A prospective comparative study of the effect of binaural music versus midazolam on intraoperative anxiety in patients undergoing lower limb orthopedic surgery under spinal anaesthesia

Pre-Anaesthetic Evaluation:

History: Information regarding any pre-existing medical conditions, prior surgical experiences, exposure to anaesthesia, and past hospitalizations will be gathered.

Clinical Assessment: Evaluation of the patient’s overall health. Baseline vital signs, including heart rate, systolic and diastolic blood pressure, respiratory rate, and mean arterial blood pressure, will be documented.

Pre-operatively:

Preoperative STAI-6 scores will be taken to know the anxiety of patient.

Intra-operatively:

Patients were given spinal block by using 0.5% hyperbaric bupivacaine.

After patients were put on noise cancelling head phones and binaural music was played in group I, in group II intravenous midazolam 0.02mg/kg will be given group III is taken as control group without any music or midazolam.

The hemodynamic parameters were noted at 5, 10 ,20, 40 ,60 and every 20mins till surgery gets over.

Ramsay sedation score were noted every half an hour of surgery.

The noted parameters are SBP, DBP, MBP, HR.

Post-operatively:

Post operative STAI-6 scores will be taken to know the anxiety and VAS-S will be taken to know satisfaction of patient.