Comparing Hypnoanalgesia and Neuroleptanalgesia for Anxiety and Pain Control During Hand Surgery with Locoregional Anesthesia

What this Trial Is About

Researchers are evaluating two anesthesia approaches for patients undergoing hand surgery, focusing on reducing anxiety during the operation. This study compares the effects of adding neuroleptanalgesia or hypnoanalgesia to locoregional anesthesia. The main goal is to measure changes in anxiety levels before and after surgery using a visual scale. Secondary goals include comparing pain, surgery duration, hospital stay, sedative use, patient satisfaction, and side effects between the groups. Participants receive locoregional anesthesia by a trunk block and are randomly assigned to one of two groups. One group receives neuroleptanalgesic treatment with Hypnovel dosed by weight, while the other group undergoes hypnoanalgesia sessions led by a trained nurse using hypnosis techniques tailored to each patient. These treatments are administered during outpatient hand surgeries such as flexor tenosynovectomy or carpal tunnel release. During the study, participants will be assessed for anxiety and pain levels before, during, and after surgery, along with satisfaction and safety monitoring. The main outcome is the anxiety score on day 2 after surgery. Researchers will also track procedure duration, intensive care and hospital stay, additional sedative use, and any adverse events. Participation involves signing consent and attending scheduled evaluations until day 2 post-surgery.

Evaluating the Benefit of Hypnoanalgesia Versus Neuroleptanalgesia During Hand Surgery