Family Partnership in Hypnosis to Improve Mechanical Ventilation Weaning in an ICU Patient With High Cervical Spinal Cord Injury-A Case Report.
Christine Bernard, Margrit Ascher, François Vaast and 3 others
PMID 41405323WHAT IT FOUND
A sedated patient with high cervical spinal cord injury could not speak, so his mother supplied sensory details for hypnosis scripts; he reported comfort during a trial, but this single case cannot show hypnosis caused weaning.
Key findings
01The patient's mother supplied sensory and biographical details used to build a personalised hypnosis script because he could not speak.
02The first hypnosis-assisted spontaneous breathing trial lasted 15 minutes but was stopped because of abdominal distention and atelectasis, although gas exchange remained stable; the patient reported comfort of 8 of 10. Three additional hypnosis-assisted spontaneous breathing trials were successful without oxygen desaturation.
03The patient was decannulated on May 11, required recannulation on May 15 because of recurrent right-sided atelectasis, and was fully weaned from mechanical ventilation at discharge.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
This is a single case, so it cannot show that hypnosis improved ventilator weaning. The authors state that the effect of hypnosis cannot be separated from concurrent medical care and natural recovery processes. The highly personalised hypnosis intervention may not be replicable without family participation or in other cultural contexts. The first hypnosis-assisted spontaneous breathing trial was stopped after 15 minutes because of abdominal distention and atelectasis, although gas exchange remained stable. The patient required recannulation on May 15 after decannulation on May 11, and respiratory complications continued. The patient's later report of no memory of respiratory discomfort is subjective and was made after his ICU stay.
Declared interests
The authors report no funding and no conflicts of interest.
The easy way to misread this
Do not conclude that hypnosis improved ventilator weaning. This is a single case, and the authors state that the effect of hypnosis cannot be separated from concurrent medical care and natural recovery.