Analgesic efficacy of clinical hypnosis in pediatric patients following orthopedic surgery

• DOI: 10.1016/j.anpede.2025.503831
• Publication Date: 2025-04-11T19:22:04Z
• Authors: Raquel Torres-Luna; María Carmen Sell...; Francisco Reinoso...

Clinical hypnosis is effective for pain management in adults, but there little evidence of its use the pediatric population. We conducted a randomized clinical trial on patients (aged 7-19 years) that had undergone major orthopedic surgery, allocated to one two groups: experimental group (HG), which received sessions hypnosis, or control (CG), non-hypnosis visits. The variables analyzed were (Visual Analog Scale [VAS]), analgesic drugs, anxiety (State-Trait Anxiety Inventory Children [STAIC]), parasympathetic activation (Analgesia Nociception Index [ANI] monitor) and vital signs such as heart rate (HR), respiratory (RR) systolic diastolic blood pressure (SBP DBP). used Student t test χ2 statistical analysis. Of 24 sample, 16 assigned HG 8 CG. In HG, we observed significant reduction VAS scores at h (P = .0001) 48 .0004) post surgery. Additionally, required fewer rescue doses agents .025) lower state-anxiety scale STAIC .046). ANI values increased significantly .007). HR, SBP DBP decreased < .05), RR .05). an nonpharmacological intervention reducing postoperative children, it associated with increase tone.