HYPIC Hypnosis for Procedural Pain in the Intensive Care Unit
HYPIC
2 other identifiers
interventional
80
1 country
2
Brief Summary
Procedural pain in resuscitation is common in the conscious patient. However, analgesia and sedation may be impossible because of the acute pathology leading to resuscitation, comorbidities or the urgency of the invasive procedure. In addition, the use of analgesics and sedatives is responsible for adverse effects. In this context, hypnosis appears to be an additional analgesic tool that would reduce the consumption of analgesics and sedatives and thus reduce their side effects.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Dec 2019
Typical duration for not_applicable
2 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
October 14, 2019
CompletedFirst Posted
Study publicly available on registry
October 16, 2019
CompletedStudy Start
First participant enrolled
December 30, 2019
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 25, 2022
CompletedStudy Completion
Last participant's last visit for all outcomes
October 11, 2022
CompletedNovember 9, 2022
November 1, 2022
2.1 years
October 14, 2019
November 8, 2022
Conditions
Outcome Measures
Primary Outcomes (1)
Pain assessment
Oral assessment scale (0 : no pain - 10 : maximal pain)
Immediately after the end of the invasive procedure (Hour 0)
Secondary Outcomes (11)
Pain assessment
The first hour after the end of the procedure (Hour 1)
Morphine equivalent dose
Immediately after the end of the invasive procedure (H0) and the first hour after the end of the procedure (H1)
Sedatives dose
Immediately after the end of the invasive procedure (Hour 0) and the first hour after the end of the procedure (Hour 1)
Local Anesthesia dose
Immediately after the end of the invasive procedure (Hour 0)
Comfort scale
Immediately after the end of the invasive procedure (H0) and the first hour after the end of the procedure (H1)
- +6 more secondary outcomes
Study Arms (2)
Hypnosis group
EXPERIMENTALA hypnosis group with standard care during the invasive procedure according to the usual practice of the care team and setting up a hypnotic accompaniment by an nurse trained beforehand and dedicated throughout the gesture. The hypnosis session will end at the same time as the invasive procedure.
Control group
PLACEBO COMPARATORA control group with standard care during the invasive procedure according to the usual practice of the care team.
Interventions
The hypnosis session : * Creation of the therapist-patient link * Choice of a theme and the preferred sensory channel by the patient * Collection of the theme chosen by the patient * Orientation in the here and now. * Induction * Realization of the gesture and hypnosis * At the end of the procedure, reassociation of the patient in the here and now
Eligibility Criteria
You may qualify if:
- Major patient admitted to intensive care
- Glasgow score = 15
- Necessity during the stay of making an invasive gesture among:
- Thoracic drainage
- Placement of a central venous catheter or a Swan-Ganz catheter
- Establishment of a dialysis catheter
- Introduction of an invasive arterial catheter
- Patient giving free, informed and written consent
- Patient affiliated to a social security scheme
- Procedure to be carried out in extreme urgency
- Confusional state making hypnosis impossible, evaluated by CAM-ICU (Confusion Assessment Method for the Intensive Care Unit)
- Decompensated psychiatric illness
- Patient sedated or intravenous analgesia continued at the time of the procedure
- Patient intubated
- Patient with a contraindication to sedation or analgesia at the time of the procedure
- +4 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (2)
Saint-Brieuc Hospital
Saint-Brieuc, Brittany Region, 22000, France
Rennes University Hospital
Rennes, 35033, France
Related Publications (1)
Maamar A, Faleur C, Pedrono K, Adeux MP, Anne M, Verdes A, Fillatre P, Debarre M, Mercier N, Revest M, Massart N, Poilvet N, Terzi N, Tadie JM, Gacouin A, Laviolle B. Hypnosis for unplanned procedural pain in the intensive care unit: the HYPIC randomized clinical trial. Crit Care. 2025 Jul 18;29(1):312. doi: 10.1186/s13054-025-05563-9.
PMID: 40682163DERIVED
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- OUTCOMES ASSESSOR
- Purpose
- SUPPORTIVE CARE
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
October 14, 2019
First Posted
October 16, 2019
Study Start
December 30, 2019
Primary Completion
January 25, 2022
Study Completion
October 11, 2022
Last Updated
November 9, 2022
Record last verified: 2022-11
Data Sharing
- IPD Sharing
- Will not share