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Listening to music decreases need for sedative medication during colonoscopy: a randomized, controlled trial
R Harikumar1, Mehroof Raj, Antony Paul
1Department of Gastroenterology, Medical College Hospital, Kozhikode 673 008, Kerala.
Background:
Music played during endoscopic procedures may alleviate anxiety and improve patient acceptance of the procedure. A prospective randomized, controlled trial was undertaken to determine whether music decreases the requirement for midazolam during colonoscopy and makes the procedure more comfortable and acceptable.
Methods:
Patients undergoing elective colonoscopy between October 2003 and February 2004 were randomized to either not listen to music (Group 1; n=40) or listen to music of their choice (Group 2; n=38) during the procedure. All patients received intravenous midazolam on demand in aliquots of 2 mg each. The dose of midazolam, duration of procedure, recovery time, pain and discomfort scores and willingness to undergo a repeat procedure using the same sedation protocol were compared.
Results:
Patients in Group 2 received significantly less midazolam than those in Group 1 (p=0.007). The pain score was similar in the two groups, whereas discomfort score was lower in Group 2 (p=0.001). Patients in the two groups were equally likely to be willing for a repeat procedure.
Conclusion:
Listening to music during colonoscopy helps reduce the dose of sedative medications and decreases discomfort experienced during the procedure.
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