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Background and Aims Music or Silence has proven effective in many medical conditions undergoing procedures with various depth of anesthesia. We aimed that integrating music or noise-blocking interventions could lead to reduced anxiety, pain, and analgesic requirements and increased satisfaction patients undergoing general anesthesia.

Methods We conducted a prospective randomized study involving 90 patients undergoing traumatic surgeries in the OR. Patients were divided into 3 groups; music (earphones with music), silence (earphones with no music), and noise (exposure to ambient) groups. Objective and subjective assessments, including validated anxiety scales (STAI-trait and STAI-state) pain, and satisfaction were measured pre- and post-operatively to measure the impact of interventions on patient well-being.

Results Significant reductions in anxiety (p= 0.032) and pain scores (p= 0.021) were observed in the Music and Silence groups compared to the Noise group. Satisfaction scores were higher in these groups (p = 0.026). No differences in analgesic use except rescue analgesics, hemodynamic variables, or intraoperative drug amounts were noted. The environmental noise was consistent across groups, and no postoperative side effects were reported. Correlations between postoperative STAI-state and pain scores were notable.

Conclusions Harnessing the power of music and noise-blocking interventions dramatically reduced anxiety, significantly alleviated pain, cut down on analgesic use, and vastly increased patient satisfaction in the high-stress environment of trauma operating rooms. Embracing the therapeutic potential of music and silence is paramount for revolutionizing the intraoperative experience and transforming patient care in these intense surgical settings.