دانلود مقاله هیپنوتیزم بالینی و متخصص بیهوشی
همبستگی های عصبی زیستی هیپنوتیزم
هیپنوتیزم و بیهوشی در زمینه
مفاهیم هیپنوتیزمی مربوط به متخصص بیهوشی
تکنیک های هیپنوتیزمی
ساختارهای زبان
تکنیک های خاص
تکنیک ها و مفاهیم برای بیهوشی ماجراجوتر
هیپنوتیزم رسمی برای متخصصین بیهوشی
نتیجه گیری
اعلام منافع
MCQs
داده های تکمیلی
منابع
Neurobiological correlates of hypnosis
Hypnosis and anaesthesia in context
Hypnotic concepts relevant to the anaesthetist
Hypnotic techniques
Language structures
Specific techniques
Techniques and concepts for the more adventurous anaesthetist
Formal hypnosis for anaesthetists
Conclusions
Declaration of interests
MCQs
Supplementary data
References
چکیده:
هیپنوتیزم بالینی به طور فزاینده ای به عنوان یک درمان مبتنی بر شواهد و غیردارویی با مبنای عصب بیولوژیکی صحیح شناخته می شود.1e5 این روش ارزان، ایمن، موثر است و به تجهیزات خاصی نیاز ندارد. طیف وسیعی از تنظیمات بالینی. 10e15 فواید درمانی آن، در زمینه بیهوشی، معمولاً در چند دقیقه یا حتی چند ثانیه قابل مشاهده است. اثرات یک مداخله هیپنوتیزمی، به ویژه در ارائه ضد اضطراب و بی دردی
Neurobiological correlates of hypnosis
The rapid expansion and sophistication of neuroimaging techniques since the late 1990s has identified specific changes in brain function during hypnosis and in response to suggestion.19, 20, 21, 22, 23 In particular, pain perception under hypnotic conditions involves cortical and subcortical areas, primarily the anterior cingulate.3,5,24 Neuroimaging also shows that hypnotic depth and hypnotisability are not synonymous and that hypnosis correlates with activation of the lingual gyrus, where higher order visual processing and mental imagery are processed.25 Enhanced hypnotic suggestibility has been associated with lower EEG signal variability, particularly in the theta frequency band.3,24 The neurobiology behind the altered sense of agency experienced during hypnosis and the non-volitional nature of responses to suggestion, are examined in detail elsewhere.
Language structures
The LAURS acronym (listening; acceptance; utilisation; reframing; suggestion) provides a framework that deconstructs the elements of intuitive communication. It builds patient rapport and provides structure through which specific clinical hypnosis techniques can be embedded within a therapeutic interaction.39 Hypnosis techniques can empower patients to modify their distress and allow cooperation in ways that facilitate the conduct of a procedure that would otherwise be prolonged or even thwarted (Figs 2 and 3 online videos). This approach has the added advantage of allowing anaesthetists to reach the coffee room in both a timely, and more relaxed, manner!
Conclusions
It is timely that anaesthetists are re-evaluating the unique advantages of hypnosis in potentially avoiding or limiting the risks of invasive interventions or adverse effects from drugs.43 Indeed, if hypnosis were a drug, it would have been standard practice decades ago.9 The use of hypnosis in anaesthetic practice appears too valuable a tool to be left outside the anaesthetist's armamentarium any longer.