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Randomized Controlled Trial
. 2020 Jul-Aug;86(4):419-426.
doi: 10.1016/j.bjorl.2019.01.008. Epub 2019 Mar 5.

The effects of music therapy in patients undergoing septorhinoplasty surgery under general anesthesia

Erhan Gökçek  1 , Ayhan Kaydu  2
Affiliations
Randomized Controlled Trial

The effects of music therapy in patients undergoing septorhinoplasty surgery under general anesthesia

Erhan Gökçek et al. Braz J Otorhinolaryngol. 2020 Jul-Aug.

Abstract
in English, Portuguese

Introduction: Music has been used for several years as a relaxation method to reduce stress and anxiety. It is a painless, safe, inexpensive and practical nonpharmacologic therapeutic modality, widely used all over the world.

Objectives: We aimed to evaluate the effect of music therapy on intraoperative awareness, patient satisfaction, awakening pain and waking quality in patients undergoing elective septorhinoplasty under general anesthesia.

Methods: This randomized, controlled, prospective study was conducted with 120 patients undergoing septorhinoplasty within a 2 months period. The patients were randomly selected and divided into two groups: group music (music during surgery) and control group (without music during surgery). All patients underwent standard general anesthesia. Patients aged 18-70 years who would undergo a planned surgery under general anesthesia were included. Patients who had emergency surgery, hearing or cognitive impairment, were excluded from the study.

Results: A total of 120 patients were enrolled, and separated into two groups. There were no statistically significant differences between the groups in terms of demographic characteristics, anesthesia and surgery durations (p>0.05). In the music group, sedation agitation scores were lower than those in the control group at the postoperative period (3.76±1.64 vs. 5.11±2.13; p<0.001). In addition; in patients of the music group, the pain level (2.73±1.28 vs. 3.61±1.40) was lower (p<0.001), requiring less analgesic drugs intake.

Conclusion: Music therapy, which is a nonpharmacologic intervention, is an effective method, without side effects, leading to positive effects in the awakening, hemodynamic parameters and analgesic requirements in the postoperative period. It is also effective in reducing the anxiety and intraoperative awareness episodes of surgical patients.

Introdução: A música tem sido usada há vários anos como um método de relaxamento para reduzir o estresse e a ansiedade. É um método de tratamento não farmacológico, seguro, barato e prático, amplamente usado em todo o mundo.

Objetivo: Avaliar o efeito da musicoterapia no despertar intraoperatório, na satisfação do paciente, na dor ao despertar e na qualidade de vigília em pacientes submetidos à rinosseptoplastia eletiva sob anestesia geral.

Método: Estudo prospectivo, randomizado e controlado feito com 120 pacientes submetidos a rinosseptoplastia em 2 meses. Os pacientes foram selecionados aleatoriamente e divididos em dois grupos: musicoterapia (música durante a cirurgia) e controle (sem música durante a cirurgia). Todos os pacientes foram submetidos a anestesia geral padrão. Pacientes entre 18 e 70 anos que seriam submetidos a cirurgia planejada sob anestesia geral foram incluídos. Pacientes submetidos a cirurgia de emergência, apresentavam deficiência auditiva ou cognitiva foram excluídos do estudo.

Resultados: Foram inclu¡dos no estudo 120 pacientes, divididos nos dois grupos. Não houve diferenças estatisticamente significantes entre os grupos em relação às características demográficas, anestesia e duração da cirurgia (p > 0,05). No grupo musicoterapia, os escores de agitação da sedação foram menores do que no grupo controle no período pós-operatório (3,76 ± 1,64 vs. 5,11 ± 2,13; p < 0,001). Além disso, nos pacientes do grupo musicoterapia, o nível de dor (2,73 ± 1,28 vs. 3,61 ± 1,40) foi menor (p < 0,001) e a necessidade de analgésicos foi menor no pós-operatório.

Conclusão: A musicoterapia, uma intervenção não farmacológica, é um método eficaz, sem efeitos colaterais, que leva a efeitos positivos no despertar, nos parâmetros hemodinâmicos e nas necessidades analgésicas no pós-operatório, além de reduzir a ansiedade por estresse, a dor e a chance de despertar durante a cirurgia.

Keywords: Anestesia geral; Dor; General anesthesia; Music therapy; Pain; Postoperative recovery; Recuperação pós-operatória; Terapia musical.

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Figures

Figure 1
Figure 1
Flow chart.
Figure 2
Figure 2
The application of music therapy under general anesthesia.
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References

    1. Flanagan D.A., Kerin A. How is intraoperative music therapy beneficial to adult patients undergoing general anesthesia? A systematic review. Anesthesia J. 2017;5:5–13.
    1. Nilsson U. The anxiety and pain-reducing effects of music interventions: a systematic review. AORN J. 2008;87:780–807. - PubMed
    1. Shafer A., Fish M.P., Gregg K.M., Seavello J., Kosek P. Preoperative anxiety and fear: a comparison of assessments by patients and anesthesia and surgery residents. Anesth Analg. 1996;83:1285–1291. - PubMed
    1. Biebuyck J.F.W.C. The metabolic response to stress: an overview and update. Anesthesiology. 1990;73:308–327. - PubMed
    1. Desborough J.P. The stress response to trauma and surgery. Br J Anaesth. 2000;85:109–117. - PubMed

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