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Music As An Alternative Therapy to Midazolam for Sedation in Patients Undergoing Elective Pelvic and Lower Limb Surgery Under Spinal Anesthesia

Iraqi Postgraduate Medical Journal, 2021, Volume 20, Issue 3, Pages 270-276
10.52573/ipmj.2020.169734

Abstract

BACKGROUND:
Almost in all types of surgical operations, patients experienced some kinds of anxiety which is reflected by a perceptible change in some vital signs. Music therapy is an emerging nonpharmacological intervention that had proven effectiveness in different medical conditions.
OBJECTIVE:
To assess the effect of music intervention on some vital signs in patients undergoing elective pelvic and lower limb surgery under spinal anesthesia.
PATIENTS AND METHODS:
A prospective randomized study was conducted including a total of 100 patients scheduled for elective pelvic and lower limb surgery under spinal anesthesia. Patients were randomly assigned into two equals groups: the intervention group, and non-music group. Spinal anesthesia was standardized to all patients. Patients in music group were given headphone set connected to CD player and listened to a soft music immediately after the induction of spinal anesthesia until the end of the operation. Patients in non-music group were given midazolam in divided doses each with 1 mg as required. Hemodynamic parameters and respiratory rate were recorded at the entrance of operating room and then 5, 10, 15, 20, 30, 40, 50 and 60-minute post anesthesia induction.
RESULTS:
During all the time period after anesthesia induction until the end of operation, there were no significant differences between intervention group and non-music group in the all included vital signs (heart rate, systolic pressure, diastolic pressure, and mean blood pressure).
CONCLUSION:
music intervention can be used as a nonpharmacological alternative midazolam to control the vital signs after spinal anesthesia.
Keywords: 

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