Does Listening to Music during Tonsillectomy Affect Sevoflurane Consumption?

Area of Science:

• Anesthesiology
• Pediatric Surgery
• Pain Management

Background:

• Tonsillectomy is a common pediatric surgical procedure.
• Pain and anxiety are significant concerns during and after pediatric surgery.
• Music has been explored as a non-pharmacological intervention to manage pain and anxiety.

Purpose of the Study:

• To evaluate the impact of intraoperative music on anesthetic agent consumption.
• To assess the effect of music on postoperative pain and recovery in children.
• To investigate music's influence on hemodynamic parameters during pediatric tonsillectomy.

Main Methods:

• Fifty pediatric patients undergoing elective tonsillectomy were randomized into music (M) and control (C) groups.
• Anesthesia depth was maintained using entropy levels of 50 ± 5 in both groups.
• Perioperative data, including anesthetic consumption and recovery times, were recorded.

Main Results:

• Music group (M) showed lower intraoperative Surgical Pleth Index values and reduced postoperative pain scores.
• Heart rates were significantly lower in the music group during and at the end of surgery.
• While sevoflurane consumption was not significantly different, the need for additional fentanyl was lower in the music group.

Conclusions:

• Intraoperative music exposure in children undergoing tonsillectomy is associated with reduced intraoperative analgesia requirements.
• Music appears to effectively decrease postoperative pain perception in pediatric patients.
• Music is a promising adjunct for improving pediatric surgical recovery without altering anesthetic agent needs.