Abstract
BACKGROUND:
Almost in all types of surgical operations, patients experienced some kinds of anxiety which is reflected by a perceptible change in some vital signs. Music therapy is an emerging nonpharmacological intervention that had proven effectiveness in different medical conditions.
OBJECTIVE:
To assess the effect of music intervention on some vital signs in patients undergoing elective pelvic and lower limb surgery under spinal anesthesia.
PATIENTS AND METHODS:
A prospective randomized study was conducted including a total of 100 patients scheduled for elective pelvic and lower limb surgery under spinal anesthesia. Patients were randomly assigned into two equals groups: the intervention group, and non-music group. Spinal anesthesia was standardized to all patients. Patients in music group were given headphone set connected to CD player and listened to a soft music immediately after the induction of spinal anesthesia until the end of the operation. Patients in non-music group were given midazolam in divided doses each with 1 mg as required. Hemodynamic parameters and respiratory rate were recorded at the entrance of operating room and then 5, 10, 15, 20, 30, 40, 50 and 60-minute post anesthesia induction.
RESULTS:
During all the time period after anesthesia induction until the end of operation, there were no significant differences between intervention group and non-music group in the all included vital signs (heart rate, systolic pressure, diastolic pressure, and mean blood pressure).
CONCLUSION:
music intervention can be used as a nonpharmacological alternative midazolam to control the vital signs after spinal anesthesia.
1. Gokcek E, Kaydu A. The effects of music therapy in patients undergoing septorhinoplasty surgery under general anesthesia. Brazilian J Otorhnolaryngol 2020;86:419-26.
2. Mohan B, Kumar R, Attri JP, Chatrath V, Bala N. Anesthesiologist's Role in Relieving Patient's Anxiety. Anesth Essays Res. 2017;11:449-52.
10. Chan MF. Effects of music on patients undergoing a C-clamp procedure after percutaneous coronary interventions: a randomized controlled trial. Heart Lung. 2007;36:431–39.
11. Syal K, Singh D, Verma R, et al. Effects of music therapy in relieving anxiety in patients undergoing surgery. Int J Anatomy, Radiol Surg 2017:1-4.
12. Sarkar D, Chakrabarty K, Bhadra B, et al. Effects of music on patients undergoing caesarean section under spinal anaesthesia. Recent Trends in Science and technology. 2015;13:633-37.
13. Lee W, Wu P, Lee M, et al. Music listening alleviates anxiety and physiological responses in patients receiving spinal anesthesia. Contem Ther Med 2017;31:8-13.
14. Argstatter H, Haberbosch W, Bolay HV. Study of the effectiveness of musical stimulation during intracardiac catheterization. Clin Res Cardiol. 2006;95:514–22.
15. Sendelbach SE, Halm MA, Doran KA, et al. Effects of music therapy on physiological and psychological outcomes for patients undergoing cardiac surgery. J Cardiovasc Nurs. 2006;21:194–200.
16. Forooghy M, Tabrizi EM, Hajizadeh E, et al. Effect of music therapy on patients’ anxiety and hemodynamic parameters during coronary angioplasty: a randomized controlled trial. Nurs Midwifery Stud 2015;4:e25800.
17. Varbanova MR, Neamtu A, Gaar E, et al. Music reduces postoperative pain perception in male patients after abdominal surgery under general anesthesia. Int J Anesthesiol Res 2016;4:272-177.
18. Guetin S, Coudeyre E, Picot M, et al. Effect of music therapy among hospitalized patients with chronic low back pain: a controlled, randomized trial. Ann Readapt Med Phys 2005;48:217–24.
19. Menon V, Levitin DJ. The rewards of music listening: response and physiological connectivity of the mesolimbic system. NeuroImage 2005;28:175-184.
20. Sutoo D, Akiyama K. Music improves dopaminergic neurotransmission: demonstration based on the effect of music on blood pressure regulation. Brain Res 2004;1016:255-262.
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