Englische Studie 1999
Hemi-Sync Studie
Eine englische Studie weist nach, dass Hemi-Sync effektiver als klassische Musik wirkt.
Gemessen wurde der Schmerzmittelbedarf in einer Doppleblindstudie während Operationen bei 76 Patienten.
Audiotapes for Intra-Operative Nociception Control
P. Kliempt,1 D. Ruta,2 S. Ogston,3 A. Landeck,4 and K. Martay5
1 Research Assistant, 2 Senior Lecturer, and 3 Lecturer in Statistics, Department of Epidemiology and Public Health, Ninewells Hospital, Dundee DD1 9SY, UK
4 Senior House Officer, and 5 Resgistrar, Department of Anaesthetics, Queen Mary's Hospital, Sideup NHS Trust, Frognal Avenue, Sidcup, Kent DA14 6LT, UK
Summary
The possible antinociceptive effect of hemispheric-synchronised sounds, classical music and blank tape were investigated in patients undergoing surgery under general anaesthesia. The study was performed on 76 patients, ASA 1 or 2, aged 18-75 years using a double-blind randomised design.
Each of the three tapes was allocated to the patients according to a computer-generated random number table. General anaesthesia was standardised and consisted of propofol, nitrous oxide 66%/oxygen 33%, isoflurane and fentanyl. Patients breathed spontaneously through a laryngeal mask and the end-tidal isoflurane concentration was maintained near to its minimum alveolar concentration value of 1.2%.
Fentanyl was given intravenously sufficient to keep the intra-operative heart rate and arterial blood pressure within 20% of pre-operative baseline values and the fentanyl requirements were used as a measure of nocieption control.
Patients to whom hemispheric-synchronised sounds were played under general anaesthesia required significantly less fentanyl compared with patients listening to classical music or blank tape (mean values: 28 micrograms, 124 micrograms and 126 micrograms, respectively) (p<0.001). This difference remained significant when regression analysis was used to control for the effects of age and sex.
Keywords Classical music, general anaesthesia, Hemi-Sync, intra-operative awareness, nociception.
Correspondence to: P. Kliempt
Accepted: 15 March 1999
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