The Evaluation of Mozart Music on Pain and Respiratory Rate After Thyroidectomy

Prolepsis Institute for Preventive, Environmental and Occupational Medicine50 enrolled

Overview

To investigate the effect of Mozart music on postoperative pain and physiological parameters in patients after total thyroidectomy.

Postoperative pain is a major concern in postsurgical patients. Meanwhile, there is a general consensus on minimizing the use of analgesic drugs in patients undergoing total thyroidectomy. Therefore, alternative methods need to be investigated in order to reduce postoperative pain. Although the clinical importance of music has been recognised in other pathological situations, further research is needed to investigate the effect of music on postoperative pain.

Study Type

INTERVENTIONAL

Allocation

NON_RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Postoperative Pain

Interventions

Mozart musicOTHER

A 20-minute piece composed by W.A Mozart ( Sonata K. 448 in D Major for 2 pianos) was applied in music group, directly after the arrival of patients in the Post Anesthesia Care Unit (PACU), while they were receiving usual postoperative care.

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Adults scheduled for total thyroidectomy under general anesthesia Exclusion Criteria: * Visual impairments * Hearing impairments * Severe anxiety or other psychiatric disorders * History of chronic pain * Past complications during anesthesia or surgery * American Society of Anesthesiologists (ASA) physical status beyond II

Locations (1)

Hygeia Hospital

Athens, Greece

Outcomes

Primary Outcomes

Postoperative Pain

Postoperative Pain was measured with the Visual Analogue Scale (VAS). This is a straight horizontal line of fixed length, usually 100 mm. The ends of the line are defined as the extreme limits of the measured parameter (pain). Specifically, the left end signifies the complete absence of pain and the right end represents the worst possible pain. Patients were asked to rate their pain by indicating a point on the straight line. Higher VAS scores mean more pain intensity. The more is the reduction of VAS score from the baseline measurement, the better is the outcome.

Time frame: Change of VAS was evaluated; from the beginning (time of arrival at the PACU, baseline), to the middle (10 minutes after surgery), to the end of the music intervention (20 minutes after surgery) at the PACU and to 2 hours after surgery in the ward.

Secondary Outcomes

Systolic and diastolic blood pressure

Blood pressure was measured by a patient's monitor.

Time frame: Change of blood pressure was evaluated during the first postoperative day.

Heart rate

Heart rate was measured by a patient's monitor.

Time frame: Change of heart rate was evaluated during the first postoperative day.

Respiratory rate

Respiratory rate was measured by a care provider.

Time frame: Change of respiratory rate was evaluated during the first postoperative day.

Oxygen saturation

Oxygen saturation was measured by a patient's monitor.

Time frame: Change of oxygen saturation was evaluated during the first postoperative day.

Data from ClinicalTrials.gov

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