Enjoy the Research,
Seth-Deborah
Brief hypnosis for severe needle phobia using
switch--wire imagery in a 5-year old.
Paediatr Anaesth. 2007 Aug;17(8):800-804.
Cyna AM, Tomkins D, Maddock T, Barker D. Department of
Paediatric Anaesthesia, Women's and Children's
Hospital, Adelaide, SA, Australia.
We present a case of severe needle phobia in a
5-year-old boy who learned to utilize a self-hypnosis
technique to facilitate intravenous (i.v.) cannula
placement. He was diagnosed with Bruton's disease at 5
months of age and required monthly intravenous
infusions. The boy had received inhalational general
anesthesia for i.v. cannulation on 58 occasions.
Initially, this was because of difficult venous access
but more recently because of severe distress and
agitation when approached with a cannula. Oral
premedication with midazolam or ketamine proved
unsatisfactory and hypnotherapy was therefore
considered. Following a 10-min conversational hypnotic
induction, he was able to use switch--wire imagery to
dissociate sensation and movement in all four limbs in
turn. Two days later the boy experienced painless
venepuncture without the use of topical local
anesthetic cream. There was no movement in the
'switched-off' arm during i.v. cannula placement. This
report adds to the increasing body of evidence that
hypnosis represents a useful, additional tool that
anesthetists may find valuable in everyday practice.
<DIV><FONT color=#6000bf>Seth-Deborah Roth RN,CRNA,NBCCH, CI, <FONT
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