Improved procedure of colonoscopy under accompanying music therapy
Schiemann U, Gross M, Reuter R, Kellner H
European journal of medical research · 23 citas
Etiquetas de revisión
Financiación no declaradaDatos neutrales que nuestra revisión registró sobre cómo se hizo este estudio. Describen el método, nunca si nos gusta el resultado.
Cómo se estudió
- Diseño
- Ensayo controlado aleatorizado (indexado por PubMed)
- Estudiado en
- Personas
- Resultado principal
- Marcadores de salud y funcionamiento
Quién lo pagó
- Financiación
- Financiación no declarada
Publicación
- Publicado
- 2002-03-28 · Eur J Med Res · vol. 7 · número 3 · págs. 131–4
- Editorial
- National Institutes of Health
- Citado
- 36 citas · más que el 89% de estudios similares · 2.7× el promedio de su campo
- Referencias
- 0 trabajos
- Acceso
- De pago
- Áreas de investigación
- Music Therapy and Health · Colorectal Cancer Screening and Detection · Anesthesia and Sedative Agents
- Palabras clave
- music therapy, colonoscopy, procedural sedation, analgesia, midazolam, pethidine, patient tolerance, examination time, colonoscopy completion rate, patient discomfort
- MeSH
- humans, meperidine, midazolam, analgesics, opioid, hypnotics and sedatives, colonoscopy, music therapy, premedication, prospective studies, safety, time factors, adult, aged, middle aged, female, male
4 autores
- Uwe Schiemann🇩🇪LMU Klinikum; Ludwig-Maximilians-Universität München
- M Gross
- R Reuter
- Hellmut Kellner
Resumen
El texto original del estudio, en el idioma en que se publicó.
Background
Administration of sedatives and analgetics during colonoscopy includes the risk for arterial hypotension and respiratory depression. The aim of this study was to assess whether music therapy increases patients tolerance and reduces the need of analgo-sedative premedication.
Methods
146 consecutive patients were examined in a randomized, prospective study. Colonoscopy was performed under intravenous administration with titrated dosages of midazolam and pethidin. Oxygen was given in cases of blood desaturation below values of 90%. Patients younger than 18 and older than 80 years, patients with history of partial colectomy, gastrectomy or hysterectomy and patients with colonic tumorous or inflammatory stenosis were excluded. 60 patients underwent conventional procedure (Group A), whereas 59 patients received additional music therapy (Group B). Time required to reach the cecum (examination time) was measured and the rate of successful colonoscopies was determined.
Results
Most of the patients required sedation with midazolam in both groups (97 vs. 93%), whereas more group A patients required analgesia with pethidin than group B patients (43 vs. 31%, p<0.05). Under music therapy the rate of completed colonoscopies was higher (group A 93%, group B 98%) and examination time was significantly accelerated (group A 22.8 +/- 14.6 min, group B 16.8 +/- 11.8 min, p<0.03).
Conclusions
Accompanying music therapy reduces requirement of analgesia during colonoscopy, favours completion of the procedure and shortens examination time. Music therapy seems to promote safer conditions for endoscopical practice and diminishs patients discomfort.
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