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!
This is not just any relaxing music. We have specifically tested and chosen music in 5 distinct genres that begins to calm and soothe the patient as soon as they put on our lightweight, cordless headphones. Dr. Cash is a concert pianist, a clinical social worker, and a clinical musicologist with 33 years experience in the medical field.
So what do YOU do when you know you’re going to have to have a scary medical procedure or a big dental procedure, or even surgery? There are SO many medical and nursing research studies that document the powerful calming and sedative benefits of music. Not just ANY music though. Some people (even Doctors and nurses) think that something fun and upbeat will be just the ticket. Others believe that relaxation music, i.e. nature sounds or binaural beats, (slightly different frequencies played separately in each ear) will do the trick.







There are paintings from hundreds of years ago showing musicians attending a patient having surgery. This painting depicts “live Oud music during cardiac surgery.” and accompanies a
But until 2009, there was not a single product on the market that could deliver the ideal music to the patient, during surgery, through cordless, pre-loaded headphones. In 2008, Surgical Serenity Solutions was awarded a U.S. Patent on the concept of having pre-loaded headphones for surgery patients for the specific purpose of reducing anxiety, pain perception and possibly the amount of medication required. In 2009 Surgical Serenity Solutions.started selling the headphones to patients.
And now, we have a new delivery device for our 5 therapeutic playlists! We are now offering small MP3 players that are already pre-loaded with the playlist of your choice. Hospitals can purchase these in bulk and GIVE them to patients after their procedure.