Cargando…
The Added Value of Intraoperative Hypnosis during Spinal Cord Stimulation Lead Implantation under Awake Anesthesia in Patients Presenting with Refractory Chronic Pain
To improve pain relief for refractory pain condition, spinal cord stimulation (SCS) needs to target the dedicated neuronal fibers within the dorsal columns. Intraoperative feedback from the patient can optimize lead placement but requires “awake surgery”, allowing interaction between patient and sur...
Autores principales: | , , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8875752/ https://www.ncbi.nlm.nih.gov/pubmed/35208543 http://dx.doi.org/10.3390/medicina58020220 |
_version_ | 1784658007883251712 |
---|---|
author | Wood, Chantal Martiné, Gaëlle Espagne-Dubreuilh, Gaëlle Le Goff, Karine Moens, Maarten Goudman, Lisa Baron, Sandrine David, Romain Naïditch, Nicolas Billot, Maxime Rigoard, Philippe |
author_facet | Wood, Chantal Martiné, Gaëlle Espagne-Dubreuilh, Gaëlle Le Goff, Karine Moens, Maarten Goudman, Lisa Baron, Sandrine David, Romain Naïditch, Nicolas Billot, Maxime Rigoard, Philippe |
author_sort | Wood, Chantal |
collection | PubMed |
description | To improve pain relief for refractory pain condition, spinal cord stimulation (SCS) needs to target the dedicated neuronal fibers within the dorsal columns. Intraoperative feedback from the patient can optimize lead placement but requires “awake surgery”, allowing interaction between patient and surgeon. This can produce negative effects like anxiety and stress. To better manage these aspects, we propose to combine intraoperative hypnosis with awake anesthesia. Seventy-four patients (35 females, 22–80 years) presenting with chronic refractory pain, were offered intraoperative hypnosis during awake SCS lead implantation. Interactive conversational hypnosis was used as well as interactive touch, which was enhanced during painful moments during the lead intraoperative programming. All patients participated actively during the intraoperative testing which helped to optimize the lead positioning. They kept an extremely positive memory of the surgery and of the hypnotic experience, despite some painful moments. Pain could be reduced in these patients by using interactions and touch, which works on Gate Control modulation. Positive memory was reinforced by congratulations to create self-confidence and to induce positive expectations, which could reinforce the Diffuse Noxious Inhibitory Controls at the spinal level. Cooperation was improved because the patient was actively participating and thus, much more alert when feedback was required. Combining intraoperative hypnosis with awake anesthesia appears helpful for SCS lead implantation. It enhances patient cooperation, allows optimization of lead positioning, and leads to better pain control, positive and resourceful memory. |
format | Online Article Text |
id | pubmed-8875752 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-88757522022-02-26 The Added Value of Intraoperative Hypnosis during Spinal Cord Stimulation Lead Implantation under Awake Anesthesia in Patients Presenting with Refractory Chronic Pain Wood, Chantal Martiné, Gaëlle Espagne-Dubreuilh, Gaëlle Le Goff, Karine Moens, Maarten Goudman, Lisa Baron, Sandrine David, Romain Naïditch, Nicolas Billot, Maxime Rigoard, Philippe Medicina (Kaunas) Brief Report To improve pain relief for refractory pain condition, spinal cord stimulation (SCS) needs to target the dedicated neuronal fibers within the dorsal columns. Intraoperative feedback from the patient can optimize lead placement but requires “awake surgery”, allowing interaction between patient and surgeon. This can produce negative effects like anxiety and stress. To better manage these aspects, we propose to combine intraoperative hypnosis with awake anesthesia. Seventy-four patients (35 females, 22–80 years) presenting with chronic refractory pain, were offered intraoperative hypnosis during awake SCS lead implantation. Interactive conversational hypnosis was used as well as interactive touch, which was enhanced during painful moments during the lead intraoperative programming. All patients participated actively during the intraoperative testing which helped to optimize the lead positioning. They kept an extremely positive memory of the surgery and of the hypnotic experience, despite some painful moments. Pain could be reduced in these patients by using interactions and touch, which works on Gate Control modulation. Positive memory was reinforced by congratulations to create self-confidence and to induce positive expectations, which could reinforce the Diffuse Noxious Inhibitory Controls at the spinal level. Cooperation was improved because the patient was actively participating and thus, much more alert when feedback was required. Combining intraoperative hypnosis with awake anesthesia appears helpful for SCS lead implantation. It enhances patient cooperation, allows optimization of lead positioning, and leads to better pain control, positive and resourceful memory. MDPI 2022-02-01 /pmc/articles/PMC8875752/ /pubmed/35208543 http://dx.doi.org/10.3390/medicina58020220 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Brief Report Wood, Chantal Martiné, Gaëlle Espagne-Dubreuilh, Gaëlle Le Goff, Karine Moens, Maarten Goudman, Lisa Baron, Sandrine David, Romain Naïditch, Nicolas Billot, Maxime Rigoard, Philippe The Added Value of Intraoperative Hypnosis during Spinal Cord Stimulation Lead Implantation under Awake Anesthesia in Patients Presenting with Refractory Chronic Pain |
title | The Added Value of Intraoperative Hypnosis during Spinal Cord Stimulation Lead Implantation under Awake Anesthesia in Patients Presenting with Refractory Chronic Pain |
title_full | The Added Value of Intraoperative Hypnosis during Spinal Cord Stimulation Lead Implantation under Awake Anesthesia in Patients Presenting with Refractory Chronic Pain |
title_fullStr | The Added Value of Intraoperative Hypnosis during Spinal Cord Stimulation Lead Implantation under Awake Anesthesia in Patients Presenting with Refractory Chronic Pain |
title_full_unstemmed | The Added Value of Intraoperative Hypnosis during Spinal Cord Stimulation Lead Implantation under Awake Anesthesia in Patients Presenting with Refractory Chronic Pain |
title_short | The Added Value of Intraoperative Hypnosis during Spinal Cord Stimulation Lead Implantation under Awake Anesthesia in Patients Presenting with Refractory Chronic Pain |
title_sort | added value of intraoperative hypnosis during spinal cord stimulation lead implantation under awake anesthesia in patients presenting with refractory chronic pain |
topic | Brief Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8875752/ https://www.ncbi.nlm.nih.gov/pubmed/35208543 http://dx.doi.org/10.3390/medicina58020220 |
work_keys_str_mv | AT woodchantal theaddedvalueofintraoperativehypnosisduringspinalcordstimulationleadimplantationunderawakeanesthesiainpatientspresentingwithrefractorychronicpain AT martinegaelle theaddedvalueofintraoperativehypnosisduringspinalcordstimulationleadimplantationunderawakeanesthesiainpatientspresentingwithrefractorychronicpain AT espagnedubreuilhgaelle theaddedvalueofintraoperativehypnosisduringspinalcordstimulationleadimplantationunderawakeanesthesiainpatientspresentingwithrefractorychronicpain AT legoffkarine theaddedvalueofintraoperativehypnosisduringspinalcordstimulationleadimplantationunderawakeanesthesiainpatientspresentingwithrefractorychronicpain AT moensmaarten theaddedvalueofintraoperativehypnosisduringspinalcordstimulationleadimplantationunderawakeanesthesiainpatientspresentingwithrefractorychronicpain AT goudmanlisa theaddedvalueofintraoperativehypnosisduringspinalcordstimulationleadimplantationunderawakeanesthesiainpatientspresentingwithrefractorychronicpain AT baronsandrine theaddedvalueofintraoperativehypnosisduringspinalcordstimulationleadimplantationunderawakeanesthesiainpatientspresentingwithrefractorychronicpain AT davidromain theaddedvalueofintraoperativehypnosisduringspinalcordstimulationleadimplantationunderawakeanesthesiainpatientspresentingwithrefractorychronicpain AT naiditchnicolas theaddedvalueofintraoperativehypnosisduringspinalcordstimulationleadimplantationunderawakeanesthesiainpatientspresentingwithrefractorychronicpain AT billotmaxime theaddedvalueofintraoperativehypnosisduringspinalcordstimulationleadimplantationunderawakeanesthesiainpatientspresentingwithrefractorychronicpain AT rigoardphilippe theaddedvalueofintraoperativehypnosisduringspinalcordstimulationleadimplantationunderawakeanesthesiainpatientspresentingwithrefractorychronicpain AT woodchantal addedvalueofintraoperativehypnosisduringspinalcordstimulationleadimplantationunderawakeanesthesiainpatientspresentingwithrefractorychronicpain AT martinegaelle addedvalueofintraoperativehypnosisduringspinalcordstimulationleadimplantationunderawakeanesthesiainpatientspresentingwithrefractorychronicpain AT espagnedubreuilhgaelle addedvalueofintraoperativehypnosisduringspinalcordstimulationleadimplantationunderawakeanesthesiainpatientspresentingwithrefractorychronicpain AT legoffkarine addedvalueofintraoperativehypnosisduringspinalcordstimulationleadimplantationunderawakeanesthesiainpatientspresentingwithrefractorychronicpain AT moensmaarten addedvalueofintraoperativehypnosisduringspinalcordstimulationleadimplantationunderawakeanesthesiainpatientspresentingwithrefractorychronicpain AT goudmanlisa addedvalueofintraoperativehypnosisduringspinalcordstimulationleadimplantationunderawakeanesthesiainpatientspresentingwithrefractorychronicpain AT baronsandrine addedvalueofintraoperativehypnosisduringspinalcordstimulationleadimplantationunderawakeanesthesiainpatientspresentingwithrefractorychronicpain AT davidromain addedvalueofintraoperativehypnosisduringspinalcordstimulationleadimplantationunderawakeanesthesiainpatientspresentingwithrefractorychronicpain AT naiditchnicolas addedvalueofintraoperativehypnosisduringspinalcordstimulationleadimplantationunderawakeanesthesiainpatientspresentingwithrefractorychronicpain AT billotmaxime addedvalueofintraoperativehypnosisduringspinalcordstimulationleadimplantationunderawakeanesthesiainpatientspresentingwithrefractorychronicpain AT rigoardphilippe addedvalueofintraoperativehypnosisduringspinalcordstimulationleadimplantationunderawakeanesthesiainpatientspresentingwithrefractorychronicpain |