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Impact of Music in Reducing Patient Anxiety During Pediatric Ultrasound
Andrew Kesselman1, Michael Bergen1, Dimitre Stefanov1
1Radiology Department, SUNY Downstate Medical Center , Brooklyn, NY, USA.
Insights
Music significantly reduced anxiety in children during ultrasound exams by lowering heart rate variability. This inexpensive intervention offers an effective way to improve the pediatric imaging experience.
Area of Science:
- Pediatric imaging
- Medical diagnostics
- Anxiety reduction
Background:
- Pediatric ultrasound examinations can induce significant anxiety.
- Noninvasive procedures require effective anxiety management strategies for children.
Purpose of the Study:
- To evaluate the impact of music on reducing anxiety during pediatric ultrasound examinations.
- To measure anxiety levels through heart rate monitoring.
Main Methods:
- 44 pediatric patients were randomized into music (experimental) and no music (control) groups.
- Heart rate was monitored using pulse oximeters before, during, and after the ultrasound procedure.
- Scan time and technologist ease of performance were also recorded.
Main Results:
- A statistically significant decrease in heart rate variability was observed from pre- to post-procedure in the music group.
- No significant differences were found in total scan time between the groups.
- Ultrasound technologist scores for ease of performance did not differ significantly.
Conclusions:
- Music is an effective and inexpensive method for reducing anxiety in pediatric patients during ultrasound examinations.
- Heart rate variability serves as a key indicator of anxiety reduction.
- Implementing music can enhance the pediatric ultrasound experience.
Abstract:
The use of noninvasive ultrasound examinations can potentially result in significant anxiety in the pediatric population. The purpose of this study was to assess the influence of music during pediatric ultrasound examinations to reduce anxiety measured by heart rate. A total of 44 patients were recruited; 21 controls and 23 experimental. Each participant was randomized to either music or no music (control) after parental consent was obtained. Pulse oximeters were used to monitor heart rate at 15 second intervals for a total of 1 minute, with mean values calculated prior to entering the procedure room, during the middle of the procedure, and after the procedure was completed. The total scan time was determined from the initial image acquisition until the last image recorded by the ultrasound technologist. At the completion of each procedure, the ultrasound technologist scored the ease of performance for the scan on a subjective scale of 1-10 based on prior experience. When utilizing music during pediatric ultrasounds examinations, our study demonstrated significantly decreased heart rate variability from pre-procedural to post-procedural periods. There was no statistical significant difference in total scan time or ultrasound technologist scoring between the two groups. This study demonstrates that music is an inexpensive and effective means of reducing anxiety during pediatric ultrasound as indicated by heart rate.
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Anxiety: Overview
Individuals with anxiety often experience a range of physical and emotional symptoms, including sweating, trembling, tachycardia, and disturbances in sleep patterns. These symptoms vary in intensity and frequency but are generally disruptive and distressing.
Generalized Anxiety Disorder

