Investigating the physiological responses of patients listening to music in the intensive care unit

Chan, Moon Fai; Chung, Yuet Foon; Chung, Siu Wai Anne; Lee, On Kei Angela

doi:10.1111/j.1365-2702.2008.02491.x

Cited by 28 publications

(25 citation statements)

References 36 publications

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“…[18] It is well known that soft and not loud sounds have beneficial effects on patients while treated in intensive care medicine and will reduce pain and stress significantly. Soft, silent, or quiet classical or mediation music is associated with the reduced need for sedative drugs and reduced perception of pain.…”

Section: Intensive Care and Musicmentioning

confidence: 99%

Role of music in intensive care medicine

Trappe¹

2012

Int J Crit Illn Inj Sci

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The role of music in intensive care medicine is still unclear. However, it is well known that music may not only improve quality of life but also effect changes in heart rate (HR) and heart rate variability (HRV). Reactions to music are considered subjective, but studies suggest that cardio/cerebrovascular variables are influenced under different circumstances. It has been shown that cerebral flow was significantly lower when listening to “Va pensioero” from Verdi's “Nabucco” (70.4+3.3 cm/s) compared to “Libiam nei lieti calici” from Verdi's “La Traviata” (70.2+3.1 cm/s) (P<0,02) or Bach's Cantata No. 169 “Gott soll allein mein Herze haben” (70.9+2.9 cm/s) (P<0,02). There was no significant influence on cerebral flow in Beethoven's Ninth Symphony during rest (67.6+3.3 cm/s) or music (69.4+3.1 cm/s). It was reported that relaxing music plays an important role in intensive care medicine. Music significantly decreases the level of anxiety for patients in a preoperative setting (STAI-X-1 score 34) to a greater extent even than orally administered midazolam (STAI-X-1 score 36) (P<0.001). In addition, the score was better after surgery in the music group (STAI-X-1 score 30) compared to midazolam (STAI-X-1 score 34) (P<0.001). Higher effectiveness and absence of apparent adverse effects make relaxing, preoperative music a useful alternative to midazolam. In addition, there is sufficient practical evidence of stress reduction suggesting that a proposed regimen of listening to music while resting in bed after open-heart surgery is important in clinical use. After 30 min of bed rest, there was a significant difference in cortisol levels between the music (484.4 mmol/l) and the non-music group (618.8 mmol/l) (P<0.02). Vocal and orchestral music produces significantly better correlations between cardiovascular and respiratory signals in contrast to uniform emphasis (P<0.05). The most benefit on health in intensive care medicine patients is visible in classical (Bach, Mozart or Italian composers) music and meditation music, whereas heavy metal music or techno are not only ineffective but possibly dangerous and can lead to stress and/or life-threatening arrhythmias, particularly in intensive care medicine patients.

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Section: Intensive Care and Musicmentioning

confidence: 99%

Role of music in intensive care medicine

Trappe¹

2012

Int J Crit Illn Inj Sci

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“…Those who were less likely to respond were younger, male, and more educated, with only a significant reduction in systolic blood pressure noted with music therapy. 17 This study suggests that certain population subgroups may be more influenced by music therapy. The types of music that were offered in the study were limited to Chinese classical music, religious Tibetan music, Western classical, or Jazz.…”

mentioning

confidence: 83%

What is the role of music in the intensive care unit?

Chariyawong

Copeland

Mulkey³

2016

SW Resp Crit Care Chron

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“…Une politique globale de gestion du bruit en réanimation pourrait voir le jour dans de nombreuses unités de réanimation : meilleure gestion des alarmes (prescription médicale des seuils d'alarme, adaptation régulière par les soignants dans le cadre de protocoles), contrôle des conversations et transmissions pendant les périodes de nuit, contrôle du niveau sonore des appareils radio destinés aux soignants dans les unités de soins… Une voie de recherche prometteuse consiste à remplacer le bruit, source de nuisance non ou insuffisamment contrôlée, par de la musique source supposée d'amélioration du confort du patient. La plupart des expériences décrites proviennent du champ de la réani-mation néonatale et pédiatrique, mais ces approches qui pourraient être décrites comme des techniques de soins ont commencé à diffuser en réanimation adulte [28,29] et sont en cours d'évaluation.…”

Section: Comment Diminuer Les Inconforts Liés à Une Hospitalisation Eunclassified

Intérêt de l’évaluation quantitative des sources d’inconforts en réanimation

Kalfon

2011

Réanimation

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Investigating the physiological responses of patients listening to music in the intensive care unit

Cited by 28 publications

References 36 publications

Role of music in intensive care medicine

Role of music in intensive care medicine

What is the role of music in the intensive care unit?

Intérêt de l’évaluation quantitative des sources d’inconforts en réanimation

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