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JAMA. 1985 Jun 14;253(22):3292-4. Related
Articles, Links
Hypnoanesthesia in the morbidly obese.
Morris DM, Nathan RG, Goebel RA, Blass NH.
The advent of chemical anesthesia relegated
hypnosis to an adjunctive role in patients requiring major operations.
Anesthesia can be utilized with acceptable risk in the great majority
of patients encountered in modern practice. But an occasional
patient will present--such as one with morbid obesity--who needs
a surgical procedure and who cannot be safely managed by conventional
anesthetic techniques. This report describes our experience with
such a patient and illustrates some of the advantages and disadvantages
of hypnoanesthesia. The greatest disadvantage
is that it is unpredictable. Close cooperation between
the patient, hypnotist, anesthesiologist, and surgeon is critical.
However, the technique may be utilized
to remove very large lesions in selected patients. Hypnoanesthesia
is an important alternative for some patients who cannot and should
not be managed with conventional anesthetic techniques.
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