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

Inclusion Criteria7

Man or woman, aged 18 or over, admitted to medical intensive care
Glasgow score = 15
Patient with acute respiratory failure decompensating COPD and/or having obesity with a body mass index (BMI) greater than 30
Patient having given free, informed and written consent
Patient affiliated to a health insurance system
Glasgow score = 15
Need during use of non-invasive ventilation

Exclusion Criteria7

Procedure to be carried out in extreme urgency (PaCO2 too high and leading to an immediate vital risk, and / or PaO2 too low) on medical decision
Confusional state making hypnosis impossible
Decompensated psychiatric illness
Patient entering with an NIV in place already installed in another department. The subject becomes included again at the end of the treatment with NIV if however he needs it again.
Patient already included in the study during previous non-invasive ventilation
Patient participating in research involving an interventional human person (category 1) on an analgesic / sedative medication
A person of full age subject to legal protection (safeguard of justice, curators, guardianship) or deprived of liberty

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.