E-ISSN: 2458-9101
Case Study: Clinical Management of Claustrophobia and Cold Sensitivity towards Operating Room Environment with Preoperative Hypnosis
Anand Chandrasegaran
Sleep and Hypnosis: A Journal of Clinical Neuroscience and Psychopathology 2018;20(4):294-298
We present a case of utilizing preoperative hypnosis technique in overcoming patient's fear of operating room’s (OR) coldness and its small space fear (claustrophobia). In this report, we highlight how these two aspects of an OR environment can prevent patients to be maintained in a constant hypnotic trance state. Operating room can be a claustrophobic experience to some patients. The patient may not have experienced this situation. Therefore, it is important for anesthetist using hypnosis technique to be aware of possible anxiety attack being triggered by claustrophobia or sense of losing control of oneself. It is important to avoid suggestions that can trigger panic attacks, in this case, it was the sensitivity to OR coldness and detailed description of the OR environment.
Keywords: Preoperative hypnosis, Operating room environment, claustrophobia, cold environment
REFERENCES
Cyna, A. M., Tomkins, D., Maddock, T., & Barker, D. (2007). Brief hypnosis for severe needle phobia using switch-wire imagery in a 5-year old. Pediatric Anesthesia, 17(8), 800-804. doi:10.1111/j.1460-9592.2007.02224.x

Defechereux, T., Meurisse, M., Hamoir, E., Gollogly, L., Joris, J., & Faymonville, M. E. (1999). Hypnoanesthesia for endocrine cervical surgery: A statement of practice. Journal of Alternative and Complementary Medicine, 5(6), 509-520. doi:DOI 10.1089/acm.1999.5.509

Gay, M. C., Philippot, P., & Luminet, O. (2002). Differential effectiveness of psychological interventions for reducing osteoarthritis pain: a comparison of Erickson hypnosis and Jacobson relaxation. European Journal of Pain-London, 6(1), 1-16. doi:10.1053/eujp.2001.0263

Katcher, A., Segal, H., & Beck, A. (1984). Comparison of Contemplation and Hypnosis for the Reduction of Anxiety and Discomfort during Dental Surgery. American Journal of Clinical Hypnosis, 27(1), 14-21. doi:Doi 10.1080/00029157.1984.10402583

Kihlstrom, J. F. (1985). Posthypnotic Amnesia and the Dissociation of Memory. Psychology of Learning and Motivation, 19, 131-178. doi:Doi 10.1016/S0079-7421(08)60526-5

Markland, D., & Hardy, L. (1993). Anxiety, Relaxation and Anesthesia for Day-Case Surgery. British Journal of Clinical Psychology, 32, 493-504. doi:DOI 10.1111/j.2044-8260.1993.tb01085.x

Montgomery, G. H., David, D., Winkel, G., Silverstein, J. H., & Bovbjerg, D. H. (2002). The effectiveness of adjunctive hypnosis with surgical patients: A meta-analysis. Anesthesia and Analgesia, 94(6), 1639-1645. doi:Doi 10.1097/00000539-200206000-00052

Montgomery, G. H., Weltz, C. R., Seltz, M., & Bovbjerg, D. H. (2002). Brief presurgery hypnosis reduces distress and pain in excisional breast biopsy patients. International Journal of Clinical and Experimental Hypnosis, 50(1), 17-32. doi:Doi 10.1080/00207140208410088

Saadat, H., Drummond-Lewis, J., Maranets, I., Kaplan, D., Saadat, A., Wang, S. M., & Kain, Z. N. (2006). Hypnosis reduces preoperative anxiety in adult patients. Anesthesia and Analgesia, 102(5), 1394-1396. doi:10.1213/01.ane.0000204355.36015.54

Shor, R. E. (1962). Three dimensions of hypnotic depth. International Journal of Clinical and Experimental Hypnosis, 10(1), 23-38.
GUIDE FOR AUTHORS
EDITORIAL BOARD
ABOUT JOURNAL
INDEXED IN
AHEAD OF PRINT
ARCHIVES
CURRENT ISSUE
CONTACT US