The effect of music with and without binaural beat audio on operative anxiety in patients undergoing cataract surgery: a randomized controlled trial

Wiwatwongwana, Damrong; Vichitvejpaisal, Pornpattana; Thaikruea, Lakkana; Klaphajone, Jakkrit; Tantong, A; Wiwatwongwana, Atchareeya

doi:10.1038/eye.2016.160

Cited by 82 publications

(97 citation statements)

References 20 publications

(17 reference statements)

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“…Therefore, using BBM appears to be as effective as opioids and sedatives in controlling hemodynamic changes in patients undergoing eye surgery. In agreement with the present study results, Wiwatwongwana et al (18) found that using BBM and plain music compared to no music group leads to reduced systolic blood pressure in patients undergoing cataract surgery. However, only heart rate reduced in BBM group compared to no music group.…”

Section: Discussionsupporting

confidence: 93%

“…Therefore, using BBM can be said to be as effective as opioids in anesthesia in reducing state and trait anxiety and pain levels. Some studies have recently recommended the use of BBM for reducing anxiety and pain in patients undergoing various surgeries (11,18,20,21). In agreement with the present study results, Wiwatwongwana et al (18) realized that using BBM 6 J Kermanshah Univ Med Sci.…”

Section: Discussionsupporting

confidence: 90%

“…Anxiety caused by surgery was measured using State-Trait Anxiety Inventory (STAI). The results showed a greater reduction in heart rate in patients receiving BBM (18). In a study in China, Angela et al examined 64 randomly selected patients, who received 30 minutes of music therapy.…”

Section: Introductionmentioning

confidence: 99%

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The Effect of Binaural Beat Music on Reducing Anxiety and Pain and Increasing Satisfaction of Ophthalmic Patients

Roshani

Rezaei

Azadi

et al. 2020

J Kermanshah Univ Med Sci

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Background: Preoperative anxiety can reduce the quality of anesthesia and increase the need for anesthetic medications, which can inadvertently increase the length of anesthesia and delay awakening, which results in more complications of anesthesia and surgery. Objectives: The purpose of this study is to investigate the effect of binaural beat music (BBM) on anxiety, pain and satisfaction of patients with eye surgery. Methods: This clinical trial enrolled sixty patients presenting to the surgical unit of Imam Khomeini Hospital in Kermanshah who were randomly assigned to two groups of binaural beat music group (n = 30) and control group (n = 30). Midazolam and propofol (if needed) were used in the conventional opioid group, while binaural beat music was played from 5 minutes before to the end of the surgery in addition to fentanyl (1 cc). Scores of state and trait anxiety (measured by STAI), pain score (measured by VAS), hemodynamic changes before and after surgery, patient satisfaction and surgeon satisfaction were recorded and compared between the two groups. Results: State anxiety after surgery was significantly lower in the BBM group than that in the control group (P < 0.05). There was no significant difference between the two groups regarding trait anxiety symptoms and postoperative pain (P > 0.05). The level of state anxiety, trait anxiety and pain decreased significantly in the BBM group after surgery (P < 0.05). Furthermore, state anxiety and trait anxiety decreased significantly in the control group after surgery (P < 0.05). However, no significant difference was observed between the amount of pain before and after surgery in the control group (P > 0.05). Diastolic blood pressure was significantly lower in the BBM group after surgery than that in the control group (P < 0.05). There was no significant difference between systolic blood pressure, heart rate, SPO2 after surgery in the two groups (P > 0.05). There was no significant difference between patient satisfaction and surgeon satisfaction in the two groups (P > 0.05). Conclusions: Binaural beat music is effective in reducing anxiety and pain, controlling hemodynamic changes, and increasing the satisfaction of patients undergoing eye surgery, and can be a suitable alternative for opioid and sedative medications in anesthetized patients undergoing eye surgery.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionsupporting

confidence: 90%

See 1 more Smart Citation

The Effect of Binaural Beat Music on Reducing Anxiety and Pain and Increasing Satisfaction of Ophthalmic Patients

Roshani

Rezaei

Azadi

et al. 2020

J Kermanshah Univ Med Sci

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“…16 Another recent study also showed similar effect on haemodynamics in patients undergoing cataract surgery under local anaesthesia. 17 Sarkar et al, and Bansal et al, showed results contrary to ours with no changes in BP using music. 1,2 On observing HR between both groups, we found the profile to be similar to MAP with lower heart rate levels in Group M starting from ten minutes after administering spinal till end of surgery.…”

Section: Resultscontrasting

confidence: 84%

Music: an effective anxiolytic during caesarean section under spinal anaesthesia

et al. 2019

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Background: Parturient undergoing repeat caesarean section (CS) under spinal anaesthesia usually experience anxiety due to unpleasant operative environment. Music therapy has been found to have positive psychological impact to relieve anxiety, improve patient satisfaction and provide stable haemodyanamics.Methods: Sixty patients without any co morbidity having history of previous CS, scheduled for another caesarean under spinal anaesthesia were included in the study. Patients were divided into two groups of 30 each. Group(M) patients were subjected to hearing music of their choice with the help of headphones after administration of spinal anaesthesia till the end of surgery. Group(N) patients were not made to listen to any music but headphones were applied. Haemodyanamic parameters including mean arterial pressure (MAP) and heart rate (HR), visual analogue score for anxiety (VASA) after administering spinal block and at the end of surgery, patient satisfaction score (PSS) and comparison of anxiety with previous CS were observed and recorded.Results: Both MAP and HR in Group M started falling after 10 minutes of spinal anaesthesia as compared to Group N and difference was significant (P <0.005), VASA 2 (2.2±1.8) in Group M was significantly lower than VASA 1 (5.4±1.7). PSS was also in favour of music group (Group M) and difference was highly significant as compared to group N (p=0.018). Patient’s anxiety as compared to anxiety with previous CS was lesser in Group M as compared to Group N(p=0.009).Conclusions: Music is a non-invasive tool to relieve anxiety during intraoperative period along with higher patient satisfaction and stable haemodyanamics.

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“…Binaural beat music was described as a special type of audio by Gerald Oster over 40 years ago [10]. It has recently been considered as a therapeutic tool for neuropsychologists and clinicians, with its potential to decrease perioperative anxiety in previous reports [11,12]. This could be generated when two audio waves of different frequency present to each ear separately.…”

Section: Introductionmentioning

confidence: 99%

The Effectiveness of Binaural Beat Audio on Anxiety State In Patients Undergoing Fiberoptic Bronchoscopy: A Prospective Randomised Controlled Trial

Opartpunyasarn

Vichitvejpaisal

Oer-Areemitr

2020

Preprint

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Background: Fiberoptic bronchoscopy is an invasive procedure known to contribute anxiety in patients. Binaural beat, an audio technology with different frequency between ears to entrain the brainwaves, has been used to reduce anxiety in some operations. This study aimed to determine the anxiolytic effects of binaural beat in patients undergoing fiberoptic bronchoscopy. Methods: All eligible subjects were randomly assigned to receive binaural beat music, plain music, or no music. They were asked to wear earphones approximately 15 minutes before, during, and after the bronchoscopy. The level of anxiety was measured with State-Trait Anxiety Inventory (STAI) questionnaires. Blood pressure, heart rate, and sedative drug use were also recorded.Results: One hundred and twelve subjects were included and randomised into 3 groups, including binaural beat music (n=38), plain music (n=38), and no music (n=36). Baseline characteristics were non-significantly different between the groups. The mean change of post-bronchoscopy STAI state scores in binaural beat music, plain music, and no music groups was -7.26 (p<0.001), -3.92 (p=0.005), and -1.12 (p=0.454), respectively. The mean systolic blood pressure and diastolic blood pressure were significantly decreased from baseline for -9.89 (p=0.002) and -5.76 (p=0.005), respectively in binaural group. The mean heart rate were increased from baseline for 3.32 (p=0.035), 5.21 (p=0.038), and 3.64 (p=0.149) in binaural beat music, plain music, and no music groups, respectively.Conclusions: The binaural beat music was proven to reduce anxiety among patients undergoing fiberoptic bronchoscopy.Trial registration: TCTR, TCTR20200915002. Registered 14 September 2020 - Retrospectively registered.

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The effect of music with and without binaural beat audio on operative anxiety in patients undergoing cataract surgery: a randomized controlled trial

Cited by 82 publications

References 20 publications

The Effect of Binaural Beat Music on Reducing Anxiety and Pain and Increasing Satisfaction of Ophthalmic Patients

The Effect of Binaural Beat Music on Reducing Anxiety and Pain and Increasing Satisfaction of Ophthalmic Patients

Music: an effective anxiolytic during caesarean section under spinal anaesthesia

The Effectiveness of Binaural Beat Audio on Anxiety State In Patients Undergoing Fiberoptic Bronchoscopy: A Prospective Randomised Controlled Trial

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