Preoperative Music Listening in Odontostomatological Surgery (PMLOS)
Status:
Completed
Trial end date:
2021-03-15
Target enrollment:
Participant gender:
Summary
People undergoing general anesthesia for oral cancer diagnosis and treatment often experience
heightened anxiety, fear and stress with negative bodily responses, such as tachycardia,
hypertension, increased myocardial consumption of O2, arrhythmias, increased peripheral
resistance, hypercoagulability, immunodeficiency and catabolic response . Emotional distress
and pain may be managed by pre-procedurally application of anxiolytic, analgesic, and
anesthetic drugs, but with potential risks or side effects such as respiratory depression,
nausea and vomiting, confusion, memory loss, hypoxemia, and drug-drug interactions. This may
result in adverse outcomes, such as delayed healing, increased healthcare utilization, and
cost.
A recent Cochrane review showed that benzodiazepines reduce pre-procedural anxiety compared
with placebo with a low quality of evidence.
Music therapy (MT), defined as the clinical and evidence-based use of music interventions by
a trained professional for the purpose of achieving individualized goals within a therapeutic
relationship between patient, music and music therapist 6 , may be used as a safe and
cost-effective complementary intervention in adjunct to standard surgical care.
During surgery, music is a powerful positive stimulus that evokes and modulates emotions as
well as mood, face mask adverse stimuli, and improves emotional health through coping.
Music therapy and music medicine interventions are effective to prevent and treat emotional
distress and pain before, during and after medical procedures .
Evidence from Cochrane systematic reviews shows that music interventions affect positively
anxiety in patients with cancer, coronary heart diseases and in patients on mechanical
ventilation .
Some studies reported also that music interventions reduced sedative requirements in patients
undergoing surgery under regional anesthesia combined with sedation, both with midazolam and
propofol and also in critically ill patients in intensive care units.
The primary aim of this study was to evaluate the effects of preoperative music therapy
intervention compared to premedication with midazolam on anxiety, sedation and stress during
general anesthesia for odontostomatological elective surgery.
Phase:
N/A
Details
Lead Sponsor:
Azienda Ospedaliero-Universitaria Consorziale Policlinico di Bari