Effects of Music Therapy on Anesthetic Requirements and Hemodynamic Parameters

Cukurova University159 enrolled

Overview

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.

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.

Study Type

OBSERVATIONAL

Enrollment

159

Conditions

Hemodynamic Changes Music Therapy Thoracic Surgery Anesthetic Consumption

Interventions

music therapy during surgeryOTHER

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.

Eligibility

Sex: ALLMin age: 18 YearsHealthy volunteers:

Medical Language ↔ Plain English

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.

Locations (1)

Cukurova University Faculty of Medicine Anesthesiology Department

Adana, Adana, Turkey (Türkiye)

Outcomes

Primary Outcomes

anesthetic consumption

desfluran consumption during surgery (mL)

Time frame: during surgery

anesthetic consumption

Induction propofol dose (mg)

Time frame: during induction of anesthesia

Secondary Outcomes

hemodynamic parameters

systolic blood pressure (mmHg)

Time frame: during surgery, 48 hour after surgery

hemodynamic parameters

diastolic blood pressure (mmHg)

Time frame: during surgery, 48 hour after surgery

hemodynamic parameters

mean arterial pressure (mmHg)

Time frame: during surgery, 48 hour after surgery

hemodynamic parameters

heart rate (beats/min)

Time frame: during surgery, 48 hour after surgery

Data from ClinicalTrials.gov

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