Normalization of Hypertensive Responses During Ambulatory Surgical Stress by Perioperative Music

Allen, Karen; Golden, Lawrence H.; Izzo, Joseph L.; Ching, Marilou; Forrest, Alan; Niles, Charles R.; Niswander, Paul W.; Barlow, Jared C.

doi:10.1097/00006842-200105000-00019

Cited by 98 publications

(47 citation statements)

References 16 publications

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“…Other studies have provided evidence to support the notion that the effects of music or sound as modulators of human response to surgical stress are also significant in unconscious patients under general anaesthesia [2,12,13]. Intervention with music or sound intra-operatively can decrease sedative and analgesic requirements, blunt haemodynamic change, reduce postoperative pain, and improve postoperative recovery [1,2,4,6,13].…”

Section: Discussionmentioning

confidence: 97%

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Effects of music on target‐controlled infusion of propofol requirements during combined spinal‐epidural anaesthesia*

Zhang

Fan²,

Manyande

et al. 2005

Anaesthesia

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SummaryThe sedative effects of music were evaluated using the bispectral index (BIS) during targetcontrolled infusion (TCI) propofol. A total of 110 women undergoing hysterectomy were randomly allocated to receive either music or no music. Propofol was administered using target-controlled infusion and the concentration adjusted gradually to achieve an observer's assessment of alertness ⁄ sedation (OAA ⁄ S) score of 3 intra-operatively. The haemodynamic and bispectral index values during the sedation phase were recorded. Interleukin-6 was evaluated before, immediately after and 1 h following intervention. The music group had a significant reduction in mean (SD) induction time of sedation: 12 (12) min vs. 18 (12) min, p < 0.01; propofol target concentration: 1.6 (0.3) lg.ml )1 vs. 2.4 (0.4) lg.ml )1 , p < 0.0001; intraoperative amount of propofol: 171 (98) mg vs. 251 (92) mg, p < 0.0001; and significantly higher levels of satisfaction with their peri-operative care: 9.6 (0.6) compared to the control group: 8.1 (1.0), p < 0.0001. No other differences were found. The results show the influence of music on the induction time of sedation, concentration and level of propofol during surgery, and suggest sedative benefits of music.

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Section: Discussionmentioning

confidence: 97%

“…It has been recommended that peri-operative stress control programmes should include both pharmacological and non-pharmacological methods, used either alone or in combination [2][3][4]. Music has been shown to reduce patients' anxiety and decrease sedative requirements [1,[4][5][6].…”

mentioning

confidence: 99%

Effects of music on target‐controlled infusion of propofol requirements during combined spinal‐epidural anaesthesia*

Zhang

Fan²,

Manyande

et al. 2005

Anaesthesia

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“…This is mostly investigated in a perioperative setting or in patients undergoing endoscopic procedures [20][21][22][23]. Because of this effect, choosing music as our control group enabled us to differentiate between the effect of listening to music (the Resperate produces musical tones as well) and the effect of reducing breathing frequency on BP.…”

Section: Discussionmentioning

confidence: 99%

Effect of device-guided breathing exercises on blood pressure in hypertensive patients with type 2 diabetes mellitus: a randomized controlled trial

Logtenberg

Kleefstra

Houweling³

et al. 2007

Journal of Hypertension

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Effect of device-guided breathing exercises on blood pressure in hypertensive patients with type 2 diabetes mellitus Logtenberg, Susan J.; Kleefstra, Nanne; Houweling, Sebastlaan T.; Groenier, Klaas H.; Bilo, Henk J. CopyrightOther than for strictly personal use, it is not permitted to download or to forward/distribute the text or part of it without the consent of the author(s) and/or copyright holder(s), unless the work is under an open content license (like Creative Commons).Take-down policy If you believe that this document breaches copyright please contact us providing details, and we will remove access to the work immediately and investigate your claim.Downloaded from the University of Groningen/UMCG research database (Pure): http://www.rug.nl/research/portal. For technical reasons the number of authors shown on this cover page is limited to 10 maximum. Objective In patients with type 2 diabetes mellitus (DM2), it is hard to reach treatment objectives for blood pressure (BP) with classical treatment options. Recently, reducing breathing frequency has been advocated as a method to reduce BP. We examined if an electronic device such as Resperate, by reducing breathing frequency, would lead to BP reduction in a population of patients with DM2 and hypertension. Our secondary objective was to study the effect of this device on quality of life (QOL).Methods A randomized, single-blind, controlled trial was conducted over a period of 8 weeks to evaluate the effect of this therapy on BP and QOL. The control group listened to music and used no other therapeutic device. BP and QOL changes were studied in 30 patients with DM2 and hypertension.Results There was no significant difference in change in BP between groups; S7.5 [95% confidence interval (CI) S12.7, S2.3]/S1.0 (95% CI S5.5, 3.6) mmHg in the intervention group and S12.2 (95% CI S17.4, S7.0)/S5.5 (95% CI S9.7, S1.4) mmHg in the control group. Whether or not the target breathing frequency of 10 breaths/min was reached did not affect BP. There were no significant changes in QOL.Conclusions The effects of Resperate on BP and QOL were not significantly different from those found in the control group. Furthermore, 40% of patients did not reach the target breathing frequency, making this device less suitable for clinical practice in patients with DM2.

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“…It has been reported that music eases stress responses psychologically, physiologically, and endocrinologically. It is well known that listening to music reduces uneasiness (Gerdner & Swanson, 1993;Kaminski & Hall, 1996), depression, and fatigue (Field et al, 1997;Hanser & Thompson, 1994), changes mood (Cadigan et al, 2001;Gfeller & Lansing, 1991;McCraty et al, 1998;Sousou, 1997), and suppresses pain (Allen et al, 2001;Browning, 2000;Maslar, 1986). However, some reports that compare listening to music with other relaxation methods show no differences in alleviation of anxiety, depression, and fatigue (Field et al, 1997;Hanser & Thompson, 1994) or reduction of heart rate (Guzzetta, 1989;Scheufele, 2000).…”

Section: Cortisolmentioning

confidence: 99%

Music and Steroids – Music Facilitates Steroid–Induced Synaptic Plasticity

Fukui¹,

Toyoshima²

2011

Steroids - Clinical Aspect

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Normalization of Hypertensive Responses During Ambulatory Surgical Stress by Perioperative Music

Abstract: The perceived stress of ambulatory surgery in geriatric patients is associated with a clinical hypertensive response that is ameliorated by self-selected perioperative music, which also decreases perceived stress and increases patients' sense of personal control and well-being.

Cited by 98 publications

References 16 publications

Effects of music on target‐controlled infusion of propofol requirements during combined spinal‐epidural anaesthesia*

Effects of music on target‐controlled infusion of propofol requirements during combined spinal‐epidural anaesthesia*

Effect of device-guided breathing exercises on blood pressure in hypertensive patients with type 2 diabetes mellitus: a randomized controlled trial

Music and Steroids – Music Facilitates Steroid–Induced Synaptic Plasticity

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