Is there a role for music in the ICU
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Among ICU patients receiving acute ventilatory support for respiratory failure, PDM resulted in greater reduction in anxiety compared with usual care, but not compared with NCH.Abstract:
Results Patients in the PDM group listened to music for a mean of 79.8 (median (range) 12 (0 to 796)) minutes/day. Patients in the NCH group wore the noise-abating headphones for a mean of 34.0 (median (range), 0 (0 to 916)) minutes/day. The mixed-models analysis showed that, at any time point, patients in the PDM group had an anxiety score that was 19.5 points lower (95% confidence interval, �32.2 to �6.8) than patients in the usual care group (P = 0.003). By the fifth study day, anxiety was reduced by 36.5% in PDM patients. The treatment × time interaction showed that PDM significantly reduced both measures of sedative exposure. Compared with usual care, the PDM group had reduced sedation intensity by �0.18 (95% confidence interval, �0.36 to �0.004) points/day (P = 0.05) and had reduced frequency by �0.21 (95% confidence interval, �0.37 to �0.05) points/day (P =0 .01). The PDM group had reduced sedation frequency by �0.18 (95% confidence interval, �0.36 to �0.004) points/day versus the NCH group (P = 0.04). By the fifth study day, the PDM patients received two fewer sedative doses (reduction of 38%) and had a reduction of 36% in sedation intensity. Conclusions Among ICU patients receiving acute ventilatory support for respiratory failure, PDM resulted in greater reduction in anxiety compared with usual care, but not compared with NCH. Concurrently, PDM resulted in greater reduction in sedation frequency compared with usual care or NCH, and greater reduction in sedation intensity compared with usual care but not compared with NCH.read more
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TL;DR: Among critically ill cancer patients, multiple distressing symptoms were common in the ICU, often at significant levels of severity, and Symptom assessment may suggest more effective strategies for symptom control and may direct decisions about appropriate use of ICU therapies.
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TL;DR: Considering the widespread use of sedation for critically ill patients, more large, high-quality, randomized controlled trials of the effectiveness of different agents for short-term and long-term sedation are warranted.
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Christopher J. Jones,Carl Bäckman,Maurizia Capuzzo,Hans Flaatten,Christian Rylander,Richard D. Griffiths +5 more
TL;DR: The hypothesis that the impact of care within the ICU has an impact on subsequent psychological morbidity and therefore must be assessed in future studies looking at the way patients are sedated in theICU and how physical restraint is used is raised.
Journal ArticleDOI
Effects of music therapy on anxiety in ventilator-dependent patients.
TL;DR: Music therapy is an effective nursing intervention in decreasing anxiety in ventilator-dependent patients and its use should be incorporated into the care of mechanically ventilated patients.