Rapid hypnosis as an anaesthesia adjunct for evacuation of postpartum vulval haematoma

Aust N Z J Obstet Gynaecol. 2011 Jun;51(3):265-7. doi: 10.1111/j.1479-828X.2011.01310.x. Epub 2011 May 13.

Abstract

Hypnosis can be a useful therapeutic adjunct to pharmacological analgesia or anaesthesia in obstetrics. However, it is rarely considered a primary anaesthetic technique and is seldom employed in the acute surgical setting. Few obstetricians and anaesthetists currently utilise this technique in their clinical practice. We present a case report of a 34-year-old woman who successfully underwent evacuation of a large vulval haematoma using the simple hypnosis technique of 'believed-in imagination' as the principal anaesthetic technique with only minimal adjunctive pharmacological analgesia.

Publication types

  • Case Reports

MeSH terms

  • Acetaminophen / therapeutic use
  • Adult
  • Anesthetics, Intravenous / therapeutic use
  • Blood Loss, Surgical
  • Female
  • Fentanyl / therapeutic use
  • Hematoma / surgery*
  • Humans
  • Hypnosis, Anesthetic*
  • Pain / drug therapy
  • Perineum / injuries
  • Perineum / surgery
  • Postpartum Hemorrhage / surgery
  • Pregnancy
  • Pregnancy Complications, Hematologic / surgery*
  • Vulva / surgery*

Substances

  • Anesthetics, Intravenous
  • Acetaminophen
  • Fentanyl