Mola, M., Latef, A. (2020). Music As An Alternative Therapy to Midazolam for Sedation in Patients Undergoing Elective Pelvic and Lower Limb Surgery Under Spinal Anesthesia. , 20(3), 270-276. doi: 10.52573/ipmj.2020.169734
Murad Hameed Mola; Aimen Hameed Latef. "Music As An Alternative Therapy to Midazolam for Sedation in Patients Undergoing Elective Pelvic and Lower Limb Surgery Under Spinal Anesthesia". , 20, 3, 2020, 270-276. doi: 10.52573/ipmj.2020.169734
Mola, M., Latef, A. (2020). 'Music As An Alternative Therapy to Midazolam for Sedation in Patients Undergoing Elective Pelvic and Lower Limb Surgery Under Spinal Anesthesia', , 20(3), pp. 270-276. doi: 10.52573/ipmj.2020.169734
Mola, M., Latef, A. Music As An Alternative Therapy to Midazolam for Sedation in Patients Undergoing Elective Pelvic and Lower Limb Surgery Under Spinal Anesthesia. , 2020; 20(3): 270-276. doi: 10.52573/ipmj.2020.169734

Music As An Alternative Therapy to Midazolam for Sedation in Patients Undergoing Elective Pelvic and Lower Limb Surgery Under Spinal Anesthesia

Iraqi Postgraduate Medical Journal
Article 10, Volume 20, Issue 3, 2021, Pages 270-276    PDF (384.64 K)
Document Type: Research Paper
DOI: 10.52573/ipmj.2020.169734
Authors
Murad Hameed Mola* 1; Aimen Hameed Latef2
1Al-Karkh General Hospital.
2Al-Yarmook Teaching Hospital.
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.
Keywords
Music therapy; Elective surgery; Spinal anesthesia
References
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.
  1. Sheen MJ, Chang F, Ho S. Anesthetic premedication: new horizon of an old practice. Acta Anaesthesiologica Taiwanica 2014;52:134-42.
  2. Becker DE. Pharmacodynamic considerations for moderate and deep sedation. Anesth Prog. 2012;59:28-42.
  3. Bringman H, Giesecke K, Thorne A, Bringman S. Relaxing music as pre-medication before surgery: a randomised controlled trial. Acta Anaesthesiol Scand 2009;53:759-64
  4.  Almerud S, Petersson K. Music therapy-a complementary treatment for mechanically ventilated intensive care patients. Intensive Crit Care Nurs 2003;19:21–30.
  5. Wang S, Kulkarni L, Dolev J, et al. Music and preoperative anxiety: a randomized, controlled study. Anesth Analg 2002;94:1489–94.
  6. Migneault B, Girard F, Albert C, et al. The effect of music on the neurohormonal stress response to surgery under general anesthesia. Anesth Analg 2005;98:527–32.
  7. Lepage C, Drolet P, Girard M, et al. Music decreases sedative requirements during spinal anesthesia. Anesth Analg 2001;93: 912–16.
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.

Statistics
Article View: 271
PDF Download: 143


Journal Management System. Powered by iJournalPro.com