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Intraoperative music application in children and adolescents – a pilot study
Author(s) -
Buehler P. K.,
Spielmann N.,
Buehrer S.,
Schmidt A. R.,
Weiss M.,
Schmitz A.
Publication year - 2017
Publication title -
acta anaesthesiologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.738
H-Index - 107
eISSN - 1399-6576
pISSN - 0001-5172
DOI - 10.1111/aas.12935
Subject(s) - medicine , inguinal hernia , interquartile range , incidence (geometry) , distress , pediatric surgery , inguinal hernia surgery , physical therapy , anesthesia , pediatrics , surgery , hernia , clinical psychology , physics , optics
Background Hospitalization, surgery and anaesthesia may lead to new‐onset maladaptive behaviour, emotional distress and trauma. This pilot study aims to investigate the influence of intraoperatively applied music on post‐operative behaviour in children and adolescents. Methods Children with an ASA physical state classification of I or II , aged from 4 to 16 years and scheduled for elective circumcision or inguinal hernia repair under combined general and caudal anaesthesia were included. The children were randomized into two groups. They wore headphones during surgery, and were either exposed to music or not. All involved staff were blinded. Post‐operative behaviour was documented by parents on day 7, 14 and 28 after surgery, using a questionnaire adapted from the “Post Hospitalization Behavioural Questionnaire” ( PHBQ ). Overall occurrence of at least one item indicating maladaptive behaviour was the primary outcome. Data are presented as median (interquartile range). Results In total, 135 children aged 6.6 (5.3–8.5) years, weighing 22 (19–29) kg, were included, with 112 completed questionnaires returned. Overall occurrence of at least one maladaptive item was lower in the music group, with a significantly lower incidence on day 7 (51% vs. 77% in controls; P < 0.01). Conclusion Intraoperative music application in children undergoing minor surgical procedures may reduce the incidence of post‐operative maladaptive behaviour within the first week.