EVALUATION OF THE EFFECTS OF INTRAOPERATIVE MUSIC THERAPY ON INTRAOPERATIVE ANALGESIC AND SEDATIVE CONSUMPTION

OBJECTIVE: The aim of this study was to investigate the effect of music therapy on patients' anxiety and pain levels during knee replacement surgery. MATERIAL AND METHODS: This prospective, randomized, controlled study was performed at the Afyonkarahisar Sağlık Bilimleri University “Department of Anesthesiology and Reanimation After approval was obtained from the Afyonkarahisar Sağlık Bilimleri University Ethics Committee. Forty-two patients who underwent elective knee replacement surgery under spinal anesthesia were divided into two groups: music group (Group M, n=21) and control group (Group K, n=21). Group M listened to Turkish classical music during the operation, while Group K was exposed only to operating room ambient sounds. Anxiety levels of the patients were measured preoperatively and postoperatively with the Beck Anxiety Inventory (BAI) Intraoperative sedation was assessed with OAA/SS and pain was assessed with VAS scores, and intraoperative midazolam and fentanyl requirements were recorded. RESULTS: Group M required less amount of additional sedative during the intraoperative period than Group K (p=0.002). Although the number of patients that required additional fentanyl was less in Group M, the amount of fentanyl use was similar between the groups (p=0.891). In the postoperative period, anxiety scores of Group M were significantly lower than Group K (p=0.003). Pulse rate values were lower in Group M during and after the operation. CONCLUSIONS: Intraoperative music therapy is an effective method to reduce the number of patients using analgesics and the need for additional sedative agents during knee replacement surgery performed under spinal anesthesia.