Mozart Piano Sonatas as a Nonpharmacological Adjunct to Facilitate Sedation Vacation in Critically Ill Patients

作者

  • William T.H. To BHSc
  • Tianna Bertolo BSc
  • Victor Dinh BSc
  • Draga Jichici MD, FRCP
  • Cindy M. Hamielec MD, FRCP

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https://doi.org/10.47513/mmd.v5i2.214

摘要

Critically ill patients frequently receive sedatives in order to treat agitation in the ICU; however, adverse outcomes are linked with long-term use. The aim of this pilot study was to evaluate the effectiveness of music listening in facilitating sedation vacations. This study was conducted in neurotrauma ICUs where 50 adult critically ill patients were randomized into a music (n 1⁄4 25) or no music (n 1⁄4 25) group. The music group had a greater decline in heart rate (P 1⁄4 .042) but not in respiratory rate (P 1⁄4 .081) or systolic blood pressure (P 1⁄4 .653) when compared with the control group. There was no statistically significant change in sedation scores between groups (P 1⁄4 .567); however, patients in the music group were more likely to remain off sedation infusions (64% vs 52%). Music listening may be a cost-effective, nonpharmacological intervention to reduce agitation in critically ill patients.

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Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada.

Department of Physiology, University of Toronto, Toronto, Ontario, Canada.

William T. H. To, BHSc, is a graduate from McMaster University, with a bachelor’s in health sciences (Honors) and is now pursuing a master’s degree in physiology at the Department of Physiology, University of Toronto, Ontario, Canada.

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Faculty of Life Sciences, University of Waterloo, Waterloo, Ontario, Canada.

Tianna Bertolo, BSc, is a graduate from the Life Sciences program at the University of Waterloo, Waterloo, Ontario, Canada.

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Faculty of Life Sciences, University of Waterloo, Waterloo, Ontario, Canada.

Victor Dinh, BSc, is a graduate from the Life Sciences program at the University of Waterloo, Waterloo, Ontario, Canada.

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Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada.

Department of Medicine, Hamilton General Hospital, Hamilton, Ontario, Canada.

Department of Critical Care, Hamilton General Hospital, Hamilton, Ontario, Canada.

Draga Jichici, MD, FRCP, is an associate clinical professor in the Department of Medicine, Division of Neurology at McMaster Univer- sity, and a member of the Department of Critical Care at Hamilton General Hospital, Hamilton, Ontario, Cana

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Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada.

Department of Medicine, Hamilton General Hospital, Hamilton, Ontario, Canada.

Department of Critical Care, Hamilton General Hospital, Hamilton, Ontario, Canada.

Cindy M. Hamielec, MD, FRCP, is an associate clinical profes- sor in the Department of Medicine, Division of Respirology at McMaster University, and a member of the Department of Criti- cal Care at Hamilton General Hospital, Hamilton, Ontario, Canada.

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期

卷 5 编号 2 (2013)

栏目

Full Length Articles