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Belyad S, Talakoub R, Aarabi A. The Effect of Soundproof Headphones During Orthopedic Surgery Under Spinal Anesthesia on Patients' Physiological Indices and Duration of Recovery: A Randomized, Controlled, Clinical Trial. J Perianesth Nurs 2024; 39:379-385. [PMID: 38180393 DOI: 10.1016/j.jopan.2023.08.016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2023] [Revised: 06/06/2023] [Accepted: 08/26/2023] [Indexed: 01/06/2024]
Abstract
PURPOSE With spinal anesthesia, the patient remains awake and may hear different noises when undergoing orthopedic surgery, and these noises may lead to some discomfort. The aim of this study was to investigate the effect of wearing soundproof headphones during orthopedic surgery under spinal anesthesia on the patients' physiological indices and duration of recovery. DESIGN This was a randomized clinical trial with a control group. METHODS The sample included 184 patients selected through convenience sampling, who were then randomly allocated to the control and intervention groups. Data were collected by observation and by filling out a researcher-made checklist. Soundproof headphones were placed on the patients' ears during surgery in the intervention group, while the patients in the control group underwent surgery with no headphones. Physiological indices were measured at five time points, and the patients' length of stay in the postanesthesia care unit (PACU) was also measured. FINDINGS The mean changes in systolic and diastolic blood pressure were significantly lower in the intervention group (P < .02 and P < .005) at two of the time points. The mean changes in heart rate were also significantly lower in the intervention group (P < .003, P < .01) at four time points. The respiratory rate and oxygen saturation were both significantly higher in the intervention group (P < .001, P < .03, P < .002, P < .008) at four time points. The two groups also had significant differences (P = .004) in terms of the length of stay in the PACU, which was shorter in the intervention group. CONCLUSIONS Reducing the exposure to noise via soundproof headphones may improve patients' physiological indices in noisy orthopedic surgeries, and may also decrease their length of stay in the PACU. This method is recommended as an easy and applicable way to ameliorate the patients' experiences of this surgery.
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Affiliation(s)
- Saeed Belyad
- Department of Operating Room, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Reihanak Talakoub
- Anesthesiology and Critical Care Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Akram Aarabi
- Nursing and Midwifery Care Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
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Cheung PS, McCaffrey T, Tighe SM, Mohamad MM. Healthcare practitioners' experiences and perspectives of music in perinatal care in Ireland: An exploratory survey. Midwifery 2024; 132:103987. [PMID: 38599130 DOI: 10.1016/j.midw.2024.103987] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2023] [Revised: 03/11/2024] [Accepted: 04/02/2024] [Indexed: 04/12/2024]
Abstract
INTRODUCTION Evidence shows that music can promote the wellbeing of women and infants in the perinatal period. Ireland's National Maternity Strategy (2016-2026) suggests a holistic approach to woman's healthcare needs and music interventions are ideally placed as a non-pharmacological and cost-effective intervention to improve the quality of care offered to women and infants. This cross-sectional survey aimed to explore the healthcare practitioners' personal and professional experiences of using music therapeutically and its impact and barriers in practice. The survey also investigated practitioners' knowledge and attitudes towards the use of music as a therapeutic tool in perinatal care. METHODS A novel online survey was developed and distributed through healthcare practitioners' electronic mailing lists, social media, Perinatal Mental Health staff App, and posters at the regional maternity hospital during 26th June and 26th October 2020. Survey items included demographics, personal and professional use of music, and perspectives on music intervention in perinatal care. RESULTS Forty-six healthcare practitioners from across 11 professions were recruited and 42 were included in this study. 98 % of perinatal practitioners used music intentionally to support their wellbeing and 75 % referred to using music in their work. While 90 % found music beneficial in their practice, 15 % reported some negative effect. Around two-thirds of the respondents were familiar with the evidence on music and perinatal wellbeing and 95 % thought there was not enough guidance. 40 % considered music therapy an evidence-based practice and 81 % saw a role for music therapy in standard maternity service in Ireland. The qualitative feedback on how music was used personally and professionally, its' reported benefits, negative effects, and barriers are discussed. DISCUSSION This study offers insights into how healthcare practitioners viewed and applied music in perinatal practice. The findings indicate high interest and positive experiences in using music as a therapeutic tool in perinatal care which highlights the need for more evidence and guidance.
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Affiliation(s)
- Pui Sze Cheung
- Irish World Academy of Music and Dance, University of Limerick, Limerick V94DK18, Ireland; Health Research Institute, University of Limerick, Limerick, V94DK18, Ireland.
| | - Tríona McCaffrey
- Irish World Academy of Music and Dance, University of Limerick, Limerick V94DK18, Ireland; Health Research Institute, University of Limerick, Limerick, V94DK18, Ireland
| | - Sylvia Murphy Tighe
- Health Research Institute, University of Limerick, Limerick, V94DK18, Ireland; Department of Nursing and Midwifery, University of Limerick, Limerick V94DK18, Ireland
| | - Mas Mahady Mohamad
- Specialist Perinatal Mental Health Team, University Maternity Hospital Limerick, Limerick V94C566, Ireland; School of Medicine, University of Limerick, V94DK18, Ireland
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Pasquer A, Ducarroz S, Lifante JC, Skinner S, Poncet G, Duclos A. Operating room organization and surgical performance: a systematic review. Patient Saf Surg 2024; 18:5. [PMID: 38287316 PMCID: PMC10826254 DOI: 10.1186/s13037-023-00388-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2023] [Accepted: 12/29/2023] [Indexed: 01/31/2024] Open
Abstract
BACKGROUND Organizational factors may influence surgical outcomes, regardless of extensively studied factors such as patient preoperative risk and surgical complexity. This study was designed to explore how operating room organization determines surgical performance and to identify gaps in the literature that necessitate further investigation. METHODS We conducted a systematic review according to PRISMA guidelines to identify original studies in Pubmed and Scopus from January 1, 2000 to December 31, 2019. Studies evaluating the association between five determinants (team composition, stability, teamwork, work scheduling, disturbing elements) and three outcomes (operative time, patient safety, costs) were included. Methodology was assessed based on criteria such as multicentric investigation, accurate population description, and study design. RESULTS Out of 2625 studies, 76 met inclusion criteria. Of these, 34 (44.7%) investigated surgical team composition, 15 (19.7%) team stability, 11 (14.5%) teamwork, 9 (11.8%) scheduling, and 7 (9.2%) examined the occurrence of disturbing elements in the operating room. The participation of surgical residents appeared to impact patient outcomes. Employing specialized and stable teams in dedicated operating rooms showed improvements in outcomes. Optimization of teamwork reduced operative time, while poor teamwork increased morbidity and costs. Disturbances and communication failures in the operating room negatively affected operative time and surgical safety. CONCLUSION While limited, existing scientific evidence suggests that operating room staffing and environment significantly influences patient outcomes. Prioritizing further research on these organizational drivers is key to enhancing surgical performance.
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Affiliation(s)
- Arnaud Pasquer
- Research On Healthcare Performance RESHAPE, Université Claude Bernard, Inserm U1290, Lyon 1, France.
- Department of Digestive and Colorectal Surgery, Edouard Herriot University Hospital, 5 Place d' Arsonval, 69003, Lyon, France.
- Lyon University, Claude Bernard Lyon 1 University, Villeurbanne, France.
| | - Simon Ducarroz
- Research On Healthcare Performance RESHAPE, Université Claude Bernard, Inserm U1290, Lyon 1, France
| | - Jean Christophe Lifante
- Research On Healthcare Performance RESHAPE, Université Claude Bernard, Inserm U1290, Lyon 1, France
- Health Data Department, Hospices Civils de Lyon, France
- Lyon University, Claude Bernard Lyon 1 University, Villeurbanne, France
- Department of Endocrine Surgery, Hospices Civils de Lyon, Lyon, France
| | - Sarah Skinner
- Research On Healthcare Performance RESHAPE, Université Claude Bernard, Inserm U1290, Lyon 1, France
- Health Data Department, Hospices Civils de Lyon, France
| | - Gilles Poncet
- Department of Digestive and Colorectal Surgery, Edouard Herriot University Hospital, 5 Place d' Arsonval, 69003, Lyon, France
- INSERM, UMR 1052-UMR5286, UMR 1032 Lyon Cancer Research Center, Faculté Laennec, Lyon, France
- Lyon University, Claude Bernard Lyon 1 University, Villeurbanne, France
| | - Antoine Duclos
- Research On Healthcare Performance RESHAPE, Université Claude Bernard, Inserm U1290, Lyon 1, France
- Health Data Department, Hospices Civils de Lyon, France
- Lyon University, Claude Bernard Lyon 1 University, Villeurbanne, France
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Hennenberg J, Hecking M, Sterz F, Hassemer S, Kropiunigg U, Debus S, Stastka K, Löffler-Stastka H. Exploring the Synergy of Music and Medicine in Healthcare: Expert Insights into the Curative and Societal Role of the Relationship between Music and Medicine. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:6386. [PMID: 37510618 PMCID: PMC10380075 DOI: 10.3390/ijerph20146386] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/31/2023] [Revised: 07/11/2023] [Accepted: 07/14/2023] [Indexed: 07/30/2023]
Abstract
Our study aimed to investigate the correlation between medicine, health perception, and music as well as the role of music in the healthcare setting. To gain insights into the dynamics between these two fields, we gathered opinions from attendees and presenters at an international conference on music medicine, musicians' health, and music therapy. A team of six interviewers conducted a total of 26 semi-structured interviews. The interview guide focused on four predetermined themes: (1) "music in medicine", (2) "performing arts medicine", (3) "music for the individual", and (4) "music for society". The responses were analyzed using grounded theory methods as well as thematic and content analysis. To enhance the analytical strength, investigator triangulation was employed. Within the predefined themes, we identified several subthemes. Theme 1 encompassed topics such as "listening and performing music for treating diseases and establishing non-verbal relationships", "the value of music in specific disorders, end-of-life care, and pain management", and "the design of sound spaces". Theme 2 explored aspects including the "denial and taboo surrounding physical and mental health issues among musicians", "the importance of prevention", and an antithesis: "pain and suffering driving creativity". Theme 3 addressed the "mental role of music in ordinary and extraordinary life" as well as "music's ability to enable self-conditioning". Lastly, Theme 4 examined the role of music in "cultural self-identification" and "development and education for children". Throughout the interviews, participants expressed a lack of knowledge and awareness regarding interdisciplinary research and the fields of music and medicine. Our findings affirm the significance of music therapy and performing arts medicine as well as the broader relationship between music and medicine. They highlight the potential benefits of perception and experiential pathways for individuals and, consequently, for human society.
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Affiliation(s)
- Juliane Hennenberg
- Department of Biomedical Imaging and Image-Guided Therapy, Medical University of Vienna, 1090 Wien, Austria
| | - Manfred Hecking
- Department of Internal Medicine III, Medical University of Vienna, 1090 Wien, Austria
| | - Fritz Sterz
- Department of Emergency Medicine, Medical University of Vienna, 1090 Wien, Austria
| | - Simeon Hassemer
- Department of Psychoanalysis and Psychotherapy, Medical University of Vienna, 1090 Wien, Austria
| | - Ulrich Kropiunigg
- Department of Medical Psychology, Medical University of Vienna, 1090 Wien, Austria
| | - Sebastian Debus
- Department of Vascular Medicine, Vascular Surgery-Angiology-Endovascular Therapy, University Medical Center of Hamburg-Eppendorf, 20251 Hamburg, Germany
| | - Kurt Stastka
- Department of Psychiatry, Klinik Favoriten Hospital of Vienna, 1100 Wien, Austria
| | - Henriette Löffler-Stastka
- Department of Psychoanalysis and Psychotherapy, Medical University of Vienna, 1090 Wien, Austria
- Mental Health and Behavioural Medicine Program, Medical University of Vienna, 1090 Wien, Austria
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Nasri BN, Mitchell JD, Jackson C, Nakamoto K, Guglielmi C, Jones DB. Distractions in the operating room: a survey of the healthcare team. Surg Endosc 2023; 37:2316-2325. [PMID: 36070145 PMCID: PMC9450817 DOI: 10.1007/s00464-022-09553-8] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2022] [Accepted: 08/08/2022] [Indexed: 11/19/2022]
Abstract
BACKGROUND Distractions during surgical procedures are associated with team inefficiency and medical error. Little is published about the healthcare provider's perception of distraction and its adverse impact in the operating room. We aim to explore the perception of the operating room team on multiple distractions during surgical procedures. METHODS A 26-question survey was administered to surgeons, anesthesia team members, nurses, and scrub technicians at our institution. Respondents were asked to identify and rank multiple distractions and indicate how each distraction might affect the flow of surgery. RESULTS There was 160 responders for a response rate of 19.18% (160/834), of which 71 (44.1%) male and 82 (50.9%) female, 48 (29.8%) surgeons, 59 (36.6%) anesthesiologists, Certified Registered Nurse Anesthetists (CRNA), and 53 (32.9%) OR nurses and scrub technicians. Responders were classified into a junior group (< 10 years of experience) and a senior group (≥ 10 years). Auditory distraction followed by equipment were the most distracting factors in the operating room. All potential auditory distractions in this survey were associated with higher percentage of certain level of negative impact on the flow of surgery except for music. The top 5 distractors belonged to equipment and environment categories. Phone calls/ pagers/ beepers and case relevant communications were consistently among the top 5 most common distractors. Case relevant communications, music, teaching, and consultation were the top 4 most perceived positive impact on the flow of surgery. Distractors with higher levels of "bothersome" rating appeared to associate with a higher level of perceived negative impact on the flow of surgery. Vision was the least distracting factor and appeared to cause minimal positive impact on the flow of surgery. CONCLUSIONS To our knowledge, this is the first survey studying perception of surgery, anesthesia, and OR staff on various distractions in the operating room. Fewer unnecessary distractions might improve the flow of surgery, improve OR teamwork, and potentially improve patient outcomes.
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Affiliation(s)
- Bao-Ngoc Nasri
- Department of Surgery, Division of Bariatric & Minimally Invasive Surgery, Beth Israel Deaconess Medical Center, Boston, MA, USA.
| | - John D Mitchell
- Department of Anesthesia, Beth Israel Deaconess Medical Center, Boston, MA, USA.,Department of Anesthesia, Pain Management, and Perioperative Medicine, Henry Ford Health, MI, USA
| | - Cullen Jackson
- Department of Anesthesia, Beth Israel Deaconess Medical Center, Boston, MA, USA
| | - Keitaro Nakamoto
- Department of Surgery, Division of Bariatric & Minimally Invasive Surgery, Beth Israel Deaconess Medical Center, Boston, MA, USA
| | - Charlotte Guglielmi
- Perioperative Service, Beth Israel Deaconess Medical Center, Boston, MA, USA
| | - Daniel B Jones
- Department of Surgery, Division of Bariatric & Minimally Invasive Surgery, Beth Israel Deaconess Medical Center, Boston, MA, USA.,Surgery, New Jersey Medical School, Newark, NJ, USA
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Urps N, Kelly K, Zambito G, Banks-Venegoni A. Who drops the beat? Effects of music on residents in laparoscopic surgery. Am J Surg 2023; 225:931-933. [PMID: 36858868 DOI: 10.1016/j.amjsurg.2023.01.023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2022] [Revised: 01/19/2023] [Accepted: 01/20/2023] [Indexed: 01/25/2023]
Abstract
BACKGROUND Music is played in the operating room and commonly chosen by the surgeon or circulating nurse. The aim of this study is to measure the effect of different genres of music on resident performance in laparoscopic surgery. METHODS This is a prospective observational study including residents from a university-affiliated general surgery program who performed standardized laparoscopic skills while listening to music. RESULTS 64% of residents ranked pop music as their favorite genre followed by classic rock, country, and classical at 17%, 11% and 8% respectively. For peg transfer and intracorporeal knot tying, the task completion time was fastest with pop music (57.4 s p < 0.49, 109.6 s p < 0.47) and slowest with classical (61.4 s p < 0.49, 148.1 s p < 0.47). CONCLUSIONS Pop music was ranked the most favored genre and found to have the fastest task completion times however, no genre of music was statistically significant in improving resident performance.
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Affiliation(s)
- Nicole Urps
- Spectrum Health, Michigan State University School of Medicine, Spectrum Health Medical Group, Grand Rapids, MI, USA.
| | - Kathrine Kelly
- Spectrum Health, Michigan State University School of Medicine, Spectrum Health Medical Group, Grand Rapids, MI, USA
| | - Giuseppe Zambito
- Spectrum Health, Michigan State University School of Medicine, Spectrum Health Medical Group, Grand Rapids, MI, USA
| | - Amy Banks-Venegoni
- Spectrum Health, Michigan State University School of Medicine, Spectrum Health Medical Group, Grand Rapids, MI, USA
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Vickhoff B. Why art? The role of arts in arts and health. Front Psychol 2023; 14:765019. [PMID: 37034911 PMCID: PMC10075207 DOI: 10.3389/fpsyg.2023.765019] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/26/2021] [Accepted: 02/23/2023] [Indexed: 04/11/2023] Open
Abstract
This article is an answer to a report called "What is the evidence on the role of the arts in improving health and well-being?" The authors conclude that the arts have an impact on mental and physical health. Yet, the question of the role of the arts remains unanswered. What is and what is not an art effect? Recently, embodied theory has inspired articles on the perception of art. These articles have not yet received attention in the field of Arts and Health. Scholars in psychosomatic medicine have argued for an approach based on recent work in enactive embodied theory to investigate the connection between the body and the mind. The present article examines how key concepts in this theory relate to art. This leads to a discussion of art in terms of empathy-the relation between the internal state of the artist and the internal state of the beholder. I exemplify with a conceptual framework of musical empathy. Implications for health are addressed.
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Hamad F, Moacdieh NM, Banat R, Lakissian Z, Al-Qaisi S, Zaytoun G, Sharara-Chami R. Perceptions on music and noise in the operating room: a cross-sectional study. INTERNATIONAL JOURNAL OF OCCUPATIONAL SAFETY AND ERGONOMICS 2022; 28:2168-2172. [PMID: 34496715 DOI: 10.1080/10803548.2021.1978729] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Abstract
Objectives. Noise in operating rooms (ORs) during surgery may affect OR personnel and pose a threat to patient safety. The sources of noise vary depending on the operation. This study aimed to investigate how OR staff perceived noise, whether music was considered noise and what its perceived effects were. Methods. Surgeons, anaesthesiologists, residents and nurses were interviewed. iPads were placed in the ORs to gather noise-level data. Results. Ninety-one interviews were conducted. Most participants (60.5%) reported the presence of noise and 25% the presence of music in the OR. Noise data from iPads registered levels ranging between 59.52 and 85.60 dB(A). χ2 analyses yielded significant results between participants' role and the perceived effects of noise (p = 0.02). Responses to open-ended questions were thematically categorized. Conclusions. Surgeons generally chose the music played in ORs and were likely positively inclined to its effects, while anaesthesiologists and nurses minded the lack of choice and were more likely to consider it as noise.
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Affiliation(s)
- Fadi Hamad
- Department of Industrial Engineering and Management, American University of Beirut, Lebanon
| | - Nadine Marie Moacdieh
- Department of Industrial Engineering and Management, American University of Beirut, Lebanon
| | - Rim Banat
- Dar Al-Wafaa Simulation in Medicine, American University of Beirut Medical Center, Lebanon
| | - Zavi Lakissian
- Dar Al-Wafaa Simulation in Medicine, American University of Beirut Medical Center, Lebanon
| | - Saif Al-Qaisi
- Department of Industrial Engineering and Management, American University of Beirut, Lebanon
| | - George Zaytoun
- Department of Otorhinolaryngology - Head and Neck Surgery, American University of Beirut Medical Center, Lebanon
| | - Rana Sharara-Chami
- Department of Pediatrics and Adolescent Medicine, American University of Beirut Medical Center, Lebanon
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Caponnetto P, LaMattina G, Quattropani MC. Music therapy and psychological-clinical impact in surgery: a systematic review. Health Psychol Res 2022; 10:38615. [PMID: 36425235 PMCID: PMC9680838 DOI: 10.52965/001c.38615] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/30/2023] Open
Abstract
BACKGROUND Music therapy is a discipline that makes use of music, active or passive, to produce beneficial effects on the psyche of subjects. The field of use of music therapy has recently been broadened with the introduction of music therapy interventions to treat various problems, such as anxiety and stress, arising from pre- and post-operative psychophysical conditions. This review aims to examine the use of music therapy and its outcomes in the context of surgery in recent years. METHODS The main procedure was to search for studies on various scientific platforms such as PubMed, Medline, PsycINFO and CINAHL.Many studies pertaining to the topic in question were examined and from the variety of articles available, thirty-four were selected that fully reflected the focus of this review. CONCLUSIONS The use of music therapy is still little exploited in hospital conditions such as the one reported in this review, but despite its reduced use compared to other treatments, it has proved to be an effective technique for reducing anxiety and stress prior to surgery and for improving psychophysical conditions following surgery. Above all, the absence of side effects is emphasised since it is a nonpharmacological treatment. Further research is needed for additional confirmation of the effectiveness of music therapy mainly because this method is still being explored worldwide.
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Affiliation(s)
- Pasquale Caponnetto
- Department of Educational Sciences, University of Catania; Department of Clinical and Experimental Medicine, Center of Excellence for the acceleration of Harm Reduction (CoEHAR), University of Catania
| | - Gaia LaMattina
- Department of Educational Sciences, University of Catania
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Instrument for the evaluation of higher surgical training experience in the operating theatre. J Laryngol Otol 2022; 137:565-569. [PMID: 35793835 DOI: 10.1017/s0022215122001554] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
Abstract
OBJECTIVE The operating theatre, as the primary learning environment for surgeons, needs to be conducive to achieve successful training. A validated 27-item questionnaire aimed at evaluating the training experience of higher surgical trainees in the operating theatre was developed. METHODS The initial questionnaire was developed using a literature review and a focus group. Items were validated with content validity index (CVI) and Cronbach's alpha. RESULTS The initial version of 33 questions was modified in the focus group into a 29-item 4-point Likert scale questionnaire covering 3 areas. Of these 29 items, 27 reached the threshold CVI of 0.87, and they achieved a Cronbach's alpha of 0.89 from 17 responses. CONCLUSION The quantitative validations in the instrument are comparable to other existing medical education evaluation tools. Aspects of non-technical skills and human factors were featured heavily and perceived to be important for learning in the operating theatre.
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Han Y, Zheng B, Zhao L, Hu J, Zhang C, Xiao R, Wang C, Pu D. Impact of background music on the performance of laparoscopy teams. BMC MEDICAL EDUCATION 2022; 22:439. [PMID: 35672819 PMCID: PMC9172190 DOI: 10.1186/s12909-022-03503-7] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/04/2021] [Accepted: 05/27/2022] [Indexed: 02/08/2023]
Abstract
BACKGROUND Acoustic conditions in the operating room have different impacts on surgeon's performance. Their effects on the performance of surgical teams are not well documented. We investigated if laparoscopic teams operating under pleasant acoustic conditions would perform better than under noisy conditions. METHODS We recruited 114 surgical residents and built 57 two-person teams. Each team was required to perform two laparoscopic tasks (object transportation and collaborative suturing) on a simulation training box under music, neutral, and noisy acoustic conditions. Data were extracted from video recordings of each performance for analysis. Task performance was measured by the duration of time to complete a task and the total number of errors, and objective performance scores. The measures were compared over the three acoustic conditions. RESULTS A music environment elicited higher performance scores than a noisy environment for both the object transportation (performance score: 66.3 ± 8.6 vs. 57.6 ± 11.2; p < 0.001) and collaborative suturing tasks (78.6 ± 5.4 vs. 67.2 ± 11.1; p < 0.001). Task times in the music and noisy environments was subtracted to produce a music-noisy difference time. Pearson correlation coefficient analysis showed a significant negative relationship between the team experience score and the music-noisy difference time on the object transportation (r = - 0.246, p = 0.046) and collaborative suturing tasks (r = - 0.248, p = 0.044). CONCLUSIONS As to individuals, music enhances the performance of a laparoscopy team while a noisy environment worsens performance. The negative correlation between team experience and music-noisy difference time suggests that laparoscopy teams composed of experienced surgeons are less likely affected by an acoustic distraction than the noisy teams. Team resistance to acoustic distraction may lead to a new way for assessing team skills.
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Affiliation(s)
- Ying Han
- West China Medical Simulation Center, West China Hospital, Sichuan University, Chengdu, Sichuan Province, 610041, People's Republic of China
| | - Bin Zheng
- Department of Surgery, University of Alberta, Alberta, Canada
| | - Linyong Zhao
- Department of Gastrointestinal Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan Province, People's Republic of China, 610041
| | - Jiankun Hu
- Department of Gastrointestinal Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan Province, People's Republic of China, 610041
| | - Chao Zhang
- West China Medical Simulation Center, West China Hospital, Sichuan University, Chengdu, Sichuan Province, 610041, People's Republic of China
| | - Ran Xiao
- West China Medical Simulation Center, West China Hospital, Sichuan University, Chengdu, Sichuan Province, 610041, People's Republic of China
| | - Chunyan Wang
- West China Academic Exchange Center of Health and Medicine, Chengdu, Sichuan Province, People's Republic of China, 610041
| | - Dan Pu
- West China Medical Simulation Center, West China Hospital, Sichuan University, Chengdu, Sichuan Province, 610041, People's Republic of China.
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A prospective randomized controlled trial assessing the effect of music on patients' anxiety in venous catheter placement procedures. Sci Rep 2022; 12:6922. [PMID: 35484279 PMCID: PMC9050649 DOI: 10.1038/s41598-022-10862-0] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2021] [Accepted: 04/14/2022] [Indexed: 11/29/2022] Open
Abstract
The aim of the study was to assess the influence of music on anxiety levels compared to standard patient care in patients undergoing venous catheter placement procedures. This prospective randomized controlled trial included patients undergoing placement procedures for peripherally inserted central venous catheters (PICC), ports and central venous catheters (CVC). Patients were randomly assigned to a music intervention group (MIG) and a control group (CTRL). State and trait anxiety levels were assessed as primary outcome using the state-trait anxiety inventory (STAI) before and after the procedures. Secondary outcomes comprised averaged heart rate for all participants and time of radiological surveillance for port placement procedures exclusively. 72 participants were included into the final analysis (MIG n = 40; CTRL n = 32). All procedures were successful and no major complications were reported. Mean levels for post-interventional anxieties were significantly lower in the MIG compared to the CTRL (34.9 ± 8.9 vs. 44 ± 12.1; p < 0.001). Mean heart rate in the MIG was significantly lower than in the CTRL (76.1 ± 13.7 vs. 93 ± 8.9; p < 0.001). Procedure time for port implantation was significantly longer in the MIG by 3 min 45 s (p = 0.031). Music exposure during central venous catheter placement procedures highly significantly reduces anxiety and stress levels and can be used to improve patients’ overall experience in the angio suite.
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Yang C, Möttig F, Weitz J, Reissfelder C, Mees ST. Effect of Genre and amplitude of music during laparoscopic surgery. Langenbecks Arch Surg 2022; 407:2115-2121. [PMID: 35332368 DOI: 10.1007/s00423-022-02490-z] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2021] [Accepted: 03/06/2022] [Indexed: 11/27/2022]
Abstract
PURPOSE Music is often played in operating theaters. In the literature, the effects of music on surgeons are controversial. We aimed to investigate the effect of different music genres and amplitudes on laparoscopic performance. METHODS Novice surgeons underwent a proficiency-based laparoscopic training curriculum. Participants were required to perform these tasks under three conditions: no music, with music in medium volume (45-50 dB) and in high volume (65-70 dB). Soft rock by the Beatles and hard rock by AC/DC were played. Task performance was evaluated by analyzing speed and accuracy. RESULTS With soft rock in medium volume, participants were faster in peg transfer (60.3 vs. 56.7 s, P = 0.012) and more accurate in suture with intracorporeal knot (79.2 vs. 54.0, P = 0.011) compared to without music. The total score was improved (383.4 vs. 337.9, P = 0.0076) by enhancing accuracy (79.5 vs. 54.0, P = 0.011). This positive effect was lost if the soft rock was played in high volume. With hard rock in medium volume, participants were faster performing precision cutting (139.4 vs. 235.8, P = 0.0009) compared to without music. Both balloon preparation and precision cutting were performed more rapidly (227.3 vs. 181.4, P = 0.003, 139.4 vs. 114.0, P < 0.0001) and the accuracy was maintained. Hard rock in high volume also resulted in increased speed (366.7 vs. 295.5, P < 0.0001) compared to without music. Thereby, the total scores of participants were enhanced (516.5 vs. 437.1, P = 0.002). CONCLUSION Our data reveal that the effect of music on laparoscopic performance might depend on the combination of music genre and amplitude. A generally well-accepted music genre in the right volume could improve the performance of novice surgeons during laparoscopic surgeries. TRIAL REGISTRATION DRKS00026759, register date: 18.10.2021 (retrospectively registered).
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Affiliation(s)
- Cui Yang
- Department of Visceral-, Thoracic and Vascular Surgery, University Hospital Carl Gustav Carus, Technical University Dresden, Dresden, Germany.
- Department of Surgery, Universitätsmedizin Mannheim, Medical Faculty Mannheim, University Heidelberg, Mannheim, Germany.
| | - Franziska Möttig
- Department of Visceral-, Thoracic and Vascular Surgery, University Hospital Carl Gustav Carus, Technical University Dresden, Dresden, Germany
| | - Juergen Weitz
- Department of Visceral-, Thoracic and Vascular Surgery, University Hospital Carl Gustav Carus, Technical University Dresden, Dresden, Germany
| | - Christoph Reissfelder
- Department of Visceral-, Thoracic and Vascular Surgery, University Hospital Carl Gustav Carus, Technical University Dresden, Dresden, Germany
- Department of Surgery, Universitätsmedizin Mannheim, Medical Faculty Mannheim, University Heidelberg, Mannheim, Germany
| | - Soeren Torge Mees
- Department of Visceral-, Thoracic and Vascular Surgery, University Hospital Carl Gustav Carus, Technical University Dresden, Dresden, Germany
- Klinik Für Allgemein-, Viszeral- und Thoraxchirurgie, Städtisches Klinikum Dresden, Dresden, Germany
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14
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Nees LK, Grozinger P, Orthmann N, Rippinger N, Hennigs A, Sohn C, Domschke C, Wallwiener M, Rom J, Riedel F. The Influence of Different Genres of Music on the Performance of Medical Students on Standardized Laparoscopic Exercises. JOURNAL OF SURGICAL EDUCATION 2021; 78:1709-1716. [PMID: 33812805 DOI: 10.1016/j.jsurg.2021.03.008] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/11/2021] [Revised: 03/08/2021] [Accepted: 03/12/2021] [Indexed: 06/12/2023]
Abstract
PURPOSE Whether and how music influences the performance of surgical procedures such as laparoscopy is unclear and can be feasibly determined using laparoscopic box training tools under standardized conditions. The aim of this prospective study is to evaluate the effect of different genres of music on the performance of laparoscopic novices. METHODS Between May 2018 and December 2018, n = 82 students (38 male, 44 female) from Heidelberg University Medical School performed 3 different laparoscopic exercises (A, B, C) from the "Luebecker Toolbox" with 2 repetitions each under standardized conditions. Time was recorded for each exercise. The students were assigned either to one of four groups, each of which was exposed to a compilation of music from 1 genre (hip hop, classical, rock, or mixed radio music), or to a fifth, control group, without exposure to music. The music was played at a constant sound pressure level of 70 decibels . Each group was compared with the others using a t-test for independent samples. RESULTS Exposure to music generally led to better performance compared with the control group. Compared with exposure to mixed radio music or to rock, significantly better performance could be demonstrated for exposure to classical music in Exercise B, with an average exposure time of 127 s needed (± 21.4; p < 0.05). No significant differences could be demonstrated for Exercise A, though for classical music, best performance was possible with 120 s (±17.3) of exposure. In Exercise C, hip hop triggered significantly better performance than rock or radio music (p < 0.05). CONCLUSIONS At an sound pressure level of 70 decibels, exposure to classical music or hip hop appears to have beneficial effects on training performance for surgical novices under standardized conditions.
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Affiliation(s)
- Lisa Katharina Nees
- Heidelberg University Hospital, Department of Gynecology and Obstetrics, Heidelberg, Baden-Württemberg, Germany
| | - Philipp Grozinger
- Heidelberg University Hospital, Department of Gynecology and Obstetrics, Heidelberg, Baden-Württemberg, Germany
| | - Natalie Orthmann
- Asklepios Hospital Hamburg-Barmbek, Department of Gynecology and Obstetrics, Hamburg, Germany
| | - Nathalie Rippinger
- Heidelberg University Hospital, Department of Gynecology and Obstetrics, Heidelberg, Baden-Württemberg, Germany
| | - André Hennigs
- Heidelberg University Hospital, Department of Gynecology and Obstetrics, Heidelberg, Baden-Württemberg, Germany
| | - Christof Sohn
- Heidelberg University Hospital, Department of Gynecology and Obstetrics, Heidelberg, Baden-Württemberg, Germany
| | - Christoph Domschke
- Heidelberg University Hospital, Department of Gynecology and Obstetrics, Heidelberg, Baden-Württemberg, Germany
| | - Markus Wallwiener
- Heidelberg University Hospital, Department of Gynecology and Obstetrics, Heidelberg, Baden-Württemberg, Germany
| | - Joachim Rom
- Frankfurt-Hoechst Hospital, Department of Gynecology and Obstetrics, Frankfurt, Germany
| | - Fabian Riedel
- Heidelberg University Hospital, Department of Gynecology and Obstetrics, Heidelberg, Baden-Württemberg, Germany.
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15
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Jayadev C. Commentary: Sound of music for surgical stressors! Indian J Ophthalmol 2021; 69:2287-2288. [PMID: 34427201 PMCID: PMC8544029 DOI: 10.4103/ijo.ijo_833_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/02/2022] Open
Affiliation(s)
- Chaitra Jayadev
- Department of Vitreoretina, Narayana Nethralaya Eye Institute, Bangalore, Karnataka, India
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16
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Ambler M, Springs S, Garcia D, Born C. Heterogeneity of outcomes for intraoperative music interventions: a scoping review and evidence map. BMJ Evid Based Med 2021; 26:116-117. [PMID: 32816900 DOI: 10.1136/bmjebm-2020-111382] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 07/13/2020] [Indexed: 01/08/2023]
Abstract
BACKGROUND Over the past 30 years, numerous studies have been performed that assess the efficacy of intraoperative music as an adjunctive means to regional and local anaesthesia to improve clinical outcomes. Despite an emerging body of evidence and growing adoption of music in surgical settings, the variety of interventions studied, and the heterogeneity of outcomes and outcome measurement tools applied makes difficult the task of aggregating evidence. OBJECTIVE This study assesses the state of the field of intraoperative musical interventions by documenting and visualising the breadth of outcomes measured in studies. DESIGN Scoping review and evidence map. METHODS Three electronic databases (PubMed, Embase and a music-focussed research database, RILM (International Music Literature Repository)) were searched for full-text articles published between January 1991 and July 2019. Results from these searches were screened and relevant data was extracted from full-text articles on type of music intervention and type of anaesthesia; outcomes measured were recorded in an evidence map in order to identify the current state of the field and assess for trends in outcome measurements. INTERVENTIONS Music administered to adult patients via headphones or speakers under regional or local sedation in during the intraoperative period. RESULTS Twenty-one studies with a total of 2283 patients were included. A total of 42 unique outcomes were measured across the 21 studies, with each measuring an average of 6.41±2.63 outcomes. Systolic blood pressure, diastolic blood pressure, heart rate, anxiety, pain, patient satisfaction, respiratory rate and sedation requirements were the most prevalent outcomes reported. Only 15 outcome measures (36%) were used in more than one study, while the remaining 27 outcome measures (64%) were identified in only one study in our review. CONCLUSIONS Our scoping review identifies that almost two-thirds of studies in this field used >1 outcome measure unique to that study (not also used in other studies), which hinders opportunities to aggregate data across studies and meta-analyse evidence. Future studies should provide clear documentation regarding the intervention and consider using valid and reliable outcome tools. Researchers should consider standardisation when appropriate and adopting the use of core outcome sets for conditions where these sets have been developed.
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Affiliation(s)
- Melanie Ambler
- Brown University Division of Biology and Medicine, Providence, Rhode Island, USA
- Diane Weiss Center for Orthopaedic Trauma Research, Rhode Island Hospital, Providence, Rhode Island, USA
| | - Stacey Springs
- Center for Evidence Synthesis, Brown University School of Public Health, Providence, Rhode Island, USA
| | - Dioscaris Garcia
- Diane Weiss Center for Orthopaedic Trauma Research, Rhode Island Hospital, Providence, Rhode Island, USA
| | - Christopher Born
- Diane Weiss Center for Orthopaedic Trauma Research, Rhode Island Hospital, Providence, Rhode Island, USA
- Department of Orthopaedic Surgery, Brown University Warren Alpert Medical School, Providence, Rhode Island, USA
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17
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Nees LK, Grozinger P, Orthmann N, Deutsch TM, Hennigs A, Domschke C, Wallwiener M, Rom J, Riedel F. Evaluating the influence of music at different sound pressure levels on medical students' performance of standardized laparoscopic box training exercises. BMC MEDICAL EDUCATION 2021; 21:209. [PMID: 33849503 PMCID: PMC8042978 DOI: 10.1186/s12909-021-02627-6] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 12/08/2020] [Accepted: 03/22/2021] [Indexed: 06/12/2023]
Abstract
BACKGROUND The influence of music on the performance of surgical procedures such as laparoscopy is controversial and methodologically difficult to quantify. Here, outcome measurements using laparoscopic box training tools under standardized conditions might offer a feasible approach. To date, the effect of music exposure at different sound pressure levels (SPL) on outcome has not been evaluated systematically for laparoscopic novices. METHODS Between May 2017 and October 2018, n = 87 students (49 males, 38 females) from Heidelberg University Medical School performed three different laparoscopy exercises using the "Luebecker Toolbox" that were repeated twice under standardized conditions. Time was recorded for each run. All students were randomly assigned to four groups exposed to the same music compilation but at different SPLs (50-80 dB), an acoustically shielded (earplug) group, or a control group (no intervention). RESULTS Best absolute performance was shown under exposure to 70 dB in all three exercises (a, b, c) with mean performance time of 121, 142, and 115 s (p < 0.05 for a and c). For the control group mean performance times were 157, 144, and 150 s, respectively. In the earplug group, no significant difference in performance was found compared to the control group (p > 0.05) except for exercise (a) (p = 0.011). CONCLUSION Music exposure seems to have beneficial effects on training performance. In comparison to the control group, significantly better results were reached at 70 dB SPL, while exposure to lower (50 or 60 dB) or higher (80 dB) SPL as well as under acoustic shielding did not influence performance.
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Affiliation(s)
- Lisa Katharina Nees
- Department of Gynecology and Obstetrics, Heidelberg University Hospital, Im Neuenheimer Feld 440, D-69120, Heidelberg, Germany
| | - Philipp Grozinger
- Department of Gynecology and Obstetrics, Heidelberg University Hospital, Im Neuenheimer Feld 440, D-69120, Heidelberg, Germany
| | - Natalie Orthmann
- Asklepios Klinik Hamburg-Altona, Department of Gynecology and Obstetric, Hamburg, Germany
| | - Thomas Maximilian Deutsch
- Department of Gynecology and Obstetrics, Heidelberg University Hospital, Im Neuenheimer Feld 440, D-69120, Heidelberg, Germany
| | - André Hennigs
- Department of Gynecology and Obstetrics, Heidelberg University Hospital, Im Neuenheimer Feld 440, D-69120, Heidelberg, Germany
| | - Christoph Domschke
- Department of Gynecology and Obstetrics, Heidelberg University Hospital, Im Neuenheimer Feld 440, D-69120, Heidelberg, Germany
| | - Markus Wallwiener
- Department of Gynecology and Obstetrics, Heidelberg University Hospital, Im Neuenheimer Feld 440, D-69120, Heidelberg, Germany
| | - Joachim Rom
- Klinikum Frankfurt-Hoechst, Department of Gynecology and Obstetrics, Frankfurt, Germany
| | - Fabian Riedel
- Department of Gynecology and Obstetrics, Heidelberg University Hospital, Im Neuenheimer Feld 440, D-69120, Heidelberg, Germany.
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18
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Hepp P, Fleisch M, Hasselbach K, Fehm T, Schaal NK. Use of music during vaginal birth and caesarean section: an interprofessional survey. Arch Gynecol Obstet 2021; 304:355-363. [PMID: 33486579 PMCID: PMC8277630 DOI: 10.1007/s00404-020-05958-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2020] [Accepted: 12/26/2020] [Indexed: 11/28/2022]
Abstract
PURPOSE Evidence abounds about the beneficial effects of music on patients and healthcare professionals for many medical indications. This study aimed to evaluate the dissemination and use of music in the obstetrical setting. METHODS Invitations to an online survey were sent to physicians and midwives of all obstetrics departments in Germany. The survey gathered descriptive data as well as information about the personal relation to music and the use of it during vaginal birth (VB) and caesarean section (CS) and whether data about positive or negative effects of music were known to the participant. RESULTS In total, there were 293 respondents. The 47% that had the means to play music during CS stated that music was played in 15% of the cases. Most respondents have the means to play music during VB (97%). Music is played in 38% of VB. Regardless of the mode of delivery, music was estimated to be positive for team communication and patient communication. It was also deemed calming and mood lifting on the respondents. Regarding the patient, music during CS and VB was rated as being positive on all scales. Listening to music was recommended more often during VB (66%) than CS (38%). CONCLUSIONS Although healthcare professionals are mostly aware of the beneficial effects of music in obstetrics, our study shows that music plays a more important role during VB than during CS in Germanys obstetrical wards. There is a lack of equipment to play music in operation theatres where CS take place.
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Affiliation(s)
- Philip Hepp
- University Witten/Herdecke, Landesfrauenklinik, Wuppertal, Germany. .,University Hospital Augsburg, Frauenklinik, Stenglinstr. 2, 86156, Augsburg, Germany.
| | - Markus Fleisch
- University Witten/Herdecke, Landesfrauenklinik, Wuppertal, Germany
| | - Kathrin Hasselbach
- Department for Cognitive Psychology, Heinrich-Heine-University Düsseldorf, Düsseldorf, Germany
| | - Tanja Fehm
- University Hospital Düsseldorf, Frauenklinik, Heinrich-Heine-University Düsseldorf, Düsseldorf, Germany
| | - Nora K Schaal
- Department for Cognitive Psychology, Heinrich-Heine-University Düsseldorf, Düsseldorf, Germany
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19
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Chung CW, Kalbavi V, Siegel JB, Taber DJ, Rohan V. Music Therapy in Dialysis Access Procedures With Moderate Sedation. Am Surg 2020; 88:70-73. [PMID: 33371722 DOI: 10.1177/0003134820973383] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
BACKGROUND The aim was to evaluate the effects of music on patients' anxiety and satisfaction after undergoing dialysis access procedures under moderate sedation. METHODS Patients (n = 30) undergoing moderate sedation for dialysis access procedures were evaluated at a single institution. Each patient filled out a survey preoperatively and postoperatively using the short form State-Trait Anxiety Inventory (STAI-6). Patient-selected music was provided by using a MP3 player with noise canceling headphones. RESULTS Postoperatively, 77% of patients perceived music intervention as very or extremely helpful in decreasing anxiety during the procedure. Further, 93% of patients were somewhat or very satisfied with their procedure. The average pain rating was 3.1 on a scale of 0-10, in which 70% of patients had no to mild pain and 30% of patients rated moderate to severe pain. In comparison to prior procedures without music, 63% of patients rated better experience with the music intervention, 37% rated a similar experience, and 3.7% rated having a worse experience. Approximately, 93% of patients were willing to repeat procedure with music and would recommend it to other patients. Preoperative anxiety average score was 35.6 ± 13 and was reduced postoperatively to 28.9 ± 12.9 (P = .006). Preoperatively, 23% of patients rated high anxiety and postoperatively only 6.7% of patients rated high anxiety (P = .016). CONCLUSION Music is an easy, feasible, inexpensive intervention that may reduce patients' anxiety and improve satisfaction during moderate sedation procedures and in the postoperative period.
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Affiliation(s)
- Catherine W Chung
- Division of Transplant Surgery, 2345Medical University of South Carolina, Charleston, SC, USA
| | - Vishal Kalbavi
- 367854Central Michigan University Medical School, Mount Pleasant, MI, USA
| | - Julie B Siegel
- Division of Transplant Surgery, 2345Medical University of South Carolina, Charleston, SC, USA
| | - David J Taber
- Division of Transplant Surgery, 2345Medical University of South Carolina, Charleston, SC, USA
| | - Vinayak Rohan
- Division of Transplant Surgery, 2345Medical University of South Carolina, Charleston, SC, USA
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20
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Froschauer SM, Holzbauer M, Kwasny O, Kastner P, Schnelzer RF, Hopfner M, Duscher D. Effect of Music on the Efficiency of Performing a Microsurgical Arterial Anastomosis: A Prospective Randomized Study. J Hand Microsurg 2020; 15:13-17. [PMID: 36761056 PMCID: PMC9904975 DOI: 10.1055/s-0040-1716992] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
Abstract
Introduction Music is commonly played in operating rooms. Because microsurgery demands utmost concentration and precise motor control, we conducted the present study to investigate a potentially beneficial impact of music on performing a microsurgical anastomosis. Materials and Methods We included a novice group (15 inexperienced medical students) and a professional group (15 experienced microsurgeons) in our study. Simple randomization was performed to allocate participants to the music-playing first or music-playing second cohort. Each participant performed two end-to-end anastomoses on a chicken thigh model. Participant demographics, their subjective preference for work environment (music/no music), and time to completion were noted. The performance of the participants was assessed using the Stanford Microsurgery and Resident Training (SMaRT) scale by an independent examiner, and the final anastomoses were evaluated according to the anastomosis lapse index. Results Listening to music had no significant effect on time to completion, SMaRT scale, and anastomosis lapse index scores in both novice and professional cohorts. However, the subjective preference to work while listening to music correlated with high SMaRT scale scores within the professional cohort ( p = 0.044). Conclusion Playing their preferred music in the operating room improves the performance scores of surgeons, but only if they subjectively appreciate working with background music.
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Affiliation(s)
- Stefan M. Froschauer
- Department for Trauma Surgery and Sport Traumatology, Johannes Kepler University Linz, Kepler University Hospital GmbH, Linz, Austria,Medical Faculty, Johannes Kepler University Linz, Linz, Austria,Address for correspondence Stefan M. Froschauer, MD Department for Trauma Surgery and Sport Traumatology, Kepler University Hospital GmbHAltenbergerstraße 69, 4040 LinzAustria
| | | | - Oskar Kwasny
- Department for Trauma Surgery and Sport Traumatology, Johannes Kepler University Linz, Kepler University Hospital GmbH, Linz, Austria,Medical Faculty, Johannes Kepler University Linz, Linz, Austria
| | | | - Richard F. Schnelzer
- Department for Trauma Surgery and Sport Traumatology, Johannes Kepler University Linz, Kepler University Hospital GmbH, Linz, Austria
| | - Meike Hopfner
- Department for Trauma Surgery and Sport Traumatology, Johannes Kepler University Linz, Kepler University Hospital GmbH, Linz, Austria
| | - Dominik Duscher
- Department for Trauma Surgery and Sport Traumatology, Johannes Kepler University Linz, Kepler University Hospital GmbH, Linz, Austria,Department for Plastic and Hand Surgery, Technical University Munich, Munich, Germany
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21
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Leitsmann C, Uhlig A, Popeneciu IV, Boos M, Ahyai SA, Schmid M, Wachter R, Trojan L, Friedrich M. The Silent Operation Theatre Optimisation System (SOTOS ©) to reduce noise pollution during da Vinci robot-assisted laparoscopic radical prostatectomy. J Robot Surg 2020; 15:519-527. [PMID: 32776286 PMCID: PMC7416589 DOI: 10.1007/s11701-020-01135-x] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2020] [Accepted: 08/03/2020] [Indexed: 11/25/2022]
Abstract
To reduce noise pollution and consequently stress during robot-assisted laparoscopic radical prostatectomy (RALP) the aim of our study was to evaluate the silent operation theatre optimisation system (SOTOS) in its effectiveness. In the operating room (OR) the noise level is between 80 and 85 decibel (dB). Noise corresponds to a major stress factor for surgical teams and especially surgeons. The use of the da Vinci surgical system entails an additional aspect of noise in the OR. The SOTOS surgical team used wired or wireless headphone/microphone combinations to communicate. We measured sound pressure levels in two different locations in the OR and the heart rate of every surgical team member as an indicator of the stress level. We further captured subjective acceptance of SOTOS as well as perioperative data such as surgical time. We prospectively randomised 32 RALP patients into two study arms. Sixteen surgeries were performed using SOTOS and 16 without (control). Overall, the mean sound pressure level in the SOTOS group was 3.6 dB lower compared to the control (p < 0.001). The highest sound pressure level measured was 96 dB in the control group. Mean heart rates were 81.3 beats/min for surgeons and 90.8 beats/min for circulating nurses. SOTOS had no statistically significant effect on mean heart rates of the operating team. Subjective acceptance of SOTO was high. Our prospective evaluation of SOTOS in RALP could show a significant noise reduction in the OR and a high acceptance by the surgical stuff.
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Affiliation(s)
- Conrad Leitsmann
- Department of Urology, University Medical Center Goettingen, Robert-Koch-Straße 40, 37075, Goettingen, Germany.
| | - Annemarie Uhlig
- Department of Urology, University Medical Center Goettingen, Robert-Koch-Straße 40, 37075, Goettingen, Germany
| | - I Valentin Popeneciu
- Department of Urology, University Medical Center Goettingen, Robert-Koch-Straße 40, 37075, Goettingen, Germany
| | - Margarete Boos
- Department of Social and Communication Psychology, Georg-Elias-Mueller-Institute of Psychology, University of Goettingen, Goettingen, Germany
| | - Sascha A Ahyai
- Department of Urology, University Medical Center Goettingen, Robert-Koch-Straße 40, 37075, Goettingen, Germany
| | - Marianne Schmid
- Department of Urology, University Medical Center Goettingen, Robert-Koch-Straße 40, 37075, Goettingen, Germany
| | - Rolf Wachter
- Clinic for Cardiology and Pneumology, University Medical Center Goettingen, Goettingen, Germany.,Clinic and Policlinic for Cardiology, University Hospital Leipzig, Leipzig, Germany
| | - Lutz Trojan
- Department of Urology, University Medical Center Goettingen, Robert-Koch-Straße 40, 37075, Goettingen, Germany
| | - Martin Friedrich
- Department of Thoracic and Cardiovascular Surgery, University Medical Center Goettingen, Goettingen, Germany
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22
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Kacem I, Kahloul M, El Arem S, Ayachi S, Hafsia M, Maoua M, Ben Othmane M, El Maalel O, Hmida W, Bouallague O, Ben Abdessalem K, Naija W, Mrizek N. Effects of music therapy on occupational stress and burn-out risk of operating room staff. Libyan J Med 2020; 15:1768024. [PMID: 32449482 PMCID: PMC7448868 DOI: 10.1080/19932820.2020.1768024] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022] Open
Abstract
The operating theatre staff is exposed to various constraints such as excessive working hours, severe medical conditions and dreadful consequences in case of malpractice. These working conditions may lead to high and chronic levels of stress, which can interfere with medical staff well-being and patients quality of care. The aim of this study is toassess the impact of music therapy on stress levels and burnout risk on the operating room staff. This is a pre-experimental study including the operating rooms staff of urology and maxillofacial surgery in the academic hospital of Sahloul Sousse (Tunisia) over a period of six weeks. The study consisted of three phases. The first was an initial assessment of stress level with a predefined survey. The second included three music therapy sessions per day over one month. The third was an immediate stress level reassessment following the intervention. Stress levels were evaluated using the Perceived Stress Scale version PSS-10 and the Maslach Burnout Inventory. The overall response rate was 73.9%.The average age of the study population was 37.8 ± 7.7 years with a female predominance (64.7%). After the music therapy program, Perceived Stress Scale average score decreased from 22 ± 8.9 to 16 ± 7.9 (p = 0.006). Concerning the burnout, only the average score of emotional exhaustion decreased significantly from 27 ± 10.8 to 19.2 ± 9.5 (p = 0.004). Music therapy is an innovative approach that seems to reduce operating theatre staff stress. It must be considered as a non pharmacological, simple, economic and non invasive preventive tool.
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Affiliation(s)
- I Kacem
- Faculty of Medicine of Sousse, Université de Sousse , Sousse, Tunisia.,Department of Occupational Medicine, Farhat Hached Academic Hospital , Sousse, Tunisia
| | - M Kahloul
- Faculty of Medicine of Sousse, Université de Sousse , Sousse, Tunisia.,Department of Anesthesia and Intensive Care, Sahloul Academic Hospital , Sousse, Tunisia
| | - S El Arem
- Faculty of Medicine of Sousse, Université de Sousse , Sousse, Tunisia.,Department of Urology, Sahloul Academic Hospital , Sousse, Tunisia
| | - S Ayachi
- Faculty of Medicine of Sousse, Université de Sousse , Sousse, Tunisia.,Department of Maxillofacial Surgery, Sahloul Academic Hospital , Sousse, Tunisia
| | - M Hafsia
- Faculty of Medicine of Sousse, Université de Sousse , Sousse, Tunisia.,Department of Occupational Medicine, Farhat Hached Academic Hospital , Sousse, Tunisia
| | - M Maoua
- Faculty of Medicine of Sousse, Université de Sousse , Sousse, Tunisia.,Department of Occupational Medicine, Farhat Hached Academic Hospital , Sousse, Tunisia
| | - M Ben Othmane
- Faculty of Medicine of Sousse, Université de Sousse , Sousse, Tunisia.,Department of Urology, Sahloul Academic Hospital , Sousse, Tunisia
| | - O El Maalel
- Faculty of Medicine of Sousse, Université de Sousse , Sousse, Tunisia.,Department of Occupational Medicine, Farhat Hached Academic Hospital , Sousse, Tunisia
| | - W Hmida
- Faculty of Medicine of Sousse, Université de Sousse , Sousse, Tunisia.,Department of Urology, Sahloul Academic Hospital , Sousse, Tunisia
| | - O Bouallague
- Faculty of Medicine of Sousse, Université de Sousse , Sousse, Tunisia.,Laboratory of Microbiology, Sahloul Academic Hospital , Sousse, Tunisia
| | - K Ben Abdessalem
- Faculty of Medicine of Sousse, Université de Sousse , Sousse, Tunisia.,Department of Anesthesia and Intensive Care, Sahloul Academic Hospital , Sousse, Tunisia
| | - W Naija
- Faculty of Medicine of Sousse, Université de Sousse , Sousse, Tunisia.,Department of Anesthesia and Intensive Care, Sahloul Academic Hospital , Sousse, Tunisia
| | - N Mrizek
- Faculty of Medicine of Sousse, Université de Sousse , Sousse, Tunisia.,Department of Occupational Medicine, Farhat Hached Academic Hospital , Sousse, Tunisia
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Bazzi M, Lundèn M, Ahlberg K, Bergbom I, Hellström M, Lundgren SM, Fridh I. Patients’ lived experiences of waiting for and undergoing endovascular aortic repair in a hybrid operating room: A qualitative study. J Clin Nurs 2019; 29:810-820. [DOI: 10.1111/jocn.15129] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2019] [Revised: 10/09/2019] [Accepted: 11/10/2019] [Indexed: 12/27/2022]
Affiliation(s)
- May Bazzi
- Institute of Health and Care Sciences Sahlgrenska Academy at Gothenburg University Gothenburg Sweden
| | - Maud Lundèn
- Institute of Health and Care Sciences Sahlgrenska Academy at Gothenburg University Gothenburg Sweden
| | - Karin Ahlberg
- Institute of Health and Care Sciences Sahlgrenska Academy at Gothenburg University Gothenburg Sweden
| | - Ingegerd Bergbom
- Institute of Health and Care Sciences Sahlgrenska Academy at Gothenburg University Gothenburg Sweden
| | - Mikael Hellström
- Department of Radiology Sahlgrenska University Hospital and Sahlgrenska Academy Gothenburg University Gothenburg Sweden
| | - Solveig M. Lundgren
- Institute of Health and Care Sciences Sahlgrenska Academy at Gothenburg University Gothenburg Sweden
| | - Isabell Fridh
- Faculty of Caring Sciences, Work Life & Social Welfare University of Borås Borås Sweden
- Department of Anesthesiology and Intensive Care Sahlgrenska University Hospital Gothenburg Sweden
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El Boghdady M, Ewalds-Kvist BM. The influence of music on the surgical task performance: A systematic review. Int J Surg 2019; 73:101-112. [PMID: 31760139 DOI: 10.1016/j.ijsu.2019.11.012] [Citation(s) in RCA: 24] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2019] [Revised: 10/26/2019] [Accepted: 11/12/2019] [Indexed: 10/25/2022]
Abstract
INTRODUCTION Music is commonly played in operating theatres. Music was shown to diminish stress of the surgical team along with reducing the patient's anxiety before surgery. On the other hand, it has been revealed that music might give rise to negative effects of divided attention causing distraction in surgical routines. Therefore, we aimed to systematically review the effect of music on the surgeon's task performance. METHODS A systematic review was performed in compliance with the PRISMA (Preferred Reporting Items for Systematic Review and Meta-Analysis) and AMSTAR (Assessing the methodological quality of systematic reviews) guidelines. A literature search using PubMed/Medline, ScienceDirect and Google Scholar, was performed by means of the search terms: "music and operating theatre", as well as "music and surgery". The search was limited to citations in English from year 2009-2018. Search items were considered from the nature of the articles, date of publication, forum of publication, aims and main findings in relation to use of music in operating theatres. Grading of Recommendations Assessment, Development and Evaluation (GRADE) criteria were applied. Studies were included based on predetermined inclusion criteria where after the papers' quality assessments and evidence grading were completed by two independent reviewers. The protocol was registered with the PROSPERO register of systematic reviews. RESULTS Out of 18 studies that formed the base for evidence evaluations, 6 studies were assessed as having high quality and 8 studies of moderate quality. Five studies, provided both strong and moderate scientific evidence for a positive effect of music on surgeon's task performance. In contrast, strong scientific evidence for a negative effect of music on surgeon's task performance also was revealed in 2 high-quality studies. Nevertheless, the positive effect of music on the surgical task performance was significantly higher when compared to its negative effect (p < 0.0001). CONCLUSION Certain music elements affect the surgical task performance in a positive or negative way. The total and significant outcome of the present study was that the positive effect of music on surgeon's task performance, overrides its negative effect. Classic music when played with a low to medium volume can improve the surgical task performance by increasing both accuracy and speed. The distracting effect of music should also be put in consideration when playing a loud or high-beat type of music in the operating theatres.
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Mitta N, Jayakumar V, Dhanpal N, Raj JP, Prabhakaran RA, Kannan K, Venugopal A, Subramanyam SG. Surgical Notes: To Play or Not to Play. World J Surg 2019; 43:2740-2746. [PMID: 31367781 DOI: 10.1007/s00268-019-05090-z] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
INTRODUCTION Music is any sound that is perceived as pleasingly harmonious. The link between music and healthcare can be traced long back in the history of mankind. Thus, our study aimed at assessing the impact of different genre of music on the cognition functioning, memory and attention levels of the surgeons. MATERIALS AND METHODS It was a single-arm interventional trial assessing 45 surgeons from different specialities. Each participant was expected to do 5 sets of tasks, one set each for the 5 music tracks played. Each task set further contained 5 different types of tasks, namely trail marking, jigsaw puzzle, backward counting, comprehension and memory game using cards. The 5 music tracks included ambient OR noise, music of personal preference, western classical, heavy metal and pop music. Scores were assigned for each task and compared. RESULTS The total score for music of personal choice was much less (19.68) when compared to the other genre and that for pop was the highest (25.03). Memory card tests and backward counting (tests of short-term memory) were comparatively better with music of personal choice. However, trail marking (test of speed) and jigsaw puzzle and comprehension tests (tests of complex neurological functions) were least performed when music of personal choice was played. CONCLUSION Music of choice may help in short-term memory recall, but an over-familiarity with the music played can serve as a distractor thus affecting the speed and accuracy.
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Affiliation(s)
- Nivedita Mitta
- Department of General Surgery, St. John's Medical College and Hospital, John Nagar, Bangalore, 560034, India.
| | - Vivekanandan Jayakumar
- Department of General Surgery, St. John's Medical College and Hospital, John Nagar, Bangalore, 560034, India
| | - Nikhil Dhanpal
- Department of General Surgery, St. John's Medical College and Hospital, John Nagar, Bangalore, 560034, India
| | - Jeffrey Pradeep Raj
- Department of Pharmacology, St. John's Medical College and Hospital, John Nagar, Bangalore, 560034, India
| | - Roshini Antony Prabhakaran
- Department of General Surgery, St. John's Medical College and Hospital, John Nagar, Bangalore, 560034, India
| | - Karthikeyan Kannan
- Department of General Surgery, St. John's Medical College and Hospital, John Nagar, Bangalore, 560034, India
| | - Anirudh Venugopal
- Department of General Surgery, St. John's Medical College and Hospital, John Nagar, Bangalore, 560034, India
| | - S G Subramanyam
- Department of General Surgery, St. John's Medical College and Hospital, John Nagar, Bangalore, 560034, India
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Al-Shargie F, Tariq U, Mir H, Alawar H, Babiloni F, Al-Nashash H. Vigilance Decrement and Enhancement Techniques: A Review. Brain Sci 2019; 9:brainsci9080178. [PMID: 31357524 PMCID: PMC6721323 DOI: 10.3390/brainsci9080178] [Citation(s) in RCA: 23] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2019] [Revised: 07/18/2019] [Accepted: 07/25/2019] [Indexed: 01/05/2023] Open
Abstract
This paper presents the first comprehensive review on vigilance enhancement using both conventional and unconventional means, and further discusses the resulting contradictory findings. It highlights the key differences observed between the research findings and argues that variations of the experimental protocol could be a significant contributing factor towards such contradictory results. Furthermore, the paper reveals the effectiveness of unconventional means of enhancement in significant reduction of vigilance decrement compared to conventional means. Meanwhile, a discussion on the challenges of enhancement techniques is presented, with several suggested recommendations and alternative strategies to maintain an adequate level of vigilance for the task at hand. Additionally, this review provides evidence in support of the use of unconventional means of enhancement on vigilance studies, regardless of their practical challenges.
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Affiliation(s)
- Fares Al-Shargie
- Department of Electrical Engineering, Biosciences and Bioengineering Research Institute, American University of Sharjah, Sharjah 26666, United Arab Emirates.
| | - Usman Tariq
- Department of Electrical Engineering, Biosciences and Bioengineering Research Institute, American University of Sharjah, Sharjah 26666, United Arab Emirates
| | - Hasan Mir
- Department of Electrical Engineering, Biosciences and Bioengineering Research Institute, American University of Sharjah, Sharjah 26666, United Arab Emirates
| | - Hamad Alawar
- Dubai Police Headquarters, Dubai 1493, United Arab Emirates
| | - Fabio Babiloni
- Dept. Molecular Medicine, University of Rome Sapienza, 00185 Rome, Italy
- College of Computer Science and Technology, Hangzhou Dianzi University, Hangzhou 310018, China
| | - Hasan Al-Nashash
- Department of Electrical Engineering, Biosciences and Bioengineering Research Institute, American University of Sharjah, Sharjah 26666, United Arab Emirates
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Sewell JL, Maggio LA, Ten Cate O, van Gog T, Young JQ, O'Sullivan PS. Cognitive load theory for training health professionals in the workplace: A BEME review of studies among diverse professions: BEME Guide No. 53. MEDICAL TEACHER 2019; 41:256-270. [PMID: 30328761 DOI: 10.1080/0142159x.2018.1505034] [Citation(s) in RCA: 45] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/23/2023]
Abstract
AIM Cognitive load theory (CLT) is of increasing interest to health professions education researchers. CLT has intuitive applicability to workplace settings, yet how CLT should inform teaching, learning, and research in health professions workplaces is unclear. METHOD To map the existing literature, we performed a scoping review of studies involving cognitive load, mental effort and/or mental workload in professional workplace settings within and outside of the health professions. We included actual and simulated workplaces and workplace tasks. RESULT Searching eight databases, we identified 4571 citations, of which 116 met inclusion criteria. Studies were most often quantitative. Methods to measure cognitive load included psychometric, physiologic, and secondary task approaches. Few covariates of cognitive load or performance were studied. Overall cognitive load and intrinsic load were consistently negatively associated with the level of experience and performance. Studies consistently found distractions and other aspects of workplace environments as contributing to extraneous load. Studies outside the health professions documented similar findings to those within the health professions, supporting relevance of CLT to workplace learning. CONCLUSION The authors discuss implications for workplace teaching, curricular design, learning environment, and metacognition. To advance workplace learning, the authors suggest future CLT research should address higher-level questions and integrate other learning frameworks.
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Affiliation(s)
- Justin L Sewell
- a Department of Medicine, Division of Gastroenterology , University of California San Francisco , San Francisco , CA , USA
| | - Lauren A Maggio
- b Department of Medicine , Uniformed Services University of the Health Sciences , Bethesda , MD , USA
| | - Olle Ten Cate
- c Center for Research and Development of Education , University Medical Center Utrecht , Utrecht , Netherlands
- d Department of Medicine, Research and Development in Medical Education , University of California San Francisco , San Francisco , CA , USA
| | - Tamara van Gog
- e Department of Education , Utrecht University , The Netherlands
| | - John Q Young
- f Department of Psychiatry , Zucker School of Medicine at Hofstra/Northwell , Hempstead , NY , USA
| | - Patricia S O'Sullivan
- d Department of Medicine, Research and Development in Medical Education , University of California San Francisco , San Francisco , CA , USA
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Beneduzzi J, Herbella FAM, Schlottmann F, Patti MG. Cognitive Assessment of Surgeons During Surgical Procedures: Influence of Time and Intraoperative Complications. World J Surg 2018; 43:143-148. [PMID: 30105636 DOI: 10.1007/s00268-018-4764-x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Abstract
INTRODUCTION Surgeon's performance may be influenced by several factors that may affect skills and judgement, which ultimately represents surgeon´s cognition. Cognition refers to all forms of knowing and awareness, such as perceiving, conceiving, remembering, reasoning, judging, imagining, and problem solving. This report aims to evaluate the effect of operative time and operative complications on surgeon´s cognition. METHODS Forty-six surgeons (mean age 31 years, 78% males) assigned to an operation expected to last for at least 2 h, volunteered for the study. All participants underwent 3 cognitive tests at the beginning of the operation and hourly, until the end of the procedure: (a) concentration (serial sevens, counting down from 100 by sevens); (b) visual (fast counting, counting the number of circles with the same color among a series of circles); and (c) motor (trail making, connecting a set of numbered dots). Intraoperative complications were recorded. RESULTS The visual test had a stable behavior along time. Concentration and motor tests tend to be performed faster. Intraoperative complications occurred in 5 (11%) cases (3 hemorrhage and 2 organ injuries). Performance time was stable for concentration and motor tests but visual test tends to be performed faster in cases with an intraoperative complication. CONCLUSION Our results showed that (1) time does not jeopardize surgeons' cognition, but rather surgeons learned to perform the tests faster, and (2) complications do not decrease surgeons' cognition.
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Affiliation(s)
- Juliana Beneduzzi
- Department of Surgery, Escola Paulista de Medicina, Rua Diogo de Faria 1087, cj 301, São Paulo, SP, 04037-003, Brazil
| | - Fernando A M Herbella
- Department of Surgery, Escola Paulista de Medicina, Rua Diogo de Faria 1087, cj 301, São Paulo, SP, 04037-003, Brazil.
| | | | - Marco G Patti
- University of North Carolina at Chapel Hill, Chapel Hill, USA
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Lane D, Palmer JB, Chen Y. A Survey of Surgeon, Nurse, Patient, and Family Perceptions of Music and Music Therapy in Surgical Contexts. ACTA ACUST UNITED AC 2018. [DOI: 10.1093/mtp/miy008] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Affiliation(s)
| | | | - Yanwen Chen
- Case Western Reserve University Medical School
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Music Soothes the Savage Beast. J Am Coll Radiol 2018; 15:590. [DOI: 10.1016/j.jacr.2017.09.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2017] [Revised: 08/29/2017] [Accepted: 09/05/2017] [Indexed: 11/20/2022]
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Kaptein AA, Hughes BM, Murray M, Smyth JM. Start making sense: Art informing health psychology. Health Psychol Open 2018; 5:2055102918760042. [PMID: 29552350 PMCID: PMC5846955 DOI: 10.1177/2055102918760042] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Growing evidence suggests that the arts may be useful in health care and in the training of health care professionals. Four art genres - novels, films, paintings and music - are examined for their potential contribution to enhancing patient health and/or making better health care providers. Based on a narrative literature review, we examine the effects of passive (e.g. reading, watching, viewing and listening) and active (e.g. writing, producing, painting and performing) exposure to the four art genres, by both patients and health care providers. Overall, an emerging body of empirical evidence indicates positive effects on psychological and physiological outcome measures in patients and some benefits to medical training. Expressive writing/emotional disclosure, psychoneuroimmunology, Theory of Mind and the Common Sense Model of Self-Regulation are considered as possible theoretical frameworks to help incorporate art genres as sources of inspiration for the further development of health psychology research and clinical applications.
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Affiliation(s)
- Ad A Kaptein
- Leiden University Medical Center, The Netherlands
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The Effects of Music on Microsurgical Technique and Performance: A Motion Analysis Study. Ann Plast Surg 2018; 78:S243-S247. [PMID: 28399026 DOI: 10.1097/sap.0000000000001047] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
BACKGROUND Music is commonly played in operating rooms (ORs) throughout the country. If a preferred genre of music is played, surgeons have been shown to perform surgical tasks quicker and with greater accuracy. However, there are currently no studies investigating the effects of music on microsurgical technique. Motion analysis technology has recently been validated in the objective assessment of plastic surgery trainees' performance of microanastomoses. Here, we aimed to examine the effects of music on microsurgical skills using motion analysis technology as a primary objective assessment tool. METHODS Residents and fellows in the Plastic and Reconstructive Surgery program were recruited to complete a demographic survey and participate in microsurgical tasks. Each participant completed 2 arterial microanastomoses on a chicken foot model, one with music playing, and the other without music playing. Participants were blinded to the study objectives and encouraged to perform their best. The order of music and no music was randomized. Microanastomoses were video recorded using a digitalized S-video system and deidentified. Video segments were analyzed using ProAnalyst motion analysis software for automatic noncontact markerless video tracking of the needle driver tip. RESULTS Nine residents and 3 plastic surgery fellows were tested. Reported microsurgical experience ranged from 1 to 10 arterial anastomoses performed (n = 2), 11 to 100 anastomoses (n = 9), and 101 to 500 anastomoses (n = 1). Mean age was 33 years (range, 29-36 years), with 11 participants right-handed and 1 ambidextrous. Of the 12 subjects tested, 11 (92%) preferred music in the OR. Composite instrument motion analysis scores significantly improved with playing preferred music during testing versus no music (paired t test, P <0.001). Improvement with music was significant even after stratifying scores by order in which variables were tested (music first vs no music first), postgraduate year, and number of anastomoses (analysis of variance, P < 0.01). CONCLUSIONS Preferred music in the OR may have a positive effect on trainees' microsurgical performance; as such, trainees should be encouraged to participate in setting the conditions of the OR to optimize their comfort and, possibly, performance. Moreover, motion analysis technology is a useful tool with a wide range of applications for surgical education and outcomes optimization.
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Albright JD, Seddighi RM, Ng Z, Sun X, Rezac DJ. Effect of environmental noise and music on dexmedetomidine-induced sedation in dogs. PeerJ 2017; 5:e3659. [PMID: 28785527 PMCID: PMC5541919 DOI: 10.7717/peerj.3659] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2017] [Accepted: 07/16/2017] [Indexed: 12/18/2022] Open
Abstract
Background Previous studies in human patients suggest depth of sedation may be affected by environmental noise or music; however, related data in domestic animals is limited. The objective of the current study was to investigate the effect of noise and music on dexmedetomidine-induced (DM- 10 µg/kg, IM) sedation in 10 dogs. Methods In a crossover design, post-DM injection dogs were immediately subjected to recorded human voices at either 55–60 decibel (dB) (Noise 1) or 80–85 dB (Noise 2); classical music at 45–50 dB (Music); or background noise of 40–45 dB (Control+). Control− included IM saline injection and exposure to 40–45 dB background noise. Sedation was assessed via monitoring spontaneous behavior and accelerometry (delta-g) throughout three 20-min evaluation periods: baseline, noise exposure, and post-treatment. Sedation was further assessed during two restraint tests at 30 min (R1) and 40 min (R2) post-injection. A mixed model for crossover design was used to determine the effect of noise exposure and time on either spontaneous behavior scores or delta-g. The restraint scores were analyzed using a two-way repeated measures ANOVA. Results Spontaneous behavior scores indicated less sedation during Noise 2 compared to Control+ (P = 0.05). R2 restraint scores for all DM treatments except Noise 2 indicated significantly higher sedation than Control− [C+ (P = 0.003), M (P = 0.014) and N1 (P = 0.044)]. Discussion Results suggest that the quality of sedation is negatively impacted by high-intensity noise conditions (80–85 dB), but exposure to music did not improve sedation in this population of research dogs.
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Affiliation(s)
- Julia D Albright
- Department of Small Animal Clinical Sciences, College of Veterinary Medicine, University of Tennessee-Knoxville, Knoxville, TN, United States of America
| | - Reza M Seddighi
- Department of Large Animal Clinical Sciences, College of Veterinary Medicine, University of Tennessee-Knoxville, Knoxville, TN, United States of America
| | - Zenithson Ng
- Department of Small Animal Clinical Sciences, College of Veterinary Medicine, University of Tennessee-Knoxville, Knoxville, TN, United States of America
| | - Xiaocun Sun
- Office of Information Technology, University of Tennessee-Knoxville, Knoxville, TN, United States of America
| | - D J Rezac
- Veterinary & Biomedical Research Center, Inc., Manhattan, KS, United States of America
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Effect of music on surgical skill during simulated intraocular surgery. Can J Ophthalmol 2017; 52:538-542. [PMID: 29217019 DOI: 10.1016/j.jcjo.2017.04.008] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2016] [Revised: 03/02/2017] [Accepted: 04/10/2017] [Indexed: 12/22/2022]
Abstract
OBJECTIVE To evaluate the effect of Mozart music compared to silence on anterior segment surgical skill in the context of simulated intraocular surgery. DESIGN Prospective stratified and randomized noninferiority trial. PARTICIPANTS Fourteen ophthalmologists and 12 residents in ophthalmology. METHODS All participants were asked to perform 4 sets of predetermined tasks on the EyeSI surgical simulator (VRmagic, Mannheim, Germany). The participants completed 1 Capsulorhexis task and 1 Anti-Tremor task during 3 separate visits. The first 2 sets determined the basic level on day 1. Then, the participants were stratified by surgical experience and randomized to be exposed to music (Mozart sonata for 2 pianos in D-K448) during either the third or the fourth set of tasks (day 2 or 3). Surgical skill was evaluated using the parameters recorded by the simulator such as "Total score" and "Time" for both tasks and task-specific parameters such as "Out of tolerance percentage" for the Anti-Tremor task and "Deviation of rhexis radius from 2.5 mm," "Roundness," and "Centering" for the Capsulorhexis task. The data were analyzed using the Wilcoxon signed-rank test. RESULTS No statistically significant differences were noted between exposure and nonexposure for all the Anti-Tremor task parameters as well as most parameters for the Capsulorhexis task. Two parameters for the Capsulorhexis task showed a strong trend for improvement with exposure to music ("Total score" +23.3%, p = 0.025; "Roundness" +33.0%, p = 0.037). CONCLUSION Exposure to music did not negatively impact surgical skills. Moreover, a trend for improvement was shown while listening to Mozart music.
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Tschiedel E, Heck V, Felderhoff-Mueser U, Dohna-Schwake C. The influence of parents' voice on the consumption of propofol for pediatric procedural sedation-a randomized controlled trial. Paediatr Anaesth 2017; 27:394-398. [PMID: 28177568 DOI: 10.1111/pan.13078] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 11/17/2016] [Indexed: 11/30/2022]
Abstract
BACKGROUND In pediatric patients, invasive procedures such as the insertion of a central venous catheter or gastroscopy require deep sedation. It is unknown whether listening to parental voice during deep sedation in children can reduce sedative doses. AIM The aim of this prospective study was to determine the effect of listening to a parent's voice during deep sedation on consumption of sedatives in children. METHODS Fifty children aged 2-14 years undergoing central line placement or gastroscopy under deep sedation with propofol were randomly assigned to two groups: (A) listening or (B) not listening their parents' recorded voice reading a standardized text by the use of earphones. Depth of sedation was monitored by Comfort Score and by Bispectral Index. RESULTS Mean sedative dose of propofol in both groups was equal (A 0.25 mg·kg-1 ·min-1 ; B 0.28 mg·kg-1 ·min-1 ; Δ -0.03 mg·kg-1 ·min-1 (CI 95% -0.08 to 0.01); P = 0.089). Furthermore, complication rate (P = 1.0) and recovery time (A 14.5 min; B 16.1 min; Δ = -1.6 min (CI 95% -6.98 to 3.81); P = 0.60) did not differ between the intervention and the control group. CONCLUSION Listening to parental voice during deep sedation does not result in a reduction of sedative dose in children undergoing short medical procedures.
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Affiliation(s)
- Eva Tschiedel
- Department of Pediatrics 1, University Hospital Essen, Essen, Germany
| | - Victoria Heck
- Department of Pediatrics 1, University Hospital Essen, Essen, Germany
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Effect of noise on tasks in operating theatres: a survey of the perceptions of healthcare staff. Br J Oral Maxillofac Surg 2017; 55:164-167. [DOI: 10.1016/j.bjoms.2016.10.011] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/02/2016] [Accepted: 10/14/2016] [Indexed: 11/20/2022]
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Fancourt D, Burton TM, Williamon A. The razor's edge: Australian rock music impairs men's performance when pretending to be a surgeon. Med J Aust 2016; 205:515-518. [PMID: 27927145 DOI: 10.5694/mja16.01045] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2016] [Accepted: 09/27/2016] [Indexed: 11/17/2022]
Abstract
OBJECTIVE Over the past few decades there has been interest in the role of music in the operating theatre. However, despite many reported benefits, a number of potentially harmful effects of music have been identified. This study aimed to explore the effects of rock and classical music on surgical speed, accuracy and perceived distraction when performing multiorgan resection in the board game Operation. DESIGN Single-blind, three-arm, randomised controlled trial. SETTING Imperial Festival, London, May 2016. PARTICIPANTS Members of the public (n = 352) aged ≥ 16 years with no previous formal surgical training or hearing impairments. METHODS Participants were randomised to listen through noise-cancelling headphones to either the sound of an operating theatre, rock music or classical music. Participants were then invited to remove three organs from the board game patient, Cavity Sam, using surgical tweezers. MAIN OUTCOME MEASURES Time taken (seconds) to remove three organs from Cavity Sam; the number of mistakes made in performing the surgery; and perceived distraction, rated on a five-point Likert-type scale from 1 (not at all distracting) to 5 (very distracting). RESULTS Rock music impairs the performance of men but not women when undertaking complex surgical procedures in the board game Operation, increasing the time taken to operate and showing a trend towards more surgical mistakes. In addition, classical music was associated with lower perceived distraction during the game, but this effect was attenuated when factoring in how much people liked the music, with suggestions that only people who particularly liked the music of Mozart found it beneficial. CONCLUSIONS Rock music (specifically Australian rock music) appears to have detrimental effects on surgical performance. Men are advised not to listen to rock music when either operating or playing board games.
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Affiliation(s)
- Daisy Fancourt
- Centre for Performance Science, Royal College of Music, London, UK
| | | | - Aaron Williamon
- Centre for Performance Science, Royal College of Music, London, UK
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Palmer JB, Lane D, Mayo D. Collaborating With Music Therapists to Improve Patient Care. AORN J 2016; 104:192-7. [DOI: 10.1016/j.aorn.2016.06.014] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2015] [Revised: 10/22/2015] [Accepted: 06/16/2016] [Indexed: 11/28/2022]
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Effects of music on sedation depth and sedative use during pediatric dental procedures. J Clin Anesth 2016; 34:647-53. [PMID: 27687464 DOI: 10.1016/j.jclinane.2016.07.001] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2015] [Revised: 06/16/2016] [Accepted: 07/06/2016] [Indexed: 11/20/2022]
Abstract
STUDY OBJECTIVE The study aimed to investigate the effects of listening to music or providing sound isolation on the depth of sedation and need for sedatives in pediatric dental patients. DESIGN Prospective, randomized, and controlled study. SETTING Tertiary, university hospital. PATIENTS In total, 180 pediatric patients, American Society of Anesthesiologists physical status I and II, who were scheduled for dental procedures of tooth extraction, filling, amputation, and root treatment. INTERVENTIONS Patients were categorized into 3 groups: music, isolation, and control. During the procedures, the patients in the music group listened to Vivaldi's The Four Seasons violin concertos by sound-isolating headphones, whereas the patients in the isolation group wore the headphones but did not listen to music. All patients were sedated by 0.1 mg/kg midazolam and 1 mg/kg propofol. During the procedure, an additional 0.5 mg/kg propofol was administered as required. MEASUREMENTS AND MAIN RESULTS Bispectral index was used for quantifying the depth of sedation, and total dosage of the propofol was used for sedative requirements. The patients' heart rates, oxygen saturations, and Observer's Assessment of Alertness and Sedation Scale and bispectral index scores, which were monitored during the operation, were similar among the groups. In terms of the amount of propofol used, the groups were similar. Prolonged postoperative recovery cases were found to be significantly frequent in the control group, according to the recovery duration measurements (P = .004). CONCLUSIONS Listening to music or providing sound isolation during pediatric dental interventions did not alter the sedation level, amount of medication, and hemodynamic variables significantly. This result might be due to the deep sedation levels reached during the procedures. However, listening to music and providing sound isolation might have contributed in shortening the postoperative recovery duration of the patients.
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Abstract
PURPOSE OF REVIEW Awake craniotomy patients are exposed to various stressful stimuli while their attention and vigilance is important for the success of the surgery. We describe several recent findings on the perception of awake craniotomy patients and address nonpharmacological perioperative factors that enhance the experience of awake craniotomy patients. These factors could also be applicable to other surgical patients. RECENT FINDINGS Proper preoperative counseling gives higher patient satisfaction and should be individually tailored to the patient. Furthermore, there is a substantial proportion of patients who have significant pain or fear during an awake craniotomy procedure. There is a possibility that this could induce post-traumatic stress disorder or related symptoms. SUMMARY Preoperative preparation is of utmost importance in awake craniotomy patients, and a solid doctor-patient relationship is an important condition. Nonpharmacological intraoperative management should focus on reduction of fear and pain by adaptation of the environment and careful and well considered communication.
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Environmental Noise as an Operative Stressor During Simulated Laparoscopic Surgery. Surg Laparosc Endosc Percutan Tech 2016; 26:133-6. [DOI: 10.1097/sle.0000000000000250] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Ardalan ZS, Vasudevan A, Hew S, Schulberg J, Lontos S. The Value of Audio Devices in the Endoscopy Room (VADER) study: a randomised controlled trial. Med J Aust 2015; 203:472-475. [PMID: 26654625 DOI: 10.5694/mja15.01096] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2015] [Accepted: 10/21/2015] [Indexed: 09/19/2023]
Abstract
OBJECTIVE To evaluate the effect of Star Wars music (SWM) compared with endoscopist-selected popular music (PM) on quality outcomes in colonoscopy. DESIGN AND SETTING A single-centre, prospective, randomised controlled trial conducted in an endoscopy suite within a quaternary-centre gastroenterology unit, Melbourne, Australia. MAIN OUTCOME MEASURES The primary outcome measures were procedure time, polyp detection rate (PDR) and adenoma detection rate (ADR). The secondary outcome measure was adenomas per colonoscopy (APC). RESULTS 103 colonoscopies were analysed: 58 in the SWM group and 45 in the PM group. Bowel preparation was assessed as good or excellent in 57% of the SWM group compared with 69% of the PM group (P < 0.01). The PDR was significantly higher in the SWM group than in the PM group (60% v 35%; P = 0.006). Similarly, the ADR was significantly higher in the SWM group than in the PM group (48% v 27%; P = 0.01). The APC in the SWM group was 84% compared with 35% in the PM group (P = 0.01). CONCLUSION SWM compared with PM improves key quality outcomes in colonoscopy, despite poorer bowel preparation.
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Hole J, Hirsch M, Ball E, Meads C. Music as an aid for postoperative recovery in adults: a systematic review and meta-analysis. Lancet 2015; 386:1659-71. [PMID: 26277246 DOI: 10.1016/s0140-6736(15)60169-6] [Citation(s) in RCA: 251] [Impact Index Per Article: 27.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
Abstract
BACKGROUND Music is a non-invasive, safe, and inexpensive intervention that can be delivered easily and successfully. We did a systematic review and meta-analysis to assess whether music improves recovery after surgical procedures. METHODS We included randomised controlled trials (RCTs) of adult patients undergoing surgical procedures, excluding those involving the central nervous system or head and neck, published in any language. We included RCTs in which any form of music initiated before, during, or after surgery was compared with standard care or other non-drug interventions. We searched MEDLINE, Embase, CINAHL, and Cochrane Central. We did meta-analysis with RevMan (version 5.2), with standardised mean differences (SMD) and random-effects models, and used Stata (version 12) for meta-regression. This study is registered with PROSPERO, number CRD42013005220. FINDINGS We identified 4261 titles and abstracts, and included 73 RCTs in the systematic review, with size varying between 20 and 458 participants. Choice of music, timing, and duration varied. Comparators included routine care, headphones with no music, white noise, and undisturbed bed rest. Music reduced postoperative pain (SMD -0·77 [95% CI -0·99 to -0·56]), anxiety (-0·68 [-0·95 to -0·41]), and analgesia use (-0·37 [-0·54 to -0·20]), and increased patient satisfaction (1·09 [0·51 to 1·68]), but length of stay did not differ (SMD -0·11 [-0·35 to 0·12]). Subgroup analyses showed that choice of music and timing of delivery made little difference to outcomes. Meta-regression identified no causes of heterogeneity in eight variables assessed. Music was effective even when patients were under general anaesthetic. INTERPRETATION Music could be offered as a way to help patients reduce pain and anxiety during the postoperative period. Timing and delivery can be adapted to individual clinical settings and medical teams. FUNDING None.
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Affiliation(s)
- Jenny Hole
- Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London, UK
| | | | - Elizabeth Ball
- Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London, UK; BartsHealth NHS Trust, Whitechapel, London, UK.
| | - Catherine Meads
- Health Economics Research Group, Brunel University, Uxbridge, UK
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van der Heijden MJE, Oliai Araghi S, van Dijk M, Jeekel J, Hunink MGM. The Effects of Perioperative Music Interventions in Pediatric Surgery: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. PLoS One 2015; 10:e0133608. [PMID: 26247769 PMCID: PMC4527726 DOI: 10.1371/journal.pone.0133608] [Citation(s) in RCA: 70] [Impact Index Per Article: 7.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2015] [Accepted: 06/29/2015] [Indexed: 11/18/2022] Open
Abstract
OBJECTIVE Music interventions are widely used, but have not yet gained a place in guidelines for pediatric surgery or pediatric anesthesia. In this systematic review and meta-analysis we examined the effects of music interventions on pain, anxiety and distress in children undergoing invasive surgery. DATA SOURCES We searched 25 electronic databases from their first available date until October 2014. STUDY SELECTION Included were all randomized controlled trials with a parallel group, crossover or cluster design that included pediatric patients from 1 month to 18 years old undergoing minimally invasive or invasive surgical procedures, and receiving either live music therapy or recorded music. DATA EXTRACTION AND SYNTHESIS 4846 records were retrieved from the searches, 26 full text reports were evaluated and data was extracted by two independent investigators. MAIN OUTCOME MEASURES Pain was measured with the Visual Analogue Scale, the Coloured Analogue Scale and the Facial Pain Scale. Anxiety and distress were measured with an emotional index scale (not validated), the Spielberger short State Trait Anxiety Inventory and a Facial Affective Scale. RESULTS Three RCTs were eligible for inclusion encompassing 196 orthopedic, cardiac and day surgery patients (age of 1 day to 18 years) receiving either live music therapy or recorded music. Overall a statistically significant positive effect was demonstrated on postoperative pain (SMD -1.07; 95%CI-2.08; -0.07) and on anxiety and distress (SMD -0.34 95% CI -0.66; -0.01 and SMD -0.50; 95% CI -0.84; - 0.16. CONCLUSIONS AND RELEVANCE This systematic review and meta-analysis indicates that music interventions may have a statistically significant effect in reducing post-operative pain, anxiety and distress in children undergoing a surgical procedure. Evidence from this review and other reviews suggests music therapy may be considered for clinical use.
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Affiliation(s)
| | | | - Monique van Dijk
- Department of Pediatrics, division of Neonatology and Department of Pediatric Surgery, Intensive care Erasmus MC, Rotterdam, the Netherlands
| | - Johannes Jeekel
- Department of Neuroscience, Erasmus MC, Rotterdam, the Netherlands
| | - M. G. Myriam Hunink
- Department of Epidemiology, Erasmus MC, Rotterdam, the Netherlands
- Department of Radiology, Erasmus MC, Rotterdam, the Netherlands
- Department of Health Policy and Management, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, United States of America
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Weldon SM, Korkiakangas T, Bezemer J, Kneebone R. Music and communication in the operating theatre. J Adv Nurs 2015; 71:2763-74. [DOI: 10.1111/jan.12744] [Citation(s) in RCA: 54] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/23/2015] [Indexed: 12/01/2022]
Affiliation(s)
| | - Terhi Korkiakangas
- Institute of Education; University College; London UK
- Department of Cancer and Surgery; Imperial College London; UK
| | - Jeff Bezemer
- Institute of Education; University College; London UK
| | - Roger Kneebone
- Department of Surgery and Cancer; Imperial College London; UK
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Kalyvas AV, Linos D, Moris D. Concerns about Evaluating the Effect of Noise and Music in the Operating Room. J Am Coll Surg 2014; 219:1097-8. [DOI: 10.1016/j.jamcollsurg.2014.07.010] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2014] [Accepted: 07/21/2014] [Indexed: 11/26/2022]
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Ilkkaya NK, Ustun FE, Sener EB, Kaya C, Ustun YB, Koksal E, Kocamanoglu IS, Ozkan F. The Effects of Music, White Noise, and Ambient Noise on Sedation and Anxiety in Patients Under Spinal Anesthesia During Surgery. J Perianesth Nurs 2014; 29:418-26. [DOI: 10.1016/j.jopan.2014.05.008] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2013] [Revised: 03/04/2014] [Accepted: 05/30/2014] [Indexed: 10/24/2022]
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