Adolescents in the Pediatric ICU: Music therapy and hand massage

Photo by Vladislav Anchuk on Unsplash
Impact of music therapy and hand massage in the pediatric intensive care unit on pain, fear and stress: Randomized controlled trial
- a music group of 33 patients
- a hand massage group of 33 patients
- a control group of 33 patients that received the standard care
The study does not reveal what the music intervention was, but reports at the end that “Nurses may use music therapy and hand massage to manage fear and pain related to blood drawing in the PICU.”
The results were that both the music group and the hand massage group had lower pain and fear score results, based on the FACES pain scale
as well as a a pain scale called the Children’s Fear scale. The researchers also looked at blood cortisol levels. (Cortisol is a hormone. produced by the adrenal glands and found in the blood when people are under great stress.)
Here is a link to the study if you’d like to read more about it: https://pubmed.ncbi.nlm.nih.gov/37230011/
I am grateful that these studies exist but it would be so helpful if the researchers would let us know the type of music they used and how it was delivered. As a colleague of mine said recently, it’s like saying “the researchers gave the patient medicine,” but not say what the medicine was or how much they gave or how often!
They also state that the “music therapy” can be delivered by nurses! Unless the nurse is also a music therapist, this is not possible. HOWEVER, the nurse can definitely deliver music medicine through pre-loaded headphones with therapeutic music chosen by a clinical musicologist.
To read more about this, go to www.SurgicalSerenitySolutions.com/patient-products.


I was focused exclusively on the patient at first, but then I realized that I really did need the “buy-in” or confirmation that this was a good idea from the anesthesiologist and surgeon. At the time, I was working a the University of Louisville School of Medicine, so finding surgeons and anesthesiologists to dialogue with was not difficult.
Now, music in the operating room is more expected than not. But what patients nor doctors still realize is that the patient DOES respond to music that is playing nearby, even when they are under general anesthesia! Yes! The patient may not consciously HEAR the music, but their body does respond to the rhythm of the music by entraining to it…the patient’s own heartbeat and breathing TENDS to sync with the tempo of music playing in the room. That is why the music for the patient needs to be different from the music that surgeon has chosen!