"Perioperative Music May Reduce Pain and Fatigue in Patients Undergoing" by M. Graversen and T. Sommer
 

Perioperative Music May Reduce Pain and Fatigue in Patients Undergoing Laparoscopic Cholecystectomy

Journal

Acta Anaesthesiologica Scandinavica

Year

2013

Abstract

BACKGROUND: Acute post-operative pain is a predictor in the development of chronic pain after laparoscopic cholecystectomy. Music has been shown to reduce surgical stress. In a randomized, clinical trial, we wanted to test the hypothesis that perioperative and post-operative soft music reduces pain, nausea, fatigue and surgical stress in patients undergoing laparoscopic cholecystectomy as day surgery. METHOD: The study was performed in otherwise healthy Danish patients eligible for day surgery. Ninety-three patients were included and randomized to either soft music or no music perioperatively and post-operatively. Using visual analog score pain, nausea and fatigue at baseline, 1 h, 3 h, 1 day and 7 days after surgery were recorded. C-reactive protein and cortisol were sampled before and after surgery. RESULTS: Music did not lower pain 3 h after surgery, which was the main outcome. The music group had less pain day 7 (P = 0.014). Nausea was low in both groups and was not affected by music. The music group experienced less fatigue at day 1 (P = 0.042) and day 7 (P = 0.015). Cortisol levels decreased during surgery in the music group (428.5-348.0 nmol/l), while it increased in the non-music group (443.5-512.0 nmol/l); still, the difference between the two groups were only significant using general linear models as post-hoc analysis. Soft music did not affect C-reactive protein levels. CONCLUSION: Soft music did not reduce pain 3 h after laparoscopic cholecystectomy. Soft music may reduce later post-operative pain and fatigue by decreasing the surgical stress response.

Music and Health Institute Terms

Abdominal Surgery; Physiological Measures; Fatigue; Hospital Setting; Hospital Setting; Mental Health; Mental Health Hormone Levels; Music Listening; Music Medicine; Nausea; Pain; Pain Managment and Control; Pain Score or Rating; Postoperative Pain; Hospital Setting; Recorded Music Listening; Self-Report Measures; Stress; Surgery; Hospital Setting; Visual Analog Scale (VAS)

Indexed Terms

Elderly; Anesthesia; C-Reactive Protein; Cholecystectomy, Laparoscopic; Early Ambulation; Fatigue; Hydrocortisone; Pain Measurement; Postoperative Pain; Perioperative Care; Postoperative Complications; Postoperative Nausea and Vomiting; Sample Size; Stress, Physiological

Study Type

Randomized Controlled Trial; Quantitative Methods

PubMed ID

23496006

Document Type

Article

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