None listed
Conditions
Brief summary
The use of music in the operating theatre has been longstanding with reports of its potential therapeutic effects dating back to the 1940s. Music therapy prior to and during an operation have been shown to reduce anaesthetic requirement, patient anxiety, and improve overall satisfaction. There is also evidence that proceduralist-selected music improves surgical skill acquisition. In gastrointestinal endoscopy, music has shown benefits for patients, however, there is no data on the effects of music on improving the performance of endoscopists and whether a specific style of music would lead to optimal performance. This is particularly relevant in an era where high volumes of endoscopic procedures are performed in an often stressful clinical environment and procedural outcomes, such as adenoma detection rate (ADR) in colonoscopy, are reported as validated benchmarks of quality endoscopy. The appropriate style of music to use and avoid in the operating theatre has been previously proposed, but there was an absence of music from epic movies on this list. Thesoundtracks from these movies often contain uplifting musical tracks associated with glory,success, and large scale victory We hypothesise that music from the epic movie Star Wars would be superior to endoscopist-selected popular music when measuring quality outcomes in colonoscopy.
Interventions
To evaluate the effect of Star Wars music (SW) compared to endoscopist-selected popular music (PM) on quality outcomes in colonoscopy Patients would be randomised using a coin toss by the endoscopist prior to colonoscopy to determine which music would be played; heads for Star Wars music (SW), tails for endoscopist- selected popular music (PM), which includes music of all genres but that are part of the endoscopist's list with the exception of epic movie soundtracks. These would be stored on the same personal computer used in the endoscopy room with each endoscopist having his own popular music selection. The music would be played through a personal computer in the endoscopy suite at a volume of between approximately 40 and 70 decibels and would be started just prior to commencement of the colonoscopy,after patient were sedated, and stopped upon finishing the procedure. Patients Would be blinded to the music type being used. There are Five endoscopists participating in the study, one consultant with more than ten years experience and four specialist registrars with one to two years experience. All colonoscopies were performed under anaesthetist administered monitored sedation with intravenous propofol. An independent member of the endoscopy team keeps timing of procedures and endoscopists are blinded to the timing of the procedure. Timing of the procedure is commenced at time of entering the anus and continued until the scope is withdrawn from the colon.
Sponsors
Study design
Eligibility
Inclusion criteria
All patients undergoing colonoscopy for any indication are included.
Exclusion criteria
Situations in which music can't be played in the endoscopy room.