36104 Music in peri operative care

• Published in: Regional anesthesia and pain medicine Vol. 48; no. Suppl 1; p. A230
• Main Author: Ballal, Apoorva
• Format: Journal Article
• Language: English
• Published: Secaucus BMJ Publishing Group LTD 01.09.2023
• Subjects: Intervention; Music
• ISSN: 1098-7339; 1532-8651
• DOI: 10.1136/rapm-2023-ESRA.425

Please confirm that an ethics committee approval has been applied for or granted: Not relevant (see information at the bottom of this page)Peri-operative pain is mostly managed pharmacologically. Evidence suggests 75% of patients feel anxious pre surgery, and 40-65% moderate to severe pain post-operatively, leading onto distress, dissatisfaction and prolonged hospital stay. Alternative cost effective modalities including music may help, with beneficial effects on stress responses and reduced medication requirements.MethodsPubMed, MBase, GoogleScholar searchesResultsA recent meta-analysis evaluated RCT’s on effects of music intervention on anxiety and pain levels before and after surgery. Of the 92 RCT’s identified, 81 were included and found a significant reduction in all these measures. Individual preferences for certain music types and rhythm and harmony were noted. While evidence was compelling publication bias and heterogeneity.were noted. Future study The IMPROVE study (Netherlands) aims to be the first study actively implementing music intervention in a colorectal surgical cohort. Qualitative methods assessing patients and professionals attitudes towards musical interventions, and a multifaceted strategy to optimise delivery of music, followed by evaluation of effects and experiences of the intervention, and adjustments that may need to be made is planned. The intervention includes pre, intra and post- operative targeted music with at two 30 minute sessions daily during the whole hospital stay and surgical procedure. Aims include providing a systematic framework on the implementation of music intervention in real clinical settings.ConclusionsA willingness to seek alternative, holistic, patient centred approaches to care and acknowledging the impact of calming distraction strategies, such as music in peri-operative care, that are also low in cost and harm is seen with both published and planned research.