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Can Indian classical instrumental music reduce pain felt during venepuncture?

Rajiv Balan1, S B Bavdekar, Sandhya Jadhav

  • 1Department of Pediatrics, Seth GS Medical College and KEM Hospital, Mumbai, India.

Indian Journal of Pediatrics
|April 25, 2009
PubMed

Insights

Pain during venepuncture in children can be reduced using local anesthetic cream (EMLA) or Indian classical music. While EMLA showed the lowest pain scores, music also provided significant pain relief, suggesting flexible options based on practical considerations.

Area of Science:

  • Pediatric Pain Management
  • Anesthesiology
  • Psychosocial Interventions

Background:

  • Venepuncture is a common yet painful procedure for children.
  • Current pain management strategies for pediatric venepuncture are often inadequate.
  • The efficacy of non-pharmacological interventions like music therapy needs further investigation.

Purpose of the Study:

  • To compare the effectiveness of a local anesthetic cream (EMLA) and Indian classical instrumental music in reducing venepuncture pain in children.
  • To evaluate the efficacy of these interventions against a placebo control group.

Main Methods:

  • A prospective randomized clinical trial involving 150 children aged 5-12 years undergoing venepuncture.
  • Participants were assigned to three groups: Eutectic mixture of local anesthetic agents (EMLA), Indian classical instrumental music (raaga-Todi), or placebo.
  • Pain was assessed using the Visual Analog Scale (VAS) by patients, parents, investigators, and independent observers at multiple time points.

Main Results:

  • Both EMLA and music significantly reduced pain scores compared to the placebo group across all observer categories and time points.
  • The EMLA group consistently reported the lowest VAS scores.
  • While EMLA demonstrated superior pain reduction, the difference between EMLA and music was statistically significant only at specific time points and for certain observer groups.

Conclusions:

  • Both Eutectic mixture of local anesthetic agents (EMLA) and Indian classical instrumental music are effective in significantly reducing pain during pediatric venepuncture.
  • The choice between EMLA and music may depend on logistical factors, as their comparative efficacy is not always significantly different.
Abstract

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