Music benefits on postoperative distress and pain in pediatric day care surgery

  • Valeria Calcaterra Department of the Mother and Child Health, Pediatric Unit, IRCCS Policlinic San Matteo Foundation, Pavia; Department of Internal Medicine, University of Pavia, Italy.
  • Selene Ostuni Department of the Mother and Child Health, Pediatric Surgery Unit, IRCCS Policlinic San Matteo Foundation and University of Pavia, Italy.
  • Irene Bonomelli Department of the Mother and Child Health, Pediatric Unit, IRCCS Policlinic San Matteo Foundation, Pavia, Italy.
  • Simonetta Mencherini Department of Anesthesiology and Intensive Care, Scientific Direction, IRCCS Policlinic San Matteo Foundation, Pavia, Italy.
  • Marco Brunero Department of the Mother and Child Health, Pediatric Surgery Unit, IRCCS Policlinic San Matteo Foundation and University of Pavia, Italy.
  • Elisa Zambaiti Department of the Mother and Child Health, Pediatric Surgery Unit, IRCCS Policlinic San Matteo Foundation and University of Pavia, Italy.
  • Savina Mannarino Department of the Mother and Child Health, Pediatric Unit, IRCCS Policlinic San Matteo Foundation, Pavia, Italy.
  • Daniela Larizza Department of the Mother and Child Health, Pediatric Unit, IRCCS Policlinic San Matteo Foundation, Pavia; Department of Internal Medicine, University of Pavia, Italy.
  • Riccardo Albertini Laboratory of Clinical Chemistry, Scientific Direction, IRCCS Policlinic San Matteo Foundation, Pavia, Italy.
  • Carmine Tinelli Biometry and Clinical Epidemiology, Scientific Direction, IRCCS Policlinic San Matteo Foundation, Pavia, Italy.
  • Gloria Pelizzo | g.pelizzo@smatteo.pv.it Department of the Mother and Child Health, Pediatric Surgery Unit, IRCCS Policlinic San Matteo Foundation and University of Pavia, Italy.

Abstract

Postoperative effect of music listening has not been established in pediatric age. Response on postoperative distress and pain in pediatric day care surgery has been evaluated. Forty-two children were enrolled. Patients were randomly assigned to the music-group (music intervention during awakening period) or the non-music group (standard postoperative care). Slow and fast classical music and pauses were recorded and played via ambient speakers. Heart rate, blood pressure, oxygen saturation, glucose and cortisol levels, faces pain scale and Face, Legs, Activity, Cry, Consolability (FLACC) Pain Scale were considered as indicators of response to stress and pain experience. Music during awakening induced lower increase of systolic and diastolic blood pressure levels. The non-music group showed progressive increasing values of glycemia; in music-group the curve of glycemia presented a plateau pattern (P<0.001). Positive impact on reactions to pain was noted using the FLACC scale. Music improves cardiovascular parameters, stress-induced hyperglycemia. Amelioration on pain perception is more evident in older children. Positive effects seems to be achieved by the alternation of fast, slow rhythms and pauses even in pediatric age.

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Published
2014-09-29
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Articles
Keywords:
music therapy, children, surgery, pain, stress
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How to Cite
Calcaterra, V., Ostuni, S., Bonomelli, I., Mencherini, S., Brunero, M., Zambaiti, E., Mannarino, S., Larizza, D., Albertini, R., Tinelli, C., & Pelizzo, G. (2014). Music benefits on postoperative distress and pain in pediatric day care surgery. Pediatric Reports, 6(3). https://doi.org/10.4081/pr.2014.5534