Evidence map›Paper›PMID 36324867›Full record

ArticleJournal of pain research2022

The Impact of Scripted Self-Hypnotic Relaxation on the Periprocedural Experience and Anesthesiologist Sedation Use in the Pediatric Cardiac Catheterization Suite: A Prospective Randomized Controlled Trial.

Jacqueline Viegas, Helen Holtby, Kyle Runeckles, Elvira V Lang

Registry-linked trialAbstract read
In one paragraph

Article in Journal of pain research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02347748 (The Impact of Comfort Talk on Anxiety Levels and Procedural Experience in a Pediatric Population Undergoing Cardiac Catheterization), which is not on this map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02347748 nacompletednot on this map

The Impact of Comfort Talk on Anxiety Levels and Procedural Experience in a Pediatric Population Undergoing Cardiac Catheterization: A Prospective Randomized Controlled Trial

TypeinterventionalSponsorThe Hospital for Sick ChildrenRan2015 to 2018Enrolled160ConditionsAnxiety, Pain, Adaptation, Psychological, Stress, PsychologicalArmsReading pre-procedure script, Reading pre-extubation script, Reading 2 scripts
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Jacqueline ViegasCardiac Diagnostic and Interventional Unit, Labatt Family Heart Centre, The Hospital for Sick Children, Toronto, Ontario, Canada.ORCID 0000-0001-9729-214X
Helen HoltbyDepartment of Anesthesia, The Hospital for Sick Children, Toronto, Ontario, Canada.ORCID 0000-0002-3583-9733
Kyle RunecklesUniversity Health Network Research Institute, Toronto, Ontario, Canada.ORCID 0000-0002-6750-4700
Elvira V LangHypnalgesics, LLC, Brookline, MA, USA.ORCID 0000-0002-4348-5138

Funding

Amelioration of Claustrophobia and Disruptive Patient Motion in MR ImagingR44AT006296 · NCCIH · HYPNALGESICS, LLC · PI LANG-ANDERSON, ELVIRA VALENTINA · 2014 to 2015
$1.0M
NCCIH NIH HHS R44 AT006296
6 · The paper itself

Abstract

Purpose: To assess the impact on children of self-hypnotic relaxation scripts read by trained staff prior to the induction of anesthesia and/or extubation on the periprocedural experience. Patients and Methods: A total of 160 children aged 7-18 years undergoing a cardiac catheterization intervention under general anesthesia were randomized into 4 groups: (1) a pre-procedure (PP-script) read prior to entering the procedural room, (2) a script read prior to extubation (PX-Script), (3) both PP- and PX-Scripts read and (4) no script read. Anxiety and pain were rated on self-reported 0-10 scales. The modified Yale Preoperative Anxiety Scale was used for preoperative anxiety. The effect of script reading was associated with outcomes by linear regression for continuous variables, and logistic regression for binary variables in two-sided tests at a significance level of 0.05. Results are given in odds ratios (OR) and 95% confidence intervals (CI). Results: Data were available for 158 patients. Reading the PP-Script prior to anesthesia was associated with a significant reduction in the use of intraoperative sedatives from 30% to 14% (OR 0.40; CI 0.18-0.88; p = 0.02) by the anesthesiologists, who were blinded to group attribution until extubation. This was despite the children not self-reporting significantly lower levels of anxiety or pain. The PX-Script did not change outcomes. Among groups, there was no significant difference in room time, postoperative recovery time and pain. Conclusion: Reading a PP-Script for guidance in self-hypnotic relaxation can result in less need for intravenous sedation in the judgment of the anesthesiologist, independent of the children's self-reported anxiety and pain. This raises interesting questions about subconscious patient-physician interactions affecting pain management. Clinicaltrialsgov Identifier: NCT02347748.

Indexed as

anesthesiaanxietychildrenpainsedation

Identifiers

PMID36324867
PMCPMC9621219

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.