Effects of Music Therapy on Anesthetic Requirements and Hemodynamic Parameters in Thoracic Surgery Patients
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 159
- 试验地点
- 1
- 主要终点
- anesthetic consumption
研究概览
简要总结
Music therapy has been reported to reduce analgesic and anesthetic requirements, but evidence in thoracic surgery remains limited. This prospective observational study aimed to evaluate the effects of different music types on hemodynamic stability and anesthetic consumption in patients undergoing thoracic surgery.
详细描述
After institutional ethics approval and written informed consent, 159 adult patients (ASA I-III) scheduled for elective thoracic surgery under general anesthesia were enrolled. Patients were randomized by sealed-envelope method into three groups: Group T (Sufi music), Group B (Classical Western music), and Group C (control, no music). Music was delivered via over-ear headphones from induction until the end of surgery. Sedation was evaluated using the Riker Sedation-Agitation Scale (RSAS), and pain using the Visual Analog Scale (VAS). Hemodynamic variables, anesthetic agent consumption, and postoperative recovery parameters were recorded.
研究设计
- 研究类型
- Observational
- 观察模型
- Other
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Age 18 and over,
- •American Society of Anesthesiologists (ASA) classification I-III,
- •No hearing acuity,
- •Volunteer to participate in the study,
- •Cooperative and oriented,
- •No history of psychiatric illness and/or psychiatric medication use,
排除标准
- •Patients who were under 18 years,
- •ASA classification >III,
- •had hearing loss,
- •had a psychiatric diagnosis and/or were taking antipsychotic/antidepressant/mood stabilizer medications,
- •were uncooperative (dementia, mental retardation, etc.),
- •Major complications during the intraoperative or postoperative period, (respiratory failure, hemodynamic instability, hypoxia, serious arrhythmia, cardiac arrest, etc.)
- •Emergency surgery,
- •had a history of alcohol or drug abuse,
- •did not speak Turkish,
- •did not consent to participate in the study.
研究组 & 干预措施
Group 1: Sufi music group
In the sufi music group, sufi music was played through over-ear headphones; the volume was adjusted based on patient comfort and confirmed with the patient. Music playback was initiated alongside routine monitoring and continued throughout the surgery, ending when the patient was transferred to the stretcher after extubation.
干预措施: music therapy during surgery (Other)
Group 2: Classical Western music group
In the classical Western music group, music was played through over-ear headphones; the volume was adjusted based on patient comfort and confirmed with the patient. Music playback was initiated alongside routine monitoring and continued throughout the surgery, ending when the patient was transferred to the stretcher after extubation.
干预措施: music therapy during surgery (Other)
Group 3: no music group
In the no music group, the patient was not allowed to listen to any type of music during surgery.
结局指标
主要结局
anesthetic consumption
时间窗: during induction of anesthesia
Induction propofol dose (mg)
anesthetic consumption
时间窗: during surgery
desfluran consumption during surgery (mL)
次要结局
- hemodynamic parameters(during surgery, 48 hour after surgery)
研究者
mediha turktan
principal investigator
Cukurova University