Date of Graduation

Spring 5-15-2011

Degree Type

Capstone Project

Degree Name

Master of Science in Physician Assistant Studies

First Advisor

Torry Cobb, DHSc, MPH, PA-C

Abstract

Background: This systematic review was designed to evaluate the analgesic effects of patient’s “favorite music.” The music was chosen by the elective cesarean section patient undergoing general anesthesia and it was played during the perioperative period. The review was designed to evaluate the evidence using GRADE and determine the effectiveness of music in reducing the overall pain and opioid usage in postoperative cesarean section patients.

Method: The medical literature was exhaustively searched using the keywords listed below. The search was limited to randomized controlled trials on humans in the English language published between 2000-2011. MEDLINE, Web of Science, Cochrane Systematic Reviews and CINAHL were searched and three relevant studies performed in Turkey or Iran since 2008 were isolated.

Results: Three RCTs were reviewed with a total of 250 patients. Half listened to favorite music prior to, or immediately after, undergoing cesarean section under general anesthesia. The control groups listened to no music. Overall opioid usage was significantly lower in the music group. The music group also had consistently lower pain scores. GRADE ratings for both outcomes of pain levels and opioid usage were considered High and suggested a strong recommendation for favorite music as adjunct therapy for pain relief.

Conclusion: Favorite music, played either before or after c-section surgery to a conscious, uncomplicated patient undergoing elective cesarean section under general anesthesia, reduces postoperative pain and the use of opioid analgesic medication administered by PCA. The music intervention was determined to be risk free.

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