The effect of audio therapy to treat postoperative pain in children undergoing major surgery: a randomized controlled trial
- First Online:
- 1.4k Downloads
To evaluate the analgesic effect of music and audiobooks in children undergoing major surgical procedures when compared to a control (silence) group.
The study was a prospective and randomized trial. Children undergoing major surgeries were randomized to one of the three groups: music, audiobook or control (silence). The primary outcome was the pain burden reduction by two treatments within 48 h postoperatively. Pain burden was measured using the area under the pain scale versus the 30 min interval for each treatment.
60 patients were recruited and 56 completed the study. Pain burden was reduced in the music and audiobook groups compared to control, median (IQR) of −60 (−90 to 0), −45 (−90 to 0) and 0 (−30 to 90) (min × pain score), respectively, P = 0.04. A linear regression analysis demonstrated an independent group effect on pain reduction even after adjusting for the mean pain scores recorded at the beginning of the treatment, slope of regression line −56.8 ± 24 goodness of fit r2 = 0.25 and slope significantly different from 0 (P = 0.02).
Audio therapy is an efficacious adjunct method to decrease post-surgical pain in children undergoing major surgeries. Audio therapy should be considered as an important strategy to minimize pain in children undergoing major surgery.
KeywordsMusic post-surgical pain Music treatment pain surgery children
- 4.Monitto CL, Kost-Byerly S, White E, Lee CK, Rudek MA, Thompson C, Yaster M (2011) The optimal dose of prophylactic intravenous naloxone in ameliorating opioid-induced side effects in children receiving intravenous patient-controlled analgesia morphine for moderate to severe pain: a dose finding study. Anesth Analg 113:834–842PubMedGoogle Scholar
- 12.Robb SL, Burns DS, Stegenga KA, Haut PR, Monahan PO, Meza J, Stump TE, Cherven BO, Docherty SL, Hendricks-Ferguson VL, Kintner EK, Haight AE, Wall DA, Haase JE (2014) Randomized clinical trial of therapeutic music video intervention for resilience outcomes in adolescents/young adults undergoing hematopoietic stem cell transplant: a report from the Children’s Oncology Group. Cancer 120:909–917PubMedCrossRefGoogle Scholar
- 20.Miller TE, Thacker JK, White WD, Mantyh C, Migaly J, Jin J, Roche AM, Eisenstein EL, Edwards R, Anstrom KJ, Moon RE, Gan TJ, Enhanced Recovery Study Group (2014) Reduced length of hospital stay in colorectal surgery after implementation of an enhanced recovery protocol. Anesth Analg 118:1052–1061PubMedCrossRefGoogle Scholar