Pain medicine

Hypnosis for unplanned procedural pain in the intensive care unit: the HYPIC randomized clinical trial

Crit CarePublished Randomised controlled trial

Primary resultResult — go to the resultDifference 0 pts 95% CI −1.3 to 1.3

Authors' conclusion

While hypnosis did not result in a statistically significant reduction in unplanned procedural pain, it seems to reduce anxiety, increase comfort, and reduce the stress level of healthcare providers.

Study context

Population
Critically ill patients undergoing an unplanned invasive procedure in two French intensive care units (ICUs), 2019–2022
Participants
78 patients
Comparison
Hypnosis vs Standard care
Primary endpoint
Pain level during the invasive procedure (numeric pain scale, 0-10)
Follow-up
Immediately after the end of the procedure
Methodological detailssingle-blind, multicentre
  • Single-blind
  • Multicentre

Primary result

As reported in the abstract

Difference

0 pts

95% CI −1.3 to 1.3

P = 0.89

By group

Hypnosis

2.2

± 2.9

Standard care

2.2

± 3

Hypnosis vs Standard care
difference 0 pts (95% CI −1.3 to 1.3); P = 0.89

Secondary outcomes

OutcomeHypnosisStandard careDifference (CI)P value
Anxiety level2.4 ± 2.84.1 ± 3- 1.7 (−3 to −0.4)P = 0.01
Stress experienced by ICU nurses0.1 ± 0.40.9 ± 1.5- 0.8 (−1.3 to −0.3)P = 0.003
OutcomeOR (CI)P value
Need for increased lidocaine consumption0.3 (0.13–0.84)P = 0.02

Original publication

Hypnosis for unplanned procedural pain in the intensive care unit: the HYPIC randomized clinical trial. Crit Care. Published 18 July 2025. doi:10.1186/s13054-025-05563-9

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