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Trial registered on ANZCTR
Registration number
ACTRN12611001048976
Ethics application status
Approved
Date submitted
24/09/2011
Date registered
6/10/2011
Date last updated
10/10/2011
Type of registration
Retrospectively registered
Titles & IDs
Public title
The Efficacy of Music in lowering intra-operative sedation requirement and recall of intra-operative processes.
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Scientific title
To find out whether patients undergoing elective surgery under regional anesthesia, who hear a pre-selected music during surgery through a head-phone, need a lower dose of intra-operative sedatives and have a reduced recall of intra-operative processes ?
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Secondary ID [1]
263103
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Nil
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
anaethesia
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sedation
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memory recall
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Condition category
Condition code
Anaesthesiology
271031
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0
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Anaesthetics
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Alternative and Complementary Medicine
271032
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0
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Other alternative and complementary medicine
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
'Music therapy' intraoperatively was given via head phones in the intervention group for surgeries lasting atleast 1 hour or more duration.
In the group in which Music therapy was given, patients opted music of their choice from 3 categories “spiritual”, “filmy” or“instrumental” all of which were in patient’s preferred language . patients were asked for their favourite category of music from above three broad category and their preferrence accordingly noted in their pre-anaesthetic record sheet.A portable music player(philips-Mp3 player) attached with larger ear head phones was placed in the intervention group and audio volume controll switch was placed in patients hands so that they could adjust volume of Music according to their wish.Music player was however covered in non transparent covering for blinding purposes.
This intervention was administered in addition to standard treatment i.e use of sedative drug named midazolum whenever felt necessary.
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Intervention code [1]
269448
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Treatment: Other
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Comparator / control treatment
active control "standard treatment' with use of drug Midazolum. usual doses are 1 to 2 mgs administered intravenously ,then 1 mg top ups as needed ,monitored against level of sedation desired.
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Control group
Active
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Outcomes
Primary outcome [1]
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Total dose of midazolum needed for patients receiving intraoperative music to achieve and maintain a constant level of sedation(OAS score > 3), judged by observer assessment of Sedation/Alertness scale(OAS).
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Assessment method [1]
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Timepoint [1]
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at the end of every 30 min
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Primary outcome [2]
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Recall of Introperative events judged by a 5 point self constructed questionaairre co-relating with significant intra operative events
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Assessment method [2]
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Timepoint [2]
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post operative follow up visit on same day evening of surgery (12 hours after end of surgery)
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Secondary outcome [1]
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pain,discomfort,disatisfaction during the surgery by VAS score
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Assessment method [1]
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Timepoint [1]
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post operative follow up visit on same day evening of surgery (12 hours after end of surgery)
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Eligibility
Key inclusion criteria
1.Patients for elective surgeries planned under regional anaesthesia,
2.ASA status I or II
3.Age group from18 to 60 years
4.Patients either liking music or ambivalent
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Minimum age
18
Years
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Maximum age
60
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
1.Age<18 or >60 years
2.ASA status III and above
3.Patients with hearing impairment
4.Known psychiatric or memory disorder
5.Unwillingness to participate in the study(no Consent)
6.Disliking for Music
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
sealed opaque envelopes
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
simple randomisation by self handpicking the similar looking opaque envelopes containing group randomisation chits.
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/05/2009
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
60
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
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India
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State/province [1]
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Maharashtra
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Funding & Sponsors
Funding source category [1]
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Government body
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Name [1]
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Indian Council of Medical Research(ICMR)
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Address [1]
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Ansari Nagar, New Delhi - 110029
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Country [1]
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India
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Primary sponsor type
Government body
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Name
Indian Council of Medical Research(ICMR)
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Address
Ansari Nagar, New Delhi - 110029
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Country
India
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Secondary sponsor category [1]
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Hospital
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Name [1]
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Mahatma Gandhi institute of medical sciences -Sevagram
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Address [1]
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Mahatma Gandhi institute of medical sciences -Sevagram,at post Sevagram(POST CODE :442102),district:-wardha,maharashtra,INDIA
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Country [1]
268930
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India
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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MGIMS-Sevagram Institutional Ethics committee
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Ethics committee address [1]
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Mahatma Gandhi Institute of Medical Sciennces-Sevagram,at post Sevagram(POST CODE:442102),district wardha,maharashtra,INDIA
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Ethics committee country [1]
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India
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Date submitted for ethics approval [1]
271896
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Approval date [1]
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07/08/2009
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Ethics approval number [1]
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MGIMS/IEC/MS/186/2009
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Summary
Brief summary
THE EFFICACY OF MUSIC IN LOWERING INTRA-OPERATIVE SEDATION REQUIREMENT AND RECALL OF INTRA OPERATIVE PROCESSES Background: It has been known for a long time that music has characteristic psychological and physiological effects in humans. It is a non-pharmacological technique that is inexpensive, non invasive and has no major side effects. Surgery with music is being increasingly reported at many of the today’s modern hospitals documenting Music’s powerful soothing, calming, sedating effects on subjects including a significant reduction in the amount of anesthesia needed. Aims and Objectives: To find out whether patients undergoing elective surgery under regional anesthesia, who hear a pre-selected music during surgery through a head-phone, need a lower dose of intra-operative sedatives and have a reduced recall of intra-operative processes Methods: 60 Patients undergoing Elective Orthopedic,Gynaecological or Urological Surgeries under Regional anaesthesia between June to August 2009 were Randomized into either listening to Music(group M,n=30),or not listening to music(group C,n=30).Midazolum was given for sedation in either of the groups to achieve a Observer’s Assessment Of sedation/alertness Score(OAS) of 3 or less.We noted the total dose of Midazolum required and OAS scores in both the groups.Post operative recall of Intraoperative processes by patient was assessed on answers to a 6 point Questionnaire and VAS score for pain ,discomfort and dissatisfaction with the sedative method employed was sought. Results:The Mean dose Of Midazolum to achieve Sedation was significantly lower (p<0.01) in the patients that listened to Music during their surgery.Desirable OAS score (<3) were significantly better in the Music group at 90 ant 120 min from start of the surgery .There was no Significant differences in the VAS scores for Pain ,Discomfort or Dissatisfcation with the Sedative Method Employed in either groups(P>0.01).Intra operative Instances of Conversations between the doctors/nurses and other OR staff and Sounds Of Monitors,Instruments,etc were more significantly recalled by those who did not listened to music during their surgery(P<0.01). Conclusion: Our study concludes that patients undergoing elective surgery under regional anesthesia , who hear a pre-selected music during surgery through a head-phone, need a lower dose of intra-operative sedatives and have a reduced recall of intra-operative processes thus creating an effective,safe and cheap non pharmacological method of sedating conscious patients operated under regional anaesthesia.We recommend that Music of their choice via headsets be provided to all the patients who are fond of music listening during the Surgical procedures averaging one and half hour duration or more .
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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dr vijay sharma
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Address
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department of anaesthesiology,MGIMS-Sevagram,at post Sevagram (POST CODE:442102), district:wardha,Maharashtra,INDIA
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Country
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India
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Phone
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+91 7152 260031
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Fax
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+91 7152 284333
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Email
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[email protected]
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Contact person for scientific queries
Name
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dr vijay sharma
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Address
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department of anaesthesiology,MGIMS-Sevagram,at post Sevagram (POST CODE:442102), district:wardha,Maharashtra,INDIA
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Country
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India
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Phone
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+91 7152 260031
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Fax
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+91 7152 284333
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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