Affiliation:
1. Department of Anaesthesiology, SMS Hospital and Attached Hospitals, Jaipur, Rajasthan, India
Abstract
Background and Aims:
This study aimed to determine the effects of music and active noise cancellation on intraoperative anxiety in patients undergoing lower limb surgeries under spinal anaesthesia.
Methods:
After obtaining ethical approval, this randomised controlled study was conducted in adult patients (18–50 years of age) of either gender. Patients were randomly allocated to binaural beat music (Group A), noise cancellation (Group B) or no headphones (Group C) group (n = 36 in each group). State-Trait Anxiety Inventory-6 (STAI-6) score and Visual Analogue Score for Satisfaction (VAS-S) were noted preoperatively and at the end of surgery. In addition, Ramsay sedation scores and Likert communication difficulty scores were noted at 30 min intraoperatively. Haemodynamic parameters were noted preoperatively and at different intervals intraoperatively till the end of the surgery.
Results:
There was a significant decrease in anxiety scores in Group A, Group B and Group C with postoperative STAI-6 scores (mean ± standard deviation) of 7.8 ± 1.7, 11.7 ± 4.2 and 14.7 ± 5.3, respectively. The difference was significant in Groups A and B compared to Group C (P < 0.001). Patient satisfaction scores in Groups A and B were better than in Group C (7.3 ± 1.7 and 6.2 ± 1.6 vs. 5.2 ± 1.3, respectively). Sedation scores and communication difficulty was significantly better in Groups A and B compared to Group C. Systolic blood pressure was significantly better intra- and postoperatively. There were no significant differences in other haemodynamic parameters on most occasions.
Conclusion:
Music and noise-cancellation headphones can reduce anxiety and improve satisfaction and sedation scores in patients undergoing spinal anaesthesia.
Subject
Anesthesiology and Pain Medicine
Reference16 articles.
1. How noisy are total knee and hip replacements?;Simpson;J Perioper Pract,2017
2. The effect of music therapy on sedative requirements and haemodynamic parameters in patients under spinal anaesthesia;A prospective study;Bansal;J Clin Diagn Res,2010
3. Effect of hand-holding and conversation alone or with midazolam premedication on preoperative anxiety in adult patients A randomised controlled trial;Sriramka;Indian J Anaesth,2021
4. Auditory Beats in the brain;Oster;Sci Am,1973
5. The impact of music and noise cancellation on sedative requirements during total knee replacement: A randomised controlled trial;Bryant;Geriatr Orthop Surg Rehabil,2020
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