Mp62-17 Listening to Music During Shock Wave Lithotripsy Decreases Anxiety, Pain and Dissatisfaction: A Randomized Controlled Study

Abstract

included abnormally elevated renal parameters, signs of a concomitant infectious process (fever, leukocytosis, or a positive urine dipstick), pain poorly responding to analgesia, radiolucent stones, or stones smaller than 4-mm or larger than 15-mm in size. 72 patients had been randomly assigned to undergo ESWL directly without pre-stenting (Group A), while 52 patients were assigned for pre-stenting (Group B), with their data and outcomes prospectively collected. Mean patient BMI in both groups was 26.1 and 26.7 kg/m2 (p ¼ 0.49), mean skin-to-stone distance was 11 and 10.1 cm (p ¼ 0.03), mean stone size was 7.3 and 7.8 mm (p ¼ 0.114), and mean stone density was 902 and 1078 Hounsfield units (p ¼ 0.005) respectively.RESULTS: 72 patients had undergone emergency ESWL directly without pre-stenting (Group A), while 52 patients had undergone pre-stenting before emergency ESWL (Group B). All 124 patients had their first session of ESWL done within 48 hours of their initial presentation. 8 patients were lost to follow up in Group A, while one patient was lost to follow up in Group B. Four patients' stones had migrated to the kidney with stenting and were excluded from the study. Stone clearance in both groups was 61% and 44% (p ¼ 0.068) after one session, 91% vs 59% (p ¼ <0.001) by the second session, and 95% and 73% (p ¼ 0.001) by the third and last session. No patients in Group A crossed over to Group B or required stenting at any point.CONCLUSIONS: Emergency ESWL for upper ureteric calculi offers excellent stone clearance outcomes for properly selected patients with an acute presentation of renal colic that has subsided. Proceeding directly for ESWL without pre-stenting was associated with significantly enhanced stone clearance while sparing the patient multiple invasive interventions and their potential morbidity.

Efeito analgésico da música durante a fotocoagulação retinal a laser em diabéticos: Um estudo cruzado, randomizado e controlado por placebo

“…Music was transmitted by smartphone, using the Spotify ® application for your selection. Previous studies show that the use of music preferably by patients favors better therapeutic effects in reducing the painful phenomenon (Cakmak et al, 2017;Chen, Seth, Rao, & Huang, 2012;Kühlmann et al, 2018;Lee, 2016;Li et al, 2019;Lunde, Vuus, Garza-Vilarreal, & Vase, 2019;Quigley et al, 2019;Song et al, 2018).…”

“…In this context, procedural pain is highlighted by its high prevalence and repercussions, being the result of tissue and/or nervous injury resulting from health procedures (Czarnecki et al, 2011). Despite its relevance, procedural pain has been underestimated in the care environment, since it is considered inherent to the procedure without considering its deleterious effects (Cakmak et al, 2017;Lee, 2016;Song et al, 2018).…”

Effect of media distraction (audio‑visual and music) for pain and anxiety control in patients undergoing shock‑wave lithotripsy: A systematic review and meta‑analysis

“…1). Finally, 11 articles were included in this systematic review and meta-analysis (22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32). Details of the included studies are presented in Table I.…”

“…Outcomes. A total of nine studies reported pain outcomes on the VAS scale (22)(23)(24)26,(28)(29)(30)(31)(32). Pooled analysis indicated a statistically significant difference in pain outcomes in favor of media distraction (MD: -1.18; 95% CI: -2.35, -0.01; I 2 =96.8%; Fig.…”

“…Anxiety outcomes using STAI-SA were reported by five studies (24,26,28,29,31). All studies had used only music in the study groups.…”