Evaluation of Hypnotic Guidance Via Audio Headset for Pain Management During Stitching of Wound in the Emergency Department: A Randomized, Multicenter Study.
| Registry | NCT07872891, acronym HYPNAUS |
|---|---|
| Status | Not yet recruiting |
| Phase | Not applicable |
| Study type | Interventional; randomized, parallel, masking: none, supportive care |
| Enrollment | 134 (Estimated) |
| Sponsor | University Hospital, Angers (Other gov) |
| Conditions | Pain Management |
| Interventions | hypnotic guidance (Combination product) |
| Dates | start 2027-02-01 (estimated), primary completion 2029-02-01 (estimated), completion 2029-02-01 (estimated), first posted 2026-10-14, last updated 2026-10-14 |
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All trials for Pain Management All trials of hypnotic guidance
Pain is one of the most common reasons patients seek care in emergency departments. Managing pain effectively is an important part of emergency care because it can improve patients' comfort and overall experience. Wounds that require stitches are also a common reason for visiting the emergency department. Stitching a wound can be painful, both because of the original injury and because of the procedure itself, even when local anesthetic is used. Hypnosis is a state of focused attention in which people may become more responsive to suggestions. It is increasingly used as a non-drug approach to managing pain and anxiety, including during medical and surgical procedures. However, hypnosis is still not widely used in emergency departments, mainly because it usually requires trained staff and additional time. One possible solution is to use a pre-recorded hypnosis audio. Instead of a healthcare professional performing hypnosis directly, the patient could listen to a guided recording during the procedure. Previous research suggests that this approach may provide pain relief similar to that achieved with live hypnosis. HYPNAUS is a study comparing the use of local anesthesia via subcutaneous lidocaine injection with hypnotic guidance via headphones combined with local anesthesia via subcutaneous lidocaine injection alone. We hypothesize that patients receiving hypnotic guidance combined with local anesthesia via subcutaneous lidocaine injection will experience less pain during the stitching procedure.
| Arm | Type | Interventions | Description |
|---|---|---|---|
| hypnotic guidance | Experimental | Combination Product: hypnotic guidance | In the experimental arm, the patient will listen to a pre-recorded hypnotic guidance session selected from three options. |
| local anesthesia via subcutaneous lidocaine injection | No intervention | The control arm will receive standard care for suturable wounds, including local anesthesia with subcutaneous lidocaine prior to stitching. |
Sex: All, ages: 18 Years to any
Inclusion Criteria: * Patient aged over 18 * Presenting to the emergency department with a wound requiring a single suture * Admitted to a participating emergency department * Affiliated with a social security scheme * Having provided verbal informed consent to participate in the study Exclusion Criteria: * Patient with a prior negative experience with hypnosis * Patients who have received MEOPA or Penthrox * Patient with a contraindication to lidocaine (notably an allergy) * Patient with hearing impairment * Patient unable to rate their pain using the numerical scale * Wound requiring stapling * Scalp or ENT wound preventing the use of headphones * Patient with poor understanding of the French language * Pregnant woman, woman in labor, or breastfeeding mother * Person deprived of liberty by judicial or administrative decision, or subject to a legal protection measure * Person subject to involuntary psychiatric care or suffering from an unstable psychiatric condition * Person unable to provide free and informed consent (cognitive impairment, intoxication, etc.)