Information de reference pour ce titreAccession Number: | 00000539-200807000-00014.
|
Author: | Szmuk, Peter MD *+; Aroyo, Nimrod ++[S]; Ezri, Tiberiu MD +++; Muzikant, Gleb MD [//]; Weisenberg, Marian MD [//][P]; Sessler, Daniel I. MD +
|
Institution: | From the *Department of Anesthesia, University of Texas Southwestern Medical School and Children's Medical Center at Dallas, Texas; +Outcomes Research Consortium, The Cleveland Clinic, Cleveland, Ohio; ++Department of Anesthesia, Tel Aviv University, Israel; [S]The Edith Wolfson Medical Center, Holon, Israel; [//]Department of Anesthesia, The Edith Wolfson Medical Center, Holon, Israel; and [P]Sackler School of Medicine, Tel Aviv University, Israel.
|
Title: | |
Source: | Anesthesia & Analgesia. 107(1):77-80, July 2008.
|
Abstract: | BACKGROUND: Music reduces stress responses in awake subjects. However, there remains controversy about the role of music or therapeutic suggestions during general anesthesia and postoperative recovery. We thus tested the hypothesis that intraoperative exposure to soothing music reduces the end-tidal concentration of sevoflurane (ETSevo) necessary to maintain bispectral index (BIS) near 50 during laparoscopic surgery.
METHODS: Forty patients, aged 40-60 yrs, ASA I and II, undergoing laparoscopic hernias or cholecystectomy under general anesthesia were studied. All patients were connected to a BIS monitor. Anesthesia was induced with fentanyl 2 [mu]g/kg, sevoflurane in oxygen, rocuronium (0.6 mg/kg), and maintained with sevoflurane in oxygen and 50% nitrous oxide, with an infusion of fentanyl (1 [mu]g [middle dot] kg-1 [middle dot] h-1). Sevoflurane was titrated to maintain BIS near 50 throughout the procedure. Patients were randomly assigned to either listen to music or not.
RESULTS: The ETSevo necessary to maintain a BIS near 50 was virtually identical in patients who listened to music (1.29 +/- 0.33%) and those who did not (1.27 +/- 0.33%, P = 0.84). Patients who listened to music reported slightly less pain, but the difference was not statistically significant. Mean arterial blood pressure was slightly higher in patients who listened to music (101 +/- 11 mm Hg) than in those who did not (94 +/- 10 mm Hg, P = 0.040).
CONCLUSIONS: The end-tidal concentration of sevoflurane required to maintain BIS near 50 during laparoscopic cholecystectomy was virtually identical in patients exposed to music or not. Although previous work suggests that music reduces preoperative stress and may be useful during sedation, our results do not support the use of music during surgery.
(C) 2008 International Anesthesia Research Society
|
References: | 1. Pickrell KL. The use and therapeutic value of music in hospital and operating room. Plast Reconstr Surg 1950;6:142-52
2. Gulledge SL, Kline OR Jr. Use of stereo headphones for patient relaxation during cataract surgery under local anesthesia. Ophthalmic Surg 1981;12:289-90
3. Kaempf G, Amodei ME. The effect of music on anxiety: a research study. AORN J 1989;50:112-8
4. Ikonomidou E, Rehnstrom A, Naesh O. Effect of music on vital signs and postoperative pain. AORN J 2004;80:269-74, 277-8
5. Padmanabhan R, Hildreth AJ, Laws D. A prospective, randomised, controlled study examining binaural beat audio and pre-operative anxiety in patients undergoing general anaesthesia for day case surgery. Anaesthesia 2005;60:874-7
6. Sendelbach SE, Halm MA, Doran KA, Miller EH, Gaillard P. Effects of music therapy on physiological and psychological outcomes for patients undergoing cardiac surgery. J Cardiovasc Nurs 2006;21:194-200
7. Koch ME, Kain ZN, Ayoub C, Rosenbaum SH. The sedative and analgesic sparing effect of music. Anesthesiology 1998;89:300-6
8. Boeke S, Bonke B, Bouwhuis-Hoogerwerf ML, Bovill JG, Zwaveling A. Effects of sounds presented during general anaesthesia on postoperative course. Br J Anaesth 1988;60:697-702
9. Migneault B, Girard F, Albert C, Chouinard P, Boudreault D, Provencher D, Todorov A, Ruel M, Girard DC. The effect of music on the neurohormonal stress response to surgery under general anesthesia. Anesth Analg 2004;98:527-32
10. Van der Laan WH, Van Leeuwen BL, Sebel PS, Winograd E, Baumann P, Bonke B. Therapeutic suggestion has no effect on postoperative morphine requirements. Anesth Analg 1996;82:148-52
11. Updike PA, Charles DM. Music Rx: physiological and emotional responses to taped music programs of preoperative patients awaiting plastic surgery. Ann Plast Surg 1987;19:29-33
12. Ganidagli S, Cengiz M, Yanik M, Becerik C, Unal B. The effect of music on preoperative sedation and the bispectral index. Anesth Analg 2005;101:103-6
13. Lepage C, Drolet P, Girard M, Grenier Y, DeGagnA R. Music decreases sedative requirements during spinal anesthesia. Anesth Analg 2001;93:912-6
14. Kliempt P, Ruta D, Ogston S, Landeck A, Martay K. Hemispheric-synchronisation during anaesthesia: a double-blind randomised trial using audiotapes for intra-operative nociception control. Anaesthesia 1999;54:769-73
15. Nilsson U, Rawal N, Unestahl LE, Zetterberg C, Unosson M. Improved recovery after music and therapeutic suggestions during general anaesthesia: a double-blind randomised controlled trial. Acta Anaesthesiol Scand 2001;45:812-7
16. Evans C, Richardson PH. Improved recovery and reduced postoperative stay after therapeutic suggestions during general anesthesia. Lancet 1988;2:491-3
17. Lewis AK, Osborn IP, Roth R. The effect of hemispheric synchronization on intraoperative analgesia. Anesth Analg 2004;98: 533-6
18. Tsuchiya M, Asada A, Ryo K, Noda K, Hashino T, Sato Y, Sato EF, Inoue M. Relaxing intraoperative natural sound blunts haemodynamic change at the emergence from propofol general anaesthesia and increases the acceptability of anaesthesia to the patient. Acta Anaesthesiol Scand 2003;47:939-43
19. Schwender D, Klasing S, Madler C, Poppel E, Peter K. Depth of anesthesia. Midlatency auditory evoked potentials and cognitive function during general anesthesia. Int Anesthesiol Clin 1993;31:89-106
20. Sebel PS, Lang E, Rampil IJ, White PF, Cork R, Jopling M, Smith NT, Glass PS, Manberg P. A multicenter study of bispectral lectroencephalogram analysis for monitoring anesthetic effect. Anesth Analg 1997;84:891-899
21. Johansen JW, Sebel PS, Sigl JC. Clinical impact of hypnotic-titration guidelines based on EEG bispectral index (BIS) monitoring during routine anesthetic care. J Clin Anesth 2000;12:433-443
22. Ghoneim MM, Block RI. Learning and consciousness during general anesthesia. Anesthesiology 1992;76:279-305
23. Chortkoff BS, Bennett HL, Eger EI II. Subanesthetic concentrations of isoflurane suppress learning as defined by the category-example task. Anesthesiology 1993;79:16-22
24. Dwyer R, Bennett HL, Eger EI II, Heilbron D. Effects of isoflurane and nitrous oxide in subanesthetic concentrations on memory and esponsiveness in volunteers. Anesthesiology 1992; 77:888-98
25. Ghoneim MM, Block RI. Learning and memory during general anesthesia. Anesthesiology 1997;87:387-410
26. Newton DE, Thornton C, Konieczko KM, Jordan C, Webster NR, Luff NP, Frith CD, Dore CJ. Auditory evoked response and awareness: a study in volunteers at sub-MAC concentrations of isoflurane. Br J Anaesth 1992;69:122-9
27. McPherson RW. Neurophysiologic brain monitoring: evoked potentials. In: Cottrell JE, Smith DS, eds. Anesthesia and neurosurgery. 3rd ed. St. Louis: Mosby, 1994:218-19
28. Myles PS, Leslie K, McNeil J, Forbes A, Chan MT. Bispectral index monitoring to prevent awareness during anaesthesia: the B-Aware randomised controlled trial. Lancet 2004;363:1757-63
29. White JM. State of the science of music interventions. Critical care and perioperative practice. Crit Care Nurs Clin N Am 2000;12:219-25
30. Good M, Stanton-Hicks M, Grass JA, Cranston Anderson G, Choi C, Schoolmeesters LJ, Salman A. Relief of postoperative pain with jaw relaxation, music and their combination. Pain 1999;81:163-72
31. Good M, Stanton-Hicks M, Grass JA, Anderson GC, Lai HL, Roykulcharoen V, Adler PA. Relaxation and music to reduce postsurgical pain. J Adv Nurs 2001;33:208-15
32. Good M, Anderson GC, Stanton-Hicks M, Grass JA, Makii M. Relaxation and music reduce pain after gynecologic surgery. Pain Manag Nurs 2002;3:61-70
33. Nilsson U, Rawal N, Unosson M. A comparison of intra-operative or postoperative exposure to music-a controlled trial of the effects on postoperative pain. Anaesthesia 2003;58: 699-703
|
Language: | English.
|
Document Type: | Ambulatory Anesthesiology: Research Report.
|
Journal Subset: | Nursing. Clinical Medicine.
|
ISSN: | 0003-2999
|
NLM Journal Code: | 4r8, 1310650
|
DOI Number: | https://dx.doi.org/10.1213/ane.0...- ouverture dans une nouvelle fenêtre
|
Annotation(s) | |
|
|