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Original Research: Sleep Disorders |

Medical Hypnosis as a Tool to Acclimatize Children to Noninvasive Positive Pressure VentilationMedical Hypnosis and Ventilation Acceptance: A Pilot Study

Vincent Delord, MSN; Sonia Khirani, PhD; Adriana Ramirez, MSc; Erick Louis Joseph, AS; Clotilde Gambier, MSN; Maryse Belson, MSN; Francis Gajan, MD; Brigitte Fauroux, MD, PhD
Author and Funding Information

From the Pediatric Pulmonary Department (Messrs Delord and Joseph; Dr Khirani; Mss Ramirez, Gambier, and Belson; and Prof Fauroux), AP-HP, Hôpital Armand Trousseau, Paris; Pain and Otorhinolaryngology Department (Dr Gajan), CHU Rouen, Rouen; S2A Santé (Dr Khirani), Ivry sur Seine; ADEP ASSISTANCE (Ms Ramirez), Suresnes; and IMSERM U 955 (Prof Fauroux), Pierre et Marie Curie Paris 6 University, Paris, France.

Correspondence to: Brigitte Fauroux, MD, PhD, Pediatric Pulmonary Department, AP-HP, Hôpital Armand Trousseau, 28 Ave du Docteur Arnold Netter, Paris F-75012, France; e-mail: brigitte.fauroux@trs.aphp.fr


Funding/Support: The research of Prof Fauroux is supported by the Association Française contre les Myopathies; Vaincre la Mucoviscidose; Assistance Publique-Hôpitaux de Paris, INSERM, Université Pierre-et-Marie-Curie-Paris 6, ADEP Assistance, S2A Santé, and IPSanté.

Reproduction of this article is prohibited without written permission from the American College of Chest Physicians. See online for more details.


Chest. 2013;144(1):87-91. doi:10.1378/chest.12-2259
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Background:  Patient cooperation is crucial for the success of noninvasive positive pressure ventilation (NPPV). This study evaluated the efficacy of medical hypnosis to reduce anticipatory anxiety and acclimatization time in children who are candidates for long-term NPPV.

Methods:  Medical hypnosis was performed by a trained nurse. The acclimatization time and long-term compliance with NPPV were evaluated.

Results:  Hypnosis was performed in nine children aged 2 to 15 years. Seven children had a high level of anticipatory anxiety because of a tracheotomy since birth (n = 2), a history of maxillofacial surgery (n = 2), severe dyspnea because of lung disease (n = 2), and morbid obesity and depression (n = 1), and two children with obstructive sleep apnea failed standard NPPV initiation. The hypnosis techniques were based on distraction in the youngest patient and indirect or direct hypnotic suggestions in the older children to obtain a progressive psychocorporal relaxation. All patients accepted the interface and the NPPV after the first hypnosis session. A median of three sessions was needed for overnight (> 6 h) NPPV acceptance. The 6-month compliance with NPPV was excellent, with a median use of 7.5 h per night.

Conclusion:  Medical hypnosis is an effective, safe, noninvasive, and inexpensive tool for reducing the anticipatory distress and acclimatization time for NPPV. This therapy is particularly useful in children with traumatic experiences, such as a tracheotomy or facial surgical procedures.


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