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Pain Management of Amputation Wounds With AutoHypnosis

RecruitingNAAges 18 Years - anyAllRennes University Hospital
NCT05779852 on ClinicalTrials.gov ↗
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In plain words

What the trial is, and whether it could suit you

Amputation in vascular surgery mainly concerns the lower limb and is often linked to Obliterative Arterial Disease of the Lower Limbs. It indicates the impossibility or failure of revascularisation after an exhaustive assessment aimed at saving the limb. It is also performed to limit the spread of gangrene, an affection of the limb that can evolve into septicaemia. The principle is to amputate in a healthy and vascularised area to allow good healing of the amputation stump. Amputations of one, several or all toes, called complete transmetatarsal amputations, may take several months to heal. Amputations require directed healing and, above all, monitoring of the underlying tissues of the amputated area by daily detersions and wiping performed by a nurse at home. The mechanical detersion of the wound necessary for the healing process and cell migration, as well as optimal deep meshing, fac

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📋 Eligibility rules (as published)
Inclusion Criteria: * Age ≥ 18 years; * Naïve to amputation procedures; * Amputated, within 24 hours prior to inclusion, one, more or all toes * Pain level on the Numerical Scale ≥ 3 during the first dressing; * Affiliated to a social security scheme; * Having signed a free, informed and written consent. Exclusion Criteria: * Cognitive impairments that limit understanding of instructions; * Cultural limitations reducing abstraction skills; * Previous practice of hypnosis; * Contraindications to hypnosis: Bipolar disorder or decompensated schizophrenia; * Chronic non-vascular pain; * Already in care for painful chronic wounds (ulcer wounds, bedsores...) * On morphine before surgery; * Analgesia by perineural catheter; * Protected person (adult subject to legal protection (safeguard of justice, curatorship, guardianship), person deprived of liberty, pregnant woman (declarative), nursing woman and minor).
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What it tests

  • self-hypnosis and dressing
  • dressing
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Where

1 site
CHU Rennes
Rennes, France
🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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