Benefits of intraoperative music on orthopedic surgeries under spinal anesthesia: A randomized clinical trial

Objective: To determine whether instrumental music influences the anxiety status and intraoperative sedative requirements of a patient Design: A single center, prospective, randomized controlled trial Setting: Patients between 18 and 65 years, physical status of American Society of Anesthesiologists...

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Main Authors: Liana Maria Tôrres de Araújo Azi, Matheus Lemos Azi, Matheus Melo Viana, André Luiz Parrilha Panont, Ricardo Messias F. Oliveira, David Sadigursky, Daniel Figueiredo Alencar
Format: Article
Language:English
Published: Elsevier 2021-12-01
Series:Complementary Therapies in Medicine
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S0965229921001187
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author Liana Maria Tôrres de Araújo Azi
Matheus Lemos Azi
Matheus Melo Viana
André Luiz Parrilha Panont
Ricardo Messias F. Oliveira
David Sadigursky
Daniel Figueiredo Alencar
author_facet Liana Maria Tôrres de Araújo Azi
Matheus Lemos Azi
Matheus Melo Viana
André Luiz Parrilha Panont
Ricardo Messias F. Oliveira
David Sadigursky
Daniel Figueiredo Alencar
author_sort Liana Maria Tôrres de Araújo Azi
collection DOAJ
description Objective: To determine whether instrumental music influences the anxiety status and intraoperative sedative requirements of a patient Design: A single center, prospective, randomized controlled trial Setting: Patients between 18 and 65 years, physical status of American Society of Anesthesiologists (ASA I or II) who underwent lower limb orthopedic surgery under spinal anesthesia. Interventions: Patients were assigned to one of two groups: (1) Music Group: patients hearing instrumental music through a headset during the entire procedure or (2) No Music Group: patients wearing headphones without music Main outcome measures: Before and after the procedure, the anxiety status of the patient was assessed using the State-Trait Anxiety Inventory, and intraoperative sedative drug consumption was quantified. Results: A total of 107 patients were analyzed. A significant reduction in anxiety in the Music Group patients after surgery (p = 0.023) was found. Patients in this group also required less additional medication for intraoperative sedation (p = 0.004), and 88.9% of Music Group patients self-reported that music helped them remain calm during the procedure. Most patients in both groups agreed that music should be used during surgical procedures (98.2% and 94.3% in Music and No Music Groups, respectively) Conclusions: This study showed that listening to instrumental music during lower limb orthopedic surgery caused a reduction in anxiety and sedative requirements. Patients also self-reported a positive music-related experience.
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spelling doaj.art-eeb07b85382c480d86c727473e104ec32022-12-21T22:42:56ZengElsevierComplementary Therapies in Medicine0965-22992021-12-0163102777Benefits of intraoperative music on orthopedic surgeries under spinal anesthesia: A randomized clinical trialLiana Maria Tôrres de Araújo Azi0Matheus Lemos Azi1Matheus Melo Viana2André Luiz Parrilha Panont3Ricardo Messias F. Oliveira4David Sadigursky5Daniel Figueiredo Alencar6Professor Edgard Santos University Hospital, Federal University of Bahia, Salvador, Bahia, Brazil; Correspondence to: Hospital Universitário Professor Edgard Santos, Dept. Anesthesia, 4. andar, S/N Augusto Viana St, Canela, 40110-060 Salvador, Brazil.Manoel Victorino Hospital, Secretary of Health for the State of Bahia, Salvador, Bahia, BrazilCollege of Tecnology and Sciences (FTC), Salvador, Bahia, BrazilCollege of Tecnology and Sciences (FTC), Salvador, Bahia, BrazilManoel Victorino Hospital, Secretary of Health for the State of Bahia, Salvador, Bahia, BrazilManoel Victorino Hospital, Secretary of Health for the State of Bahia, Salvador, Bahia, BrazilManoel Victorino Hospital, Secretary of Health for the State of Bahia, Salvador, Bahia, BrazilObjective: To determine whether instrumental music influences the anxiety status and intraoperative sedative requirements of a patient Design: A single center, prospective, randomized controlled trial Setting: Patients between 18 and 65 years, physical status of American Society of Anesthesiologists (ASA I or II) who underwent lower limb orthopedic surgery under spinal anesthesia. Interventions: Patients were assigned to one of two groups: (1) Music Group: patients hearing instrumental music through a headset during the entire procedure or (2) No Music Group: patients wearing headphones without music Main outcome measures: Before and after the procedure, the anxiety status of the patient was assessed using the State-Trait Anxiety Inventory, and intraoperative sedative drug consumption was quantified. Results: A total of 107 patients were analyzed. A significant reduction in anxiety in the Music Group patients after surgery (p = 0.023) was found. Patients in this group also required less additional medication for intraoperative sedation (p = 0.004), and 88.9% of Music Group patients self-reported that music helped them remain calm during the procedure. Most patients in both groups agreed that music should be used during surgical procedures (98.2% and 94.3% in Music and No Music Groups, respectively) Conclusions: This study showed that listening to instrumental music during lower limb orthopedic surgery caused a reduction in anxiety and sedative requirements. Patients also self-reported a positive music-related experience.http://www.sciencedirect.com/science/article/pii/S0965229921001187MusicAnxietySpinal anesthesiaAnesthesiologyOrthopedics
spellingShingle Liana Maria Tôrres de Araújo Azi
Matheus Lemos Azi
Matheus Melo Viana
André Luiz Parrilha Panont
Ricardo Messias F. Oliveira
David Sadigursky
Daniel Figueiredo Alencar
Benefits of intraoperative music on orthopedic surgeries under spinal anesthesia: A randomized clinical trial
Complementary Therapies in Medicine
Music
Anxiety
Spinal anesthesia
Anesthesiology
Orthopedics
title Benefits of intraoperative music on orthopedic surgeries under spinal anesthesia: A randomized clinical trial
title_full Benefits of intraoperative music on orthopedic surgeries under spinal anesthesia: A randomized clinical trial
title_fullStr Benefits of intraoperative music on orthopedic surgeries under spinal anesthesia: A randomized clinical trial
title_full_unstemmed Benefits of intraoperative music on orthopedic surgeries under spinal anesthesia: A randomized clinical trial
title_short Benefits of intraoperative music on orthopedic surgeries under spinal anesthesia: A randomized clinical trial
title_sort benefits of intraoperative music on orthopedic surgeries under spinal anesthesia a randomized clinical trial
topic Music
Anxiety
Spinal anesthesia
Anesthesiology
Orthopedics
url http://www.sciencedirect.com/science/article/pii/S0965229921001187
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