Outpatient Surgery Magazine

Salary Survey - January 2020 - Subscribe to Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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A team of collaborators from the breast surgery, integrative medi- cine and anesthesia departments here at MD Anderson Cancer Center implemented a hypnosedation program for patients undergoing seg- mental mastectomies with sentinel node biopsy and intraoperative lymph node mapping. Candidates for hypnosedation are assessed on a case-by-case basis, but patients who respond positively to the idea and are open to trying it generally have the right temperament and attitude to be successfully hypnotized. Patients who agree to be hypnotized meet with a hyp- notherapist before scheduled procedures to practice entering a hypnot- ic state and learn about what to expect during the process. How does it work? On the day of surgery, after the patient is positioned on the OR table, the surgical team works quietly and often with the lights dimmed to create a relaxed environment. The hypnotherapist sits close to the patient's ear and uses a soothing voice to lead them through guided imagery hypnosis. Patients are asked to recall places where they felt at ease (the beach or a relative's house) and to focus on specific details (the scratch of sand on their feet or the smell of grandmom's cookies baking in the oven). They breathe deeply, feeling each breath at it enters and leaves their body. It generally takes only a few minutes for the hypnotherapist to hypnotize the patient. During surgery, the hypnotherapist maintains the patient in a con- scious, but disassociated state. You likely experience this sensation during your morning commute. Thoughts enter and leave your con- sciousness as you drive the familiar route and when you arrive at work, you likely don't remember maneuvering the car during every second of the trip. You were conscious, but not fully aware of what was going on around you. J A N U A R Y 2 0 1 9 • O U T PA T I E N T S U R G E R Y. N E T • 3 1

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