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NOT YET RECRUITING
NCT07872891
NA

Hypnosis Antalgia Emergency Stitching

Sponsor: University Hospital, Angers

View on ClinicalTrials.gov

Summary

Pain is one of the most common reasons patients seek care in emergency departments. Managing pain effectively is an important part of emergency care because it can improve patients' comfort and overall experience. Wounds that require stitches are also a common reason for visiting the emergency department. Stitching a wound can be painful, both because of the original injury and because of the procedure itself, even when local anesthetic is used. Hypnosis is a state of focused attention in which people may become more responsive to suggestions. It is increasingly used as a non-drug approach to managing pain and anxiety, including during medical and surgical procedures. However, hypnosis is still not widely used in emergency departments, mainly because it usually requires trained staff and additional time. One possible solution is to use a pre-recorded hypnosis audio. Instead of a healthcare professional performing hypnosis directly, the patient could listen to a guided recording during the procedure. Previous research suggests that this approach may provide pain relief similar to that achieved with live hypnosis. HYPNAUS is a study comparing the use of local anesthesia via subcutaneous lidocaine injection with hypnotic guidance via headphones combined with local anesthesia via subcutaneous lidocaine injection alone. We hypothesize that patients receiving hypnotic guidance combined with local anesthesia via subcutaneous lidocaine injection will experience less pain during the stitching procedure.

Official title: Evaluation of Hypnotic Guidance Via Audio Headset for Pain Management During Stitching of Wound in the Emergency Department: A Randomized, Multicenter Study.

Key Details

Gender

All

Age Range

18 Years - Any

Study Type

INTERVENTIONAL

Enrollment

134

Start Date

2027-02

Completion Date

2029-02

Last Updated

2026-10-14

Healthy Volunteers

No

Conditions

Interventions

COMBINATION_PRODUCT

hypnotic guidance

In the experimental group, patients will listen to a pre-recorded hypnotic guidance session selected from three options. Headphones for the session will be fitted approximately five minutes before the procedure begins. These audio recordings consist of three distinct phases: induction, trance, and termination. Each recording lasts 15 minutes. However, if the procedure takes longer, the post-hypnotic suggestions included in the recording can extend the trance for as long as necessary. The remainder of the patient's care is identical to that of the control group and involves local anesthesia via subcutaneous lidocaine prior to stitching. Patients assigned to the hypnotic guidance arm who do not listen to the entire audio recording will still be analyzed as part of that arm. However, if stitching is finished before the recording ends, it is recommended that you allow it to finish so as not to interfere with the patient's trance termination.