Background and Aims The purpose was to investigate the effect of music and noise cancellation on intraoperative anxiety in patients undergoing spinal anaesthesia for lower limb orthopedic surgeries. The objectives were to determine the difference in change in anxiety score (STAI-6), sedation score (Ramsay Sedation Score), hemodynamic variables from baseline to the end of the surgery, mean communication difficulty (Likert’s scale) and mean satisfaction Score (VAS-S).

Methods After Ethical Committee approval, patients satisfying inclusion criteria were randomized into 1 of the three groups- Group A- Headphones attached, music was played, Group B- headphones attached, no music was played, Group C- No headphones attached or music played. Baseline hemodynamic scores and anxiety variables were noted. Hemodynamic variables were also noted throughout the procedure till the end of the surgery. STAI-6, VAS-S, Likert-5 point scores and Ramsay Sedation Scores noted at the procedure end.

Results SATI-6- Significant reduction in anxiety in groups A & B vs C .

VAS-S- Group B patients had significantly more satisfaction compared to Groups A & C

Hemodynamic Variables- Significant difference in the groups mean SBP was compared. No significant difference between the 3 groups when mean DBP, MAP, SpO2 were compared

Ramsay Sedation Score- Significant difference when RSS was compared between Groups A vs C and B vs C

Likert Communication difficulty Score- Significant difference was seen in groups A & B when compared to Group C regarding Communication difficulty

Conclusions Music and active noise cancellation effectively reduce anxiety, lower the systolic BP, improved sedation scores but no effect on other hemodynamic parameters.