Hypnotic sedation and musical background during cimentoplasty on prone position: A comparative study

Abstract

Purpose To report prospectively the effect of erikson hypnoanalgesia and musical background on procedural medication and well-being in patients undergoing cimentoplasty on prone position. Material and methods All the patients (n = 118, mean age 68.9 ± 13.3 years) had an IV injection of paracetamol (1 g) and midazolam (0.5 mg) and a local anesthesia before the cimentoplasty. Hypnoanalgesia (H) was proposed in consultation and performed if the technician was available. Three groups were compared: group hypnoanalgesia (H), music (M) or control (C). Numbers of lumbar or thoracic levels was 1 to 4. The necessity to add medication during the treatment was evaluated. The procedural well-being (0-incomfortable- to 10-comfortable) was asked 2 hours after the cimentoplasty. Duration of the procedure, hearth rate and arterial pressure during cimentoplasty were notified. Results Thirty-three patients were included in the group (H), 38 in (M) and 47 in (C). The mean number of levels was 1.61, 1.53 and 1.66 for groups (H), (M) and (C) respectively. 18.2% of patients in (H), 29% in (M) and 40.4% of patients in (C) had an adjunctive medication during the treatment (P = 0.101) for a well-being state of 7.5 ± 2.3, 7.1 ± 2 and 6.9 ± 2 respectively (P = 0.381). Time durations were 49.8, 44.1 and 46.4 min for group (H), (M) and (C) respectively. No significative difference of cardiac frequency, arterial pressure was observed during the cimentoplasty between the three groups. Conclusion The best reduction of painfulness was reached under hypnoanalgesia, allowing less injection of adjunctive medication during the treatment for an equivalent comfort. Musical background is also an interesting way to improve the comfort of patients undergoing cimentoplasty in prone position.