Research: JABER and others,

Listed in Issue 144

Abstract

JABER and others, Unite de reanimation et de transplantation, departement d’anesthesie-reanimation B, CHU de Montpellier, hopital Saint-Eloi, avenue Bertin-Sans, 34295 Montpellier cedex 05, France, s-jaber@chu-montpellier.fr, have documented the effects of music on patients in intensive care.

Background

Music has been found to be an effective adjunct for managing anxiety and promoting relaxation in limited trials of critically ill patients. The aim of this study was to compare its effect in intubated patients during weaning from mechanical ventilation with non-intubated patients spontaneously breathing.

Methodology

In a cross-over randomized experimental design, 30 patients were randomized to receive either 20 minutes of uninterrupted rest and then 20 minutes of music therapy or the music therapy first and then the uninterrupted rest period. Patients selected a relaxing music of their choice from a selection including different types of music. Heart rate, systolic blood pressure, respiratory rate and bispectral index were recorded each 5-min intervals throughout both periods (rest and music). Agitation/sedation state and pain were evaluated by the Richmond-Agitation-Sedation-Scale and the Numerical-Rating-Scale, respectively, before and after each studied period. Music significantly decreased heart rate (88+/-15 vs 82+/-15, p<0.05), systolic blood pressure (137+/-17 vs 128+/-14, p<0.05), respiratory rate (25+/-3 vs 22+/-4, p<0.05), bispectral index (94+/-5 vs 81+/-10, p<0.01), anxiety (+0.1+/-0.7 vs -0.7+/-0.9, p<0.05) and pain (4.4+/-1.7 vs 1.9+/-1.3, p<0.01) in both intubated and non-intubated groups. No significant change was observed during the rest period. The variations in the parameters measured induced by music were comparable for the two groups.

Results

Conclusion

A single music therapy session was found to be effective for decreasing anxiety and promoting relaxation over the intervention period in intubated patients during weaning phase.

References

Jaber S, Bahloul H, Guetin S, Chanques G, Sebbane M, Eledjam JJ. Effects of music therapy in intensive care unit without sedation in weaning patients versus non-ventilated patients. Annales Francaises d Anesthesie et de Reanimation 26 (1): 30-38, Jan 2007.

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