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Effect of music on hemodynamic fluctuations in women during induction of general anesthesia: A prospective randomized controlled multicenter trial.
Wang, Jie; Jiang, Linghui; Chen, Wannan; Wang, Zhiyao; Miao, Changhong; Zhong, Jing; Xiong, Wanxia.
Afiliación
  • Wang J; Department of Anesthesiology, Zhongshan Hospital, Fudan University, Shanghai, PRC.
  • Jiang L; Department of Anesthesiology, Zhongshan Hospital, Fudan University, Shanghai, PRC.
  • Chen W; Department of Anesthesiology, Zhongshan Hospital, Fudan University, Shanghai, PRC.
  • Wang Z; Department of Anesthesiology, Zhongshan Hospital, Fudan University, Shanghai, PRC.
  • Miao C; Department of Anesthesiology, Zhongshan Hospital, Fudan University, Shanghai, PRC.
  • Zhong J; Department of Anesthesiology, Zhongshan Hospital, Fudan University, Shanghai, PRC.
  • Xiong W; Department of Anesthesiology, Zhongshan Hospital, Fudan University, Shanghai, PRC. Electronic address: xiong.wanxia@zs-hospital.sh.cn.
Clinics (Sao Paulo) ; 79: 100462, 2024.
Article en En | MEDLINE | ID: mdl-39096860
ABSTRACT

BACKGROUND:

The authors aim to investigate the effect of music on hemodynamic fluctuations during induction of general anesthesia and reducing preoperative anxiety for women who underwent elective non-cardiac surgery.

METHODS:

It is a multicenter, double-blind, randomized, parallel-group clinical trial. Patients were randomized 11 to either a Music Intervention group (MI) or a Control group (Control). The MI participants listened to their preferred music for more than 30 minutes in the waiting area. The State-Trait Anxiety Inventory (STAI) was used to measure anxiety levels in the groups, and hemodynamic parameters (Heart Rate [HR], Mean Arterial Pressure [MAP]) were continuously recorded before induction (T0), at loss of consciousness (T1), immediately before intubation (T2), and after intubation (T3). Intubation-related adverse events were also recorded. The primary outcome was the incidence of MAP changes more than 20 % above baseline during T0-T2.

RESULTS:

A total of 164 patients were included in the final analyses. The incidence of MAP instability during T0-T2 was lower in the MI, and the 95 % Confidence Interval for the rate difference demonstrated the superiority of MI. HR instability was less frequent in MI participants both in T0-T2 and T2-T3. The overall incidence of preoperative anxiety was 53.7 % (88/164). After the music intervention, the mean score of STAI was significantly lower in the MI than in the Control, with a between-group difference of 8.01.

CONCLUSIONS:

Preoperative music intervention effectively prevented hemodynamic instability during anesthesia induction and significantly reduced preoperative anxiety in women undergoing elective non-cardiac surgery.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Ansiedad / Frecuencia Cardíaca / Hemodinámica / Anestesia General / Musicoterapia Límite: Adult / Aged / Female / Humans / Middle aged Idioma: En Revista: Clinics (Sao Paulo) Asunto de la revista: MEDICINA Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Ansiedad / Frecuencia Cardíaca / Hemodinámica / Anestesia General / Musicoterapia Límite: Adult / Aged / Female / Humans / Middle aged Idioma: En Revista: Clinics (Sao Paulo) Asunto de la revista: MEDICINA Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos