Literature DB >> 24381732

Therapeutic suggestion helps to cut back on drug intake for mechanically ventilated patients in intensive care unit.

Judit Schlanger, Gábor Fritúz, Katalin Varga.   

Abstract

Research was conducted on ventilated patients treated in an intensive care unit (ICU) under identical circumstances; patients were divided into two groups (subsequently proved statistically identical as to age and Simplified Acute Physiology Score II [SAPS II]). One group was treated with positive suggestions for 15-20 min a day based on a predetermined scheme, but tailored to the individual patient, while the control group received no auxiliary psychological treatment. Our goal was to test the effects of positive communication in this special clinical situation. In this section of the research, the subsequent data collection was aimed to reveal whether any change in drug need could be demonstrated upon the influence of suggestions as compared to the control group. Owing to the strict recruitment criteria, a relatively small sample (suggestion group n = 15, control group n = 10) was available during the approximately nine-month period of research. As an outcome of suggestions, there was a significant drop in benzodiazepine (p < 0.005), opioid (p < 0.001), and the α2-agonist (p < 0.05) intake. All this justifies the presence of therapeutic suggestions among the therapies used in ICUs. However, repeating the trial on a larger sample of patients would be recommended.

Entities:  

Keywords:  benzodiazepine consumption; critical state; drug need; intensive ward; opioid consumption; positive communication; sedatives; therapeutic suggestion; ventilated patient

Year:  2013        PMID: 24381732      PMCID: PMC3873592          DOI: 10.1556/IMAS.5.2013.4.1

Source DB:  PubMed          Journal:  Interv Med Appl Sci        ISSN: 2061-1617


  20 in total

1.  Improved recovery after music and therapeutic suggestions during general anaesthesia: a double-blind randomised controlled trial.

Authors:  U Nilsson; N Rawal; L E Uneståhl; C Zetterberg; M Unosson
Journal:  Acta Anaesthesiol Scand       Date:  2001-08       Impact factor: 2.105

2.  Clinical study of so-called unconscious perception during general anaesthesia.

Authors:  B Bonke; P I Schmitz; F Verhage; A Zwaveling
Journal:  Br J Anaesth       Date:  1986-09       Impact factor: 9.166

3.  Emergency room hypnosis for the burned patient.

Authors:  D M Ewin
Journal:  Am J Clin Hypn       Date:  1986-07

4.  Pre- and perioperative suggestion in maxillofacial surgery: effects on blood loss and recovery.

Authors:  B Enqvist; L von Konow; H Bystedt
Journal:  Int J Clin Exp Hypn       Date:  1995-07

5.  Intraoperative therapeutic suggestions in day-case surgery: are there benefits for postoperative outcome?

Authors:  A H Lebovits; R Twersky; B McEwan
Journal:  Br J Anaesth       Date:  1999-06       Impact factor: 9.166

6.  Adjunctive self-hypnotic relaxation for outpatient medical procedures: a prospective randomized trial with women undergoing large core breast biopsy.

Authors:  Elvira V Lang; Kevin S Berbaum; Salomao Faintuch; Olga Hatsiopoulou; Noami Halsey; Xinyu Li; Michael L Berbaum; Eleanor Laser; Janet Baum
Journal:  Pain       Date:  2006-09-07       Impact factor: 6.961

7.  The incidence and severity of postoperative nausea and vomiting in patients exposed to positive intra-operative suggestions.

Authors:  A R Williams; M Hind; B P Sweeney; R Fisher
Journal:  Anaesthesia       Date:  1994-04       Impact factor: 6.955

8.  Educating interventional radiology personnel in nonpharmacologic analgesia: effect on patients' pain perception.

Authors:  E V Lang; K S Berbaum
Journal:  Acad Radiol       Date:  1997-11       Impact factor: 3.173

9.  Hypnosis and daycase anaesthesia. A study to reduce pre-operative anxiety and intra-operative anaesthetic requirements.

Authors:  L Goldmann; T W Ogg; A B Levey
Journal:  Anaesthesia       Date:  1988-06       Impact factor: 6.955

10.  Therapeutic suggestions given during neurolept-anaesthesia decrease post-operative nausea and vomiting.

Authors:  L H Eberhart; H J Döring; P Holzrichter; R Roscher; W Seeling
Journal:  Eur J Anaesthesiol       Date:  1998-07       Impact factor: 4.330

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  3 in total

1.  System of Psychological Support Based on Positive Suggestions to the Critically Ill Using ICU Doulas.

Authors:  Lioudmila V Karnatovskaia; Jason M Schultz; Alexander S Niven; Amanda J Steele; Brittany A Baker; Kemuel L Philbrick; Kathryn T Del Valle; Kimberly R Johnson; Ognjen Gajic; Katalin Varga
Journal:  Crit Care Explor       Date:  2021-04-26

2.  A pilot study of trained ICU doulas providing early psychological support to critically ill patients.

Authors:  Lioudmila V Karnatovskaia; Katalin Varga; Alexander S Niven; Phillip J Schulte; Midhat Mujic; Ognjen Gajic; Brent A Bauer; Matthew M Clark; Roberto P Benzo; Kemuel L Philbrick
Journal:  Crit Care       Date:  2021-12-20       Impact factor: 19.334

3.  Psychiatry's role in the prevention of post-intensive care mental health impairment: stakeholder survey.

Authors:  Ewa D Bieber; Kemuel L Philbrick; Jenna B Shapiro; Lioudmila V Karnatovskaia
Journal:  BMC Psychiatry       Date:  2022-03-18       Impact factor: 4.144

  3 in total

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