RecruitingNot ApplicableNCT04220463

Interest of Hypnosis When Setting up Non-invasive Ventilation in a Conscious Patient With COPD and/or Obesity With a BMI Greater Than 30, Suffering Fromacute Respiratory Distress in Adult Intensive Care

HYVIR : Interest of Hypnosis During the Implementation of Non-invasive Ventilation in a Patient With COPD and/or Obesity With a BMI Greater Than 30, Conscious With Acute Respiratory Distress in the Adult Intensive Care Unit

Sponsor

Rennes University Hospital

Enrollment

50 participants

Start Date

Nov 20, 2021

Study Type

INTERVENTIONAL

Conditions

Chronic Obstructive Pulmonary Disease (COPD)Obesity With a BMI Greater Than 30 Acute Respiratory Distress in Adult Intensive Care

Summary

Discomfort during respiratory decompensation of a patient with chronic obstructive pulmonary disease (COPD) and/or obesity with a BMI greater than 30, in intensive care and the establishment of non-invasive ventilation (NIV) is frequent and a source of failure. this therapy. Pharmacological treatments may be impossible due to the pathology, the risk of it worsening and adverse effects. In this context, hypnosis appears to be a tool that would promote comfort and thus increase tolerance of NIV.

Eligibility

Min Age: 18 Years

Plain Language Summary

Simplified for easier understanding

This study is testing whether hypnosis can reduce anxiety and discomfort for patients who need to start non-invasive ventilation (a breathing mask) in the intensive care unit due to serious breathing problems from COPD or obesity. **You may be eligible if...** - You are 18 or older - You are fully alert and conscious (Glasgow score of 15) - You are in a medical ICU with acute respiratory failure due to COPD flare-up and/or obesity (BMI above 30) - You have given informed written consent - You are covered by a health insurance system **You may NOT be eligible if...** - Your breathing crisis is so severe that the breathing mask must be started immediately without any delay - You are confused or disoriented, which would make hypnosis impossible - You have a serious psychiatric illness that is currently unstable - You are already using a non-invasive ventilation mask that was started in another department before ICU admission Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

Interested in this trial?

Get notified about updates and connect with the research team.

Interventions

OTHERHypnosis + NIV

For the hypnosis group, hypnotic support is set up by a doctor/IDE previously trained and dedicated during the implementation of the NIV. The dedicated doctor/IDE will be presented before the start of the NIV setup procedure and will start the hypnosis session a few minutes before the mask is put on. The procedure for setting up the NAV may begin after agreement from the dedicated doctor/IDE.

OTHERNIV

In the control group, in order to preserve the knowledge of the evaluator, the doctor/IDE dedicated to hypnosis is present in the service but does not intervene in the care so as not to be tempted to involuntarily put hypnosis in place. The assessor will be chosen from the two other teams present in the other two modules (each module is a seven-bed unit and has no physical communication with the other two) after the start of the procedure for setting up the NIV, with or without hypnosis, in order to be certain that he had no visual contact with the patient and the caregivers present before the evaluation. The implementation of the NAV will take place as usually carried out in the service.