The aim of this study is to measure the efficacy of music during a painful procedure in pediatric intensive care unit. Music therapy has real effects on the pain level already proven in adults units. Our objective is to apply this technic to children. The investigators will evaluate this technic during cleaning care which is daily procedure for each stable patient and wich may be painful in this population.
Pediatric intensive care units may be anxious places. A lot of painful and stressful procedures are done every day. A simple care such as a simple cleaning care may become painful or uncomfortable. Usually those situation require the use of painkillers. For several years, new approaches are used in order to decrease the pain level without medication such as hypnosis or music therapy. Music therapy proved efficacy to reduce pain in different procedures and is currently used in adult intensive care units in order to decrease anxiety and pain. One specific program, "Music Care" is based on a "U sequence" which use tempo and rhythm variations following the U scheme, to relax patients. This program will be evaluated in our department and the investigators will study the effects on the pain level during a cleaning care . The patients will be evaluated during two consecutive cleaning cares. One with and the other without music therapy. The investigators will compare the variation of the FLACC scores (before and during cleaning care ) to show a difference between both methods. The order (with or without) will be randomized. The patient will be his one control.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
DOUBLE
Enrollment
50
Each child will benefit two cleaning cares during hospitalization. One with music therapy and the other without music therapy. Every time, the preparation will be the same with an equipment installation in order to keep comparability and blind. Child will be videotaped without sound during the care. The order of music therapy intervention will be randomized.
Hopital Arnaud de Villeneuve- CHU Montpellier
Montpellier, France
The FLACC (Face Legs Activity Cry Consolability) scale's score
The scale is scored in a range of 0-10 with 0 representing no pain. The scale has five criteria, which are each assigned a score of 0, 1 or 2.
Time frame: Day 1 : 10 minutes before the care
The FLACC (Face Legs Activity Cry Consolability) scale's score
The scale is scored in a range of 0-10 with 0 representing no pain. The scale has five criteria, which are each assigned a score of 0, 1 or 2.
Time frame: Day 1: During the care
The FLACC (Face Legs Activity Cry Consolability) scale's score
The scale is scored in a range of 0-10 with 0 representing no pain. The scale has five criteria, which are each assigned a score of 0, 1 or 2.
Time frame: Day 2: 10 minutes before the care
The FLACC (Face Legs Activity Cry Consolability) scale's score
The scale is scored in a range of 0-10 with 0 representing no pain. The scale has five criteria, which are each assigned a score of 0, 1 or 2.
Time frame: Day 2: During the care
Cardiac frequency
Values found on a device
Time frame: Day 1 : 10 minutes before the care
Cardiac frequency
Values found on a device
Time frame: Day 1 : During the care
Cardiac frequency
Values found on a device
Time frame: Day 2 : 10 minutes before the care
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Cardiac frequency
Values found on a device
Time frame: Day 2 : During the care
breathing frequency
Values found on a device
Time frame: Day 1: 10 minutes before the care
breathing frequency
Values found on a device
Time frame: Day 1: During the care
breathing frequency
Values found on a device
Time frame: Day 2: 10 minutes before the care
breathing frequency
Values found on a device
Time frame: Day 2: During the care
Mean arterial pressure
Values found on a device
Time frame: Day 1: 10 minutes before the care
Mean arterial pressure
Values found on a device
Time frame: Day 1: During the care
Mean arterial pressure
Values found on a device
Time frame: Day 2: 10 minutes before the care
Mean arterial pressure
Values found on a device
Time frame: Day 2: During the care
Duration care
Time management during cleaning cares
Time frame: Day 1
Duration care
Time management during cleaning cares
Time frame: Day 2