Perioperative musikinduzierte Analgesie

Ernsten, Luisa; Hepp, Philip; Fehm, Tanja; Schaal, Nora K.

doi:10.1007/s00482-018-0338-y

Cited by 8 publications

(3 citation statements)

References 30 publications

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“…Furthermore, a review of our group comparing the effects if preoperative, intraoperative and postoperative music interventions on pain perception concluded that especially preoperative music interventions lead to reduced pain perception 32 . In this context, it would be of interest to conduct the present study again and apply the music intervention in the preoperative setting.…”

Section: Main Findingsmentioning

confidence: 99%

The effects of a music intervention during port catheter placement on anxiety and stress

Schaal

Brückner

Wolf

et al. 2021

Sci Rep

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Studies have shown that perioperative music interventions can reduce patients’ anxiety levels. However, in small operations like port catheter surgery evidence is sparse. The present single-blinded, randomised controlled two-armed study included 84 female patients undergoing port catheter placement who were randomly assigned to either listening to music during surgery vs. no music intervention. The medical staff was blind to group allocation. On the day of the surgery anxiety and stress levels were evaluated using subjective (STAI questionnaire, visual analogue scales) and objective (vital parameters, salivary cortisol) parameters at different time points (before the surgery, at the end of the surgery and 1 h post-surgery). The music group showed significant reductions of systolic blood pressure (from 136.5 mmHg ± 26.1 to 123.3 mmHg ± 22.0, p = .002) and heart rate (from 75.6 bpm ± 12.3 to 73.1 bpm ± 12.2, p = .035) from beginning of the surgery to skin suture, whereas the control group did not. No significant effects of the music intervention on subjective anxiety measures or salivary cortisol were revealed. In sum, the study demonstrates that a music intervention during port catheter placement positively influences physiological anxiety levels, whereas no effects were revealed for subjective anxiety and salivary cortisol. Thus, music can be considered as a low cost addition in clinical routine in order to reduce patients’ heart rate and blood pressure. Future studies are encouraged to further explore the differential effects of intraoperative music interventions on physiological, endocrinological and subjective anxiety levels.

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Section: Main Findingsmentioning

confidence: 99%

The effects of a music intervention during port catheter placement on anxiety and stress

Schaal

Brückner

Wolf

et al. 2021

Sci Rep

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“…When patients listen to comfortable and sweet-sounding music, they generate pleasant associations, which can create a comfortable mood and a contented mood to relieve anxiety (Dai et al, 2020). This is reinforced by several studies conducted stating that music therapy can relieve pain in various conditions such as in patients with mechanical ventilation assistance, music therapy performed on preoperative patients can effectively relieve acute pain associated with surgery, and other studies show that music therapy can help reduce anxiety, pain and opioid use during surgical dressing changes in burn patients (Ernsten et al, 2019;Rohilla et al, 2018). Music therapy can also have a beneficial effect in stabilizing the patient's heart rhythm and maintaining hemodynamic balance (Ortega et al, 2019).…”

Section: Resultsmentioning

confidence: 99%

Music Therapy and Spiritual Treatment to Reduce Pain in Patients With Severe Burns

Budiman,

Kosasih,

Nuraeni

2023

jika

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Introduction:Pain is a problem experienced by patients with burns. Pain reduction is the main focus in the management of burn patients. Non-pharmacological treatment options with music therapy and spiritual care approaches are part of nursing care. Objective: The study was conducted to identify the effectiveness of music therapy and spiritual care in reducing pain during dressing changes for burn patients. Materials and methods:The study used a quasi experiment prepost test method on 30 burn patients with the music therapy and other with spiritual care intervention. Samples were taken using accidental sampling. Patients were measured for pain level using Numeric rating scale (NRS). Data were analysed using univariate analysis, dependent t-test and an independent t-test to compare between music therapy and spiritual care. Result: Music therapy and spiritual care have a significant effect on the measurement results before and after the intervention resulting in a value of (P=0.000) p < (0.005). While the mean difference between music therapy and spiritual care after after dressing change (P=0.000) and (t=5.875). Conclusion: There is an effect of music therapy intervention and spiritual care on reducing pain in burn patients undergoing dressing change procedures. Spiritual care had a higher average reduction than music therapy.

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“…In rare cases, gaseous analgesia using nitrogen protoxide [31] can also be used to supplement analgesic management, but none of the patients included in the study had this. Other methods, such as hypnosis techniques [32], the use of music [33], or virtual reality headsets [34], can help to protect the patient's anxiety and improve comfort.…”

Section: Discussionmentioning

confidence: 99%

A Feasibility Study of CT-Guided Osteosynthesis under Local Anesthesia

Lavigne,

Stacoffe,

Heidelberg

et al. 2023

JPM

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Background: Evaluation of local anesthesia for perioperative pain control in patients undergoing CT-guided percutaneous osteosynthesis. Methods: A total of 12 patients underwent percutaneous osteosynthesis under local anesthesia. Intraoperative pain was assessed after the procedure using numerical rating scale (NRS). Patients were also asked to rate their overall experience of the operation using the following scale: “highly comfortable, comfortable, hardly comfortable, uncomfortable” and, finally, “Would you be willing to repeat this intervention again under the same conditions if necessary?” Patients were also clinically followed up at 1 month, 3 months, and 6 months using the EQ5D5L scale to assess their pain and quality of life. Results: Patients underwent percutaneous osteosynthesis for osteoporotic (n = 9), pathological (n = 2), or traumatic fractures (n = 1), including the thoraco-lumbar spine (n = 8) or the pelvis (n = 4). The mean of NRS value experienced during the procedure was 3.4/10 (0–8). The overall feeling was highly comfortable (42%), comfortable (50%), hardly comfortable (8%), and uncomfortable (0%). Finally, 75% of patients answered “YES” to the question of repeating the operation under the same conditions if necessary. At follow-up, a significant reduction in pain was observed postoperatively. According to the EQ5D5L scale, there was a significant improvement in pain, mobility, self-activities, autonomy, and perceived quality of life at 3 and 6 months. Conclusion: Radiological percutaneous osteosynthesis is an effective technique that can be performed under local anesthesia with a comfortable experience for most of the patients.

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Perioperative musikinduzierte Analgesie

Cited by 8 publications

References 30 publications

The effects of a music intervention during port catheter placement on anxiety and stress

The effects of a music intervention during port catheter placement on anxiety and stress

Music Therapy and Spiritual Treatment to Reduce Pain in Patients With Severe Burns

A Feasibility Study of CT-Guided Osteosynthesis under Local Anesthesia

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