Hypnosis to Reduce Pain and Drugs for Shoulder Dislocation Management in the Emergency Department
试验速览
- 阶段
- 不适用
- 状态
- 撤回
- 发起方
- 试验地点
- 14
- 主要终点
- Analgesic consumption
研究概览
简要总结
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Diagnostic
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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.
排除标准
- •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
结局指标
主要结局
Analgesic consumption
时间窗: Day 1
Calculated as the equal dose of morphine
次要结局
- Dose of sedative drug(Day 1)
- Patients'satisfaction(Day 1)
- Length of stay(Day 1)
- Method use for reduction(Day 1)
- Practitioners'satisfaction(Day 1)
- Number of attempts for reduction(Day 1)
- Adverse events(Day 1)