Medical Study in Sweden documents music’s power before surgery

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Acta Anaesthesiol Scand. 2009 Jul;53(6):759-64. Epub 2009 Apr 14.

Relaxing music as pre-medication before surgery: a randomised controlled trial. Bringman H, Giesecke K, Thörne A, Bringman S. Department of Surgery, Södertälje Hospital, SE-152 86 Södertälje, Sweden.
 INTRODUCTION: Patients who await surgery often suffer from fear and anxiety, which can be prevented by anxiolytic drugs. Relaxing music may be an alternative treatment with fewer adverse effects. This randomised clinical trial compared pre-operative midazolam with relaxing music.

METHOD: Three hundred and seventy-two patients scheduled for elective surgery were randomised to receive pre-operative prevention of anxiety by 0.05-0.1 mg/kg of midazolam orally or by relaxing music. The main outcome measure was the State Trait Anxiety Inventory (STAI X-1), which was completed by the patients just before and after the intervention.

RESULTS: Of the 177 patients who completed the music protocol, the mean and (standard deviation) STAI-state anxiety scores were 34 (8) before and 30 (7) after the intervention. The corresponding scores for the 150 patients in the midazolam group were 36 (8) before and 34 (7) after the intervention. The decline in the STAI-state anxiety score was significantly greater in the music group compared with the midazolam group (P<0.001, 95% confidence interval range -3.8 to -1.8).

CONCLUSION: Relaxing music decreases the level of anxiety in a pre-operative setting to a greater extent than orally administrated midazolam. Higher effectiveness and absence of apparent adverse effects makes pre-operative relaxing music a useful alternative to midazolam for pre-medication.

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By |February 16, 2010|Uncategorized|0 Comments

About the Author:

Dr. Alice Cash is one of the world’s few clinical musicologists. Based in Louisville, Kentucky, USA, she brings to her work over 40 years of professional experience as a college professor, clinical therapist, solo and chamber music performer and composer. Since 1990, Dr. Cash has been in the field of Music Medicine and conducted clinical research at the University of Louisville School of Medicine, under the guidance of Dr. Joel Elkes, Dr. Leah Dickstein, and Dr. Rif El-Mallakh. Her clinical work at the University of Louisville lead to her career in music medicine. In addition to her work with the University of Louisville, Dr. Cash lead the development of using music a hospital setting at Baptist East Hospital, Louisvile, KY. She has founded 3 companies: Healing Music Enterprises, Surgical Serenity Solutions and Crescent Hill Counseling.

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