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2023, Number 8

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Med Crit 2023; 37 (8)

Effect of musical therapy on the analgesia-nociception index, in mechanically ventilated patients

Huerta AG, Rentería DFJ, Cerón DUW

Language: Spanish
References: 15
Page: 624-629
PDF size: 250.32 Kb.


ABSTRACT

Introduction: the analgesia-nociception index (ANI) evaluates de equilibrium of the autonomous nervous system response to stimuli and is an emerging tool to assess the effect of musical therapy in critically ill patients. Objective: to evaluate the effect of music on the ANI score in patients under invasive mechanical ventilation. Material and methods: prospective analytic study in critically ill patients with mechanical ventilation and a RASS score of -3 to -1, subjected to musical therapy through headphones, for a 30-minute period. The ANI score was measured (average of 240 seconds), before the musical intervention, at 5 and 30 minutes. Results: we performed 33 measurements in 11 patients, observing a decrease in the ANI level at 5 minutes of -14.4 points (IQR -20.5 to -5.5; p = 0.091), and -0.55 (IQR -15.5 to 5; p = 0.962) at 30 minutes, with a positive correlation (r = 0.371). Conclusions: music therapy did not demonstrate a significant difference in the variation of the ANI value. More studies are needed, with a larger population to demonstrate the potential benefit in critically ill patients.


REFERENCES

  1. ANI. Integración de tecnología médica. [Citado 2023 septiembre 14]. Disponible en: https://www.intecmed.com/ani

  2. Watson H, Marshall P. Rapid realist review: Anxiolytic effects of music therapy on mechanically ventilated patients. bioRxiv. 2021. Available in: https://www.medrxiv.org/content/10.1101/2021.09.11.21263390v1.full.pdf

  3. Flinterud SI, Andershed B. Transitions in the communication experiences of tracheostomised patients in intensive care: a qualitative descriptive study. J Clin Nurs. 2015;24(15-16):2295-2304. Available in: https://pubmed.ncbi.nlm.nih.gov/25850361/

  4. Hauck M, Metzner S, Rohlffs F, Lorenz J, Engel AK. The influence of music and music therapy on pain-induced neuronal oscillations measured by magnetencephalography. Pain. 2013;154(4):539-547. Available in: https://pubmed.ncbi.nlm.nih.gov/23414577/

  5. Menon V, Levitin DJ. The rewards of music listening: Response and physiological connectivity of the mesolimbic system. Neuroimage. 2005;28(1):175-184. Available in: https://pubmed.ncbi.nlm.nih.gov/16023376/

  6. Wu J, Zhang J, Ding X, Li R, Zhou C. The effects of music on brain functional networks: A network analysis. Neuroscience. 2013;250:49-59. Available in: https://pubmed.ncbi.nlm.nih.gov/23806719/

  7. Chanda ML, Levitin DJ. The neurochemistry of music. Trends Cogn Sci. 2013;17(4):179-193. Available in: https://pubmed.ncbi.nlm.nih.gov/23541122/

  8. Chanques G, Tarri T, Ride A, Prades A, De Jong A, Carr J, et al. Analgesia nociception index for the assessment of pain in critically ill patients: a diagnostic accuracy study. Br J Anaesth. 2017;119(4):812-820. Available in: https://pubmed.ncbi.nlm.nih.gov/29121287/

  9. Chlan L. Effectiveness of a music therapy intervention on relaxation and anxiety for patients receiving ventilatory assistance. Heart Lung. 1998;27(3):169-76. Available in: https://pubmed.ncbi.nlm.nih.gov/9622403/

  10. Jaber S, Bahloul H, Guétin S, Chanques G, Sebbane M, Eledjam JJ. Effets de la musicothérapie en réanimation hors sédation chez des patients en cours de sevrage ventilatoire versus des patients non ventilés. Ann Fr Anesth Reanim. 2007;26(1):30-38. Available in: https://pubmed.ncbi.nlm.nih.gov/17085009/

  11. Richard-Lalonde M, Gélinas C, Boitor M, Gosselin E, Feeley N, Cossette S, et al. The effect of music on pain in the adult intensive care unit: a systematic review of randomized controlled trials. J Pain Symptom Manage. 2020;59(6):1304-1319.e6. Available in: https://pubmed.ncbi.nlm.nih.gov/31881291/

  12. Dijkstra BM, Gamel C, Van Der Bijl JJ, Bots ML, Kesecioglu J. The effects of music on physiological responses and sedation scores in sedated, mechanically ventilated patients. J Clin Nurs. 2010;19(7-8):1030-1039. Available in: https://pubmed.ncbi.nlm.nih.gov/20492047

  13. Abdullayev R, Yildirim E, Celik B, Topcu Sarica L. Analgesia nociception index: Heart rate variability analysis of emotional status. Cureus. 2019;11(4):e4365. Available in: https://pubmed. ncbi.nlm.nih.gov/31192070/

  14. Messika J, Hajage D, Panneckoucke N, Villard S, Martin Y, Renard E, et al. Effect of a musical intervention on tolerance and efficacy of non-invasive ventilation in the ICU: study protocol for a randomized controlled trial (MUSique pour l'Insuffisance Respiratoire Aigue - Mus-IRA). Trials. 2016;17(1):450. Available in: http://dx.doi.org/10.1186/s13063-016-1574-z

  15. Chlan LL, Weinert CR, Heiderscheit A, Tracy MF, Skaar DJ, Guttormson JL, et al. Effects of patient-directed music intervention on anxiety and sedative exposure in critically ill patients receiving mechanical ventilatory support: a randomized clinical trial. JAMA. 2013;309(22):2335. Available in: https://pubmed.ncbi.nlm.nih.gov/23689789/




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