Impact of music medicine on anxiety & stress response in surgeries under spinal anesthesia :A prospective study

Abstract

Anxiety and pain are common responses to surgery and can adversely affect patient’s outcome. Music is increasingly being used as a non-pharmacological intervention perioperatively to improve patient outcome and to decrease Anaesthetic drug doses.Aims: The aim of this study was to evaluate the impact of intra operative music on the anaesthetic requirement and stress response preoperatively. Study design: Prospective randomised, double blinded study.Materials and methods: After approval of the hospital ethical committee,60ASA I & II patients were randomly divided into music (M) and control(C) group.The patients in group ‘M ’were made to listen to Raag Neelambari music, which was played 5 minutes (min) after spinal anaesthesia and continued till surgical closure. In the control group occlusive headsets were given but no music was played. Hemodynamic data was recorded & perioperative outcome was compared.Results: There was statistically significant difference in the preoperative outcome of the patients of the 2 groups. These was decrease incidence of nausea & vomiting with decreased VAS score was seen in music group. Conclusion: On the basis of present study we concluded that music therapy is simple, inexpensive and noninvasive intervention that achieves lesser perioperative complication like decreased incidence of nausea , vomiting and lesser need of analgesics Use.