- Sex
- All
- Target Recruitment
- Not specified
- Patients aged 18 years and over,
- Checked into ED for an anterior shoulder dislocation suspected by clinical examination and confirmed by radiography,
- Had given oral consent to participate in the study
- Are affiliated or be a recipient of a social security plan.
- A staff member (nurse, nurse's aide, or physician) trained in hypnosis is available at the patient admission time.
- Patient showing up with a shoulder fracture on x-ray.
- Patient presenting a shoulder prosthesis.
- Patient with recurrent dislocations.
- Patient who does not speak or understand French language.
- Patient with cognitive dysfunction.
- Patient with a psychiatric history of psychosis.
- Patient who is deaf or hard of hearing.
- Patient under legal protection (guardianship, curatorship).
- Pregnant women
- Patient who already benefited of a pre-hospital reduction
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Hypnosis group Hypnosis session - Hypnosis group Reduction - Control group Reduction -
- Primary Outcome Measures
Name Time Method Analgesic consumption Day 1 Calculated as the equal dose of morphine
- Secondary Outcome Measures
Name Time Method Dose of sedative drug Day 1 Dose of sedative drug
Patients'satisfaction Day 1 Patients'satisfaction was assessed with a Likert scale after reduction. The satisfaction was scored on 5-point Likert scale, ranging from 1 to 5 (with 1=excellent and 5=catastrophic).
Length of stay Day 1 Length of stay in the emergency department
Method use for reduction Day 1 Method use for reduction
Practitioners'satisfaction Day 1 Practitioners'satisfaction was assessed with a Likert scale after reduction. The satisfaction was scored on 5-point Likert scale, ranging from 1 to 5 ( with 1=excellent and 5=catastrophic).
Number of attempts for reduction Day 1 Number of attempts for reduction
Adverse events Day 1 number of adverse events
Trial Locations
- Locations (7)
CHR Metz Thionville
馃嚝馃嚪Metz, Moselle, France
Centre Hospitalier Saint Luc Saint Joseph
馃嚝馃嚪Lyon, Rh么ne, France
Centre Hospitalier Lucien Hussel
馃嚝馃嚪Vienne, Is猫re, France
Groupement hospitalier Sud-H么pital Lyon Sud
馃嚝馃嚪Lyon, Rh么ne, France
CHR Fleyriat- H么pital de Bourg en Bresse
馃嚝馃嚪Bourg-en-Bresse, Ain, France
H么pital Robert Pax
馃嚝馃嚪Sarreguemines, Moselle, France
H么pital Nord-Ouest Villefranche sur Sa么ne
馃嚝馃嚪Villefranche-sur-Sa么ne, Rh么ne, France