Anesthetic Consumption, Hemodynamic Changes, Music Therapy, Thoracic Surgery
Conditions
Brief summary
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.
Detailed description
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.
Interventions
OTHERmusic therapy during surgery
In the music groups, 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. For infection control purposes, headphone sponges were changed for each patient.
Sponsors
Cukurova University
Study design
Observational model
OTHER
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* 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,
Exclusion criteria
* 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.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| anesthetic consumption | during surgery | desfluran consumption during surgery (mL) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| hemodynamic parameters | during surgery, 48 hour after surgery | systolic blood pressure (mmHg) |
Countries
Turkey (Türkiye)
Contacts
PRINCIPAL_INVESTIGATORMediha Turktan, M.D.
Cukurova University
Outcome results
None listed