The efficacy of music therapy in lowering intraoperative sedative requirement and recall of intraoperative processes by patients under spinal anesthesia

Abstract

Background: This music therapy was found to be a potent and efficient means of strategy for the treatment of illness in all the health aspects. It modifies the normal body's flight and fight response to stress during surgeries. It is a unique approach for relieving patients, making them stress-free without any means of side effects. Methods: This prospective comparative observational study includes a total of 50 cases, randomly assigned in 2 sets of 25 each in age (20–60 years), lower abdomen, urinary complaints related to surgeries, etc. under spinal blockade. These patients were assigned randomly to Group M (music group) and Group C (nonmusic group). Midazolam was given for sedation in both the groups with the aim to achieve Observer's Assessment Sedation/Alertness Score (OAS)-3 or less and to calculate and compare midazolam (total dose) requirement. After giving spinal to the patient and achieving desired levels, the patients were given headphones and the music was set up n music group patients. Basic vitals and requirements (total sedative) during surgery were recorded and then compared between the two groups. The ability of the patient to recall intraoperative events after surgery was also calculated by 6-point questionnaire, and for assessing pain severity, the visual analog scale score method was used. Results: We have found that intraoperatively, midazolam requirement (total) was found to be very low in the patients who listened music (P < 0.01), the OAS score was better in the music group, and the systolic and diastolic blood pressure and pulse rate may be comparable in both the groups. Conversations between doctors/nurses, OT staff during surgery, and monitors sound, instruments, etc., were more significantly recalled by a group of people who do not listen to music intraoperatively. Conclusion: Our study concluded that the use of intraoperative music in patients under spinal anesthesia can be demanding therapy by reducing patient's requirement of medication, needed for sedating them and relieving pain. This helps in creating an effective, safe method for patient's overall satisfaction.