Skip to Content

Therapeutic Suggestions During General Anesthesia Cut Pain

WEDNESDAY, Dec. 16, 2020 -- For patients undergoing surgery, therapeutic suggestions played through earphones during general anesthesia can reduce postoperative pain and opioid use, according to a study published online Dec. 10 in The BMJ.

Hartmuth Nowak, M.D., from University Hospital Knappschaftskrankenhaus in Bochum, Germany, and colleagues conducted a blinded randomized controlled study in five tertiary care hospitals in Germany involving patients recruited from January to December 2018 who were to undergo surgery under general anesthesia. A total of 191 patients were included in the intervention group, which was assigned to an audiotape of background music and positive suggestions based on hypnotherapeutic principles that was played repeatedly through earphones during general anesthesia; 194 patients were included in the control group and were assigned a blank tape.

The researchers found that the intervention group required a significantly lower opioid dose within 24 hours after surgery compared with the control group, with a median of 4.0 mg morphine equivalents versus 5.3 mg morphine equivalents and an effect size of 0.36. In the intervention group, the number of patients who needed opioids postoperatively was reduced (63 percent versus 80 percent in the control group). Within 24 hours after surgery, pain scores were consistently and significantly lower in the intervention group, with an average decrease of 25 percent.

"This trial is very much the beginning of an important line of inquiry that may change future practice," write the authors of an accompanying editorial.

Abstract/Full Text

Editorial

© 2021 HealthDay. All rights reserved.

Posted: December 2020

Read this next

Accidental Awareness High With General Anesthesia in Obstetric Surgeries

FRIDAY, Jan. 22, 2021 -- The incidence of accidental awareness is high among women receiving general anesthesia for obstetric surgery, according to a study published online Jan....

Pollen May Trigger Urologic Chronic Pelvic Pain Flares

WEDNESDAY, Jan. 20, 2021 -- Pollen count increases past medium or higher thresholds are associated with increased flare onset among some individuals with urologic chronic pelvic...

Steps Outlined to Reduce Postop Delirium in Older Adults

TUESDAY, Jan. 19, 2021 -- In an article published online Jan. 4 in the British Journal of Anaesthesia, six recommendations are presented that can be implemented by...

More News Resources

Subscribe to our Newsletter

Whatever your topic of interest, subscribe to our newsletters to get the best of Drugs.com in your inbox.