Improved recovery after music and therapeutic suggestions during general anaesthesia: a double-blind randomised controlled trial
Article first published online: 20 DEC 2001
Acta Anaesthesiologica Scandinavica
Volume 45, Issue 7, pages 812–817, August 2001
How to Cite
Nilsson, U., Rawal, N., Uneståhl, L. E., Zetterberg, C. and Unosson, M. (2001), Improved recovery after music and therapeutic suggestions during general anaesthesia: a double-blind randomised controlled trial. Acta Anaesthesiologica Scandinavica, 45: 812–817. doi: 10.1034/j.1399-6576.2001.045007812.x
- Issue published online: 20 DEC 2001
- Article first published online: 20 DEC 2001
- Received 24 September 2000, accepted for publication 26 February 2001
- therapeutic suggestions;
- general anesthesia;
Purpose: This study was designed to determine whether music or music in combination with therapeutic suggestions in the intra-operative period under general anaesthesia could improve the recovery of hysterectomy patients.
Methods: In a double-blind randomised clinical investigation, 90 patients who underwent hysterectomy under general anaesthesia were intra-operatively exposed to music, music in combination with therapeutic suggestion or operation room sounds. The anaesthesia was standardised. Postoperative analgesia was provided by a patient-controlled analgesia (PCA). The pain scores were recorded by means of a visual analogue scale. Nausea, emesis, bowel function, fatigue, well-being and duration of hospital stay were studied as outcome variables.
Results: On the day of surgery, patients exposed to music in combination with therapeutic suggestions required less rescue analgesic compared with the controls. Patients in the music group experienced more effective analgesia the first day after surgery and could be mobilised earlier after the operation. At discharge from the hospital patients in the music and music combined with therapeutic suggestion group were less fatigued compared to the controls. No differences were noted in nausea, emesis, bowel function, well-being or length of hospital stay between the groups.
Conclusion: This double-blind study has demonstrated that intra-operative music and music in combination with therapeutic suggestions may have some beneficial effects on postoperative recovery after hysterectomy. Further controlled studies are necessary to confirm our results.