The Effect of Music Therapy on Hemodynamic Parameter and Pain Score in Patients Under Going Abdominal and Lower Limb Surgeries Under Spinal Anaesthesia.

Background: Surgical processes can be associated with a stress and anxiety in the patient triggering changes in blood pressure and heart rate adversely effecting the induction and recovery process from anesthesia. These effects are more pronounced in setting of regional anesthesia where the patient is awake intraoperatively. A calm and quite environment maintained during surgery can be helpful in blunting the stressful response of the patient. Hence, we studied the effect of music therapy on hemodynamic parameters in patients undergoing spinal anesthesia for abdominal and lower limb surgeries and its effect on the visual analog scale (VAS), patient satisfaction, and Spielberger State-Trait Anxiety Inventory (SSTAI) score. Materials and Methods: This was a prospective, randomized, and comparative study where 60 patients of either gender between 18 and 65 years were divided into two groups of 30 patients each. The patients belonged to American Society of Anesthesiologists Grade I or II. The patients were randomized into Group M (those who listened to music) and Group C (those who did not listen to music). After the induction of spinal anesthesia, headphones were applied to all the patients and music was started in Group M. The intraoperative parameters such as heart rate, blood pressure, the VAS, and the SSTAI scale were recorded and compared in both the groups. Patient satisfaction was also recorded. Results: Patients who listened to music during surgery had significantly better VAS score, SSTAI score, and patient satisfaction. The hemodynamic parameters in both groups were comparable. Conclusion: Music therapy intraoperatively in patients undergoing lower limb and abdominal surgeries under spinal anesthesia can have better patient outcomes with a higher patient satisfaction. [ABSTRACT FROM AUTHOR]