Anesthesia
Conditions
Keywords
Hypnosis, Anesthesia, Propofol, Closed-loop
Brief summary
Hypnosis may reduce patient anxiety. The main goal of this study is to determine in what extent, hypnosis decreases propofol requirement to induce induction of general anesthesia. A particular aspect of this study is that induction is provided by a closed-loop system which delivers propofol according to bispectral index.
Interventions
A short preanesthetic hypnosis before induction of anesthesia
Standard care before induction of anesthesia
Sponsors
Study design
Eligibility
Inclusion criteria
* adult patients scheduled for a surgical procedure under general anesthesia
Exclusion criteria
* pregnancy, breast feeding woman * allergy to propofol, soy or peanuts * history of central nervous system disease * patient receiving a psychotropic treatment * patient treated by a psychiatrist or a psychologist * hypovolemia, high cardiovascular risk * patients with a pace-maker
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Administered dose of propofol required to obtain the induction of anesthesia (bispectral index <60 for at least 30 seconds) | one hour |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| pain of injection | one hour | Pain is assessed by two criteria: * withdrawal of the arm perfused (no = 0; withdrawal = 1; violent withdrawal = 2), * spontaneous expression (no = 0; frown = 1 grin = 2) |
| Hemodynamic consequences of induction of anesthesia | one hour | Heart rate and blood pressure are measured just before induction of anesthesia and once it realized. |
| calculated target plasma concentration corresponding to induction of anesthesia (bispectral index <60 for at least 30 seconds) | one hour | — |
| Patient assessment of the induction of anesthesia | one hour | 4-point scale. |
| Time to loss of consciousness | one hour | loss of eyelash reflex |
| characteristics of the hypnotic procedure | one hour | * For speed: focus obtained in a very fast (1), fast (2), medium (3), delayed (4), impossible to obtain (5). * For quality: very deep (1), deep (2), medium (3), superficial (4), not obtained (5) |
Countries
France