ABSTRACT

For this chapter, an altered state of consciousness will be taken as granted in the perioperative setting; thus, any communication following the rules of suggestion will be considered to have the potential to induce hypnotic phenomena. First, the theoretical background of this assumption is explored. Then, a concise review of literature focuses on the prevalence of the above-mentioned approach to hypnosis in the perioperative setting and the available evidence on the effects of perioperative suggestive communication. The core of the chapter is organized around the clinical application of such communication, presenting the lucid approach of Christel Bejenke (1996), and additional techniques that the author has found useful in the everyday practice of anesthesia. The chapter shows that small changes in terminology and formulation of communication can go a long way in creating a better experience for our patients, contribute to our therapeutic efforts, and thus highlight its importance for training.