{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T06:40:22Z","timestamp":1765867222930,"version":"3.48.0"},"reference-count":19,"publisher":"BMJ","issue":"12","license":[{"start":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T00:00:00Z","timestamp":1765843200000},"content-version":"unspecified","delay-in-days":15,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2025,9,19]]},"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:p>Anterior mediastinal masses pose significant anaesthetic challenges, primarily due to the risks of airway compression and haemodynamic instability. We present the case of an adolescent with an anterior mediastinal mass causing severe tracheal and vascular compression, necessitating urgent diagnostic biopsies. Given the high risk associated with general anaesthesia, the procedure was performed under local anaesthesia in conjunction with clinical hypnosis. This approach was well tolerated, successfully avoiding deep sedation and airway manipulation.<\/jats:p>\n                  <jats:p>As the initial biopsies were inconclusive, an excisional lymph node biopsy was subsequently performed using the same anaesthetic strategy, incorporating both the hypnosis protocol and local anaesthesia. This procedure confirmed the diagnosis of Hodgkin lymphoma, enabling the prompt initiation of chemotherapy.<\/jats:p>\n                  <jats:p>This case underscores the potential role of clinical hypnosis as an adjunct to local anaesthesia in enhancing patient comfort and cooperation, particularly when general anaesthesia presents substantial risks.<\/jats:p>","DOI":"10.1136\/bcr-2025-265676","type":"journal-article","created":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T06:35:22Z","timestamp":1765866922000},"page":"e265676","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Hypnosis as a complementary approach in the anaesthetic management of anterior mediastinal mass biopsy"],"prefix":"10.1136","volume":"18","author":[{"given":"Hind","family":"Id Ali","sequence":"first","affiliation":[{"name":"University of Montreal Faculty of Medicine, Montreal, Quebec, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Val\u00e9rie","family":"Zaphiratos","sequence":"additional","affiliation":[{"name":"Anesthesiology, Sainte-Justine University Hospital, Montreal, Quebec, Canada"},{"name":"Anesthesiology, University of Montreal, Faculty of Medicine, Montreal, Quebec, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Ogez","sequence":"additional","affiliation":[{"name":"University of Montreal Faculty of Medicine, Montreal, Quebec, Canada"},{"name":"Hopital Maisonneuve-Rosemont, Montreal, Quebec, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fran\u00e7oise","family":"Yung","sequence":"additional","affiliation":[{"name":"Anesthesiology, Sainte-Justine University Hospital, Montreal, Quebec, Canada"},{"name":"Anesthesiology, University of Montreal, Faculty of Medicine, Montreal, Quebec, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,12,15]]},"reference":[{"key":"2025121522351405000_18.12.e265676.1","doi-asserted-by":"crossref","first-page":"1814","DOI":"10.1002\/ccr3.3005","article-title":"The dynamic collapse of the trachea during anesthesia for a pediatric patient with a large anterior mediastinal mass: A case report","volume":"8","author":"Niimi","year":"2020","journal-title":"Clin Case Rep"},{"key":"2025121522351405000_18.12.e265676.2","doi-asserted-by":"crossref","first-page":"661","DOI":"10.1093\/pm\/pnac186","article-title":"Clinical Hypnosis for Procedural Pain and Distress in Children: A Scoping Review","volume":"24","author":"Geagea","year":"2023","journal-title":"Pain Med"},{"key":"2025121522351405000_18.12.e265676.3","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(00)02162-0"},{"key":"2025121522351405000_18.12.e265676.4","doi-asserted-by":"crossref","first-page":"3021","DOI":"10.1007\/s00431-023-04983-5","article-title":"A whole new world of healing: exploring medical hypnotherapy for pediatric patients\u202f: A review","volume":"182","author":"Bastek","year":"2023","journal-title":"Eur J Pediatr"},{"key":"2025121522351405000_18.12.e265676.5","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1111\/pan.14319","article-title":"Anesthesia for children with anterior mediastinal masses","volume":"32","author":"Tan","year":"2022","journal-title":"Paediatr Anaesth"},{"key":"2025121522351405000_18.12.e265676.6","doi-asserted-by":"crossref","first-page":"1234","DOI":"10.1111\/pan.14281","article-title":"Risk factors for anesthetic-related complications in pediatric patients with a newly diagnosed mediastinal mass","volume":"31","author":"Campbell","year":"2021","journal-title":"Paediatr Anaesth"},{"key":"2025121522351405000_18.12.e265676.7","doi-asserted-by":"publisher","DOI":"10.1007\/s12630-011-9539-x"},{"key":"2025121522351405000_18.12.e265676.8","doi-asserted-by":"publisher","DOI":"10.1002\/pbc.20702"},{"key":"2025121522351405000_18.12.e265676.9","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1080\/00207144.2020.1685329","article-title":"Pediatric hypnosis: treatment that adds and rarely subtracts","volume":"68","author":"Kuttner","year":"2020","journal-title":"Int J Clin Exp Hypn"},{"key":"2025121522351405000_18.12.e265676.10","doi-asserted-by":"crossref","first-page":"573","DOI":"10.1111\/j.1460-9592.2012.03860.x","article-title":"Pediatric hypnosis: pre\u2010, peri\u2010, and post\u2010anesthesia","volume":"22","author":"Kuttner","year":"2012","journal-title":"Pediatric Anesthesia"},{"key":"2025121522351405000_18.12.e265676.11","doi-asserted-by":"crossref","first-page":"101776","DOI":"10.1016\/j.ctcp.2023.101776","article-title":"Demystifying hypnosis: Unravelling facts, exploring the historical roots of myths, and discerning what is hypnosis","volume":"52","author":"Geagea","year":"2023","journal-title":"Complement Ther Clin Pract"},{"key":"2025121522351405000_18.12.e265676.12","doi-asserted-by":"crossref","first-page":"105","DOI":"10.1076\/iceh.51.2.105.14613","article-title":"Hypnosis and the neural correlates of consciousness","volume":"51","author":"Rainville","year":"2003","journal-title":"Int J Clin Exp Hypn"},{"key":"2025121522351405000_18.12.e265676.13","doi-asserted-by":"publisher","DOI":"10.1126\/science.277.5328.968"},{"key":"2025121522351405000_18.12.e265676.14","doi-asserted-by":"publisher","DOI":"10.1016\/j.pain.2004.12.028"},{"key":"2025121522351405000_18.12.e265676.15","doi-asserted-by":"publisher","DOI":"10.1016\/j.neubiorev.2017.02.020"},{"key":"2025121522351405000_18.12.e265676.16","doi-asserted-by":"crossref","unstructured":"Viegas J , Holtby H , Runeckles K , et al . . JPR 2022;Volume 15:3447\u201358. 10.2147\/JPR.S373608","DOI":"10.2147\/JPR.S373608"},{"key":"2025121522351405000_18.12.e265676.17","doi-asserted-by":"crossref","DOI":"10.3390\/brainsci14020115","article-title":"Brain Functional Correlates of Resting Hypnosis and Hypnotizability: A Review","volume":"14","author":"De Pascalis","year":"2024","journal-title":"Brain Sci"},{"key":"2025121522351405000_18.12.e265676.18","doi-asserted-by":"crossref","first-page":"285","DOI":"10.1080\/00029157.2014.978496","article-title":"Hypnosis and imaging of the living human brain","volume":"57","author":"Landry","year":"2015","journal-title":"Am J Clin Hypn"},{"key":"2025121522351405000_18.12.e265676.19","doi-asserted-by":"publisher","DOI":"10.1136\/practneurol-2020-002839"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2025-265676","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T06:35:26Z","timestamp":1765866926000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2025-265676"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12]]},"references-count":19,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2025,12,15]]},"published-print":{"date-parts":[[2025,12]]}},"alternative-id":["10.1136\/bcr-2025-265676"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2025-265676","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12]]}}}