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2023, Number 8

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Med Crit 2023; 37 (8)

Effect of musical therapy on the analgesia-nociception index, in mechanically ventilated patients

Huerta AG, Rentería DFJ, Cerón DUW

Language: Spanish
References: 15
Page: 624-629
PDF size: 250.32 Kb.


ABSTRACT

Introduction: the analgesia-nociception index (ANI) evaluates de equilibrium of the autonomous nervous system response to stimuli and is an emerging tool to assess the effect of musical therapy in critically ill patients. Objective: to evaluate the effect of music on the ANI score in patients under invasive mechanical ventilation. Material and methods: prospective analytic study in critically ill patients with mechanical ventilation and a RASS score of -3 to -1, subjected to musical therapy through headphones, for a 30-minute period. The ANI score was measured (average of 240 seconds), before the musical intervention, at 5 and 30 minutes. Results: we performed 33 measurements in 11 patients, observing a decrease in the ANI level at 5 minutes of -14.4 points (IQR -20.5 to -5.5; p = 0.091), and -0.55 (IQR -15.5 to 5; p = 0.962) at 30 minutes, with a positive correlation (r = 0.371). Conclusions: music therapy did not demonstrate a significant difference in the variation of the ANI value. More studies are needed, with a larger population to demonstrate the potential benefit in critically ill patients.


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