Original ArticleDoes Audiovisual Stimulation With Music and Nature Sights (MuViCure) Reduce Pain and Discomfort During Placement of a Femoral Nerve Block?
Section snippets
Methods
Outpatients scheduled to undergo anterior cruciate ligament reconstruction at the Department of Surgery, Aarhus University Hospital, were consecutively enrolled after written informed consent was obtained. Exclusion criteria were age less than 18 years, impaired vision or hearing, and inability to understand the Danish language. Patients were randomly assigned to three groups using sequentially numbered, opaque, sealed envelopes. The first group received audiovisual stimulation (MuViCure), the
Findings
Fifty-five patients were included in the study (MuViCure, n = 19; MusiCure, n = 18; control, n = 18). No patients were excluded after randomization. Baseline characteristics were similar in the three groups (Table 1). The apparently higher degree of nervousness in the MuViCure group was not significant (P = .3). The median intensity of pain during the procedure was significantly higher in the MuViCure group (6, range 2–9) versus MusiCure (3, range 0–10) and control (2, range 0–7) (P <.001). The
Discussion
In the PACU setting, audiovisual stimulation (MuViCure) did not reduce pain or discomfort during placement of a femoral nerve block. Thus, our results are in contrast with most other studies on audiovisual stimulation during painful medical procedures.7, 8, 9, 10, 11 This difference may have several explanations, including study design, characteristics of patient population, and the environmental setting. Placement of a femoral nerve block is likely to be more painful than procedures such as
Acknowledgments
The study was supported by Trygfonden. The MuViCure concept was developed by Eva and Bjørn Wennerwald, who also supplied the technical equipment. The specially composed and produced music and nature sounds (MusiCure) were created and supplied by Niels Eje.
Lone Nikolajsen, MD, PhD, is a consultant in the Department of Anesthesiology and Danish Pain Research Center, Aarhus University Hospital, Aarhus, Denmark.
References (17)
- et al.
Music and the PACU environment
J Perianesth Nurs
(2001) The anxiety- and pain-reducing effects of music interventions: A systematic review
AORN J
(2008)- et al.
Audio and visual stimulation reduces patient discomfort during screening flexible sigmoidoscopy
Am J Gastroenterol
(1998) - et al.
Effects of audiovisual distraction during dental prohylaxis
J Am Dent Assoc
(2001) - et al.
Distraction therapy with nature sights and sounds reduces pain during flexible bronchoscopy
Chest
(2003) - et al.
What decline in pain intensity is meaningful to patients with acute pain?
Pain
(2003) - et al.
Pain in its environmental context: Implications for designing environments to enhance pain control
Pain
(2008) - et al.
Music for pain relief
Cochrane Database Syst Rev
(2006)
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Lone Nikolajsen, MD, PhD, is a consultant in the Department of Anesthesiology and Danish Pain Research Center, Aarhus University Hospital, Aarhus, Denmark.
Kirsten Lyndgaard, RN, is a registered nurse in the Department of Anesthesiology, Aarhus University Hospital, Aarhus, Denmark.
Nina B. Schriver, PhD, is a physiotherapist and cultural researcher at the Institute of Philosophy and History of Ideas, RUML, University of Aarhus, Denmark.
Jytte F Moller, MD, PhD, is a consultant in the Department of Anesthesiology, Aarhus University Hospital, Aarhus, Denmark.
Parts of the results were presented August 20, 2008 at the 12th World Congress on Pain, Glascow, UK (poster presentation)