P100 HYNOTIC COMMUNICATION IN INTERVENTIONAL CARDIOLOGY: OUR REALITY…………

Abstract

Abstract In the past two years we have progressively introduced the practice of hypnotic communication in our hemodynamics and electrofisiology laboratory in S. Paolo Hospital, Savona. The objective of hypnotic communication is to support patients during procedures electrophysiology in particular but also in hemodynamics, and help them in managing, if possible eliminate, fear, anxiety and pain while reducing the use of drugs to achieve this result. Hypnotic communication applies to relaxation phase and, if require, analgesia which can affect one or more areas of the body. We use this practice in a team of four: two doctors and two nurses. We all have successfully attended a one–year training course in clinical hypnosis and hypnotic communication at the CIIS (Italian Center for Experimental Clinical Hypnosis) Franco Granone Institute in Turin. The area in which we generally use hypnotic communication is electrophysiology: atrial fibrillation ablations, atrial flutter ablations, supraventricular tachycardia (TPSV), during pacemakers implants (ICD). In Hemodynamics we use it with patients affect by Acute myocardial infarction (AMI), and during patent foramen ovale (PFO). It is essential to always make contact with the patient and even more important to use all representational channels ( when possible): verbal, visual and tactile to stimulate suggestions of change in the patient. To achieve this, every member of the team uses his/her own schedule that changes according to the type of intervention. Almost all patienrs approched the procedure expressing concern, fear and anguish; on the contrary, patients treated with a hypnotic approach are calm, relaxed and do not feel pain. Upon their return to the “ here” their feedback backup is summed up in one “ I was fine and I did not notice the time passed”.