Effect of noise isolation using noise-cancelling headphones during laparoscopic surgery for postoperative pain reduction: A randomized clinical trial
Most laparoscopic surgeries under general anesthesia are performed in noisy environments, although the effect of intraoperative noise reduction on postoperative pain remains uncertain. This study aimed to explore whether postoperative pain could be reduced through the intraoperative use of noise-can...
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| Veröffentlicht in: | Journal of clinical anesthesia 2024-02, Vol.92, p.111286-111286, Article 111286 |
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| container_title | Journal of clinical anesthesia |
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| creator | You, Shuai Xu, Fang Wu, Yingcai Qin, Siyu Shu, Bin Chen, Yuanjing Chen, Yupei Huang, He Duan, Guangyou |
| description | Most laparoscopic surgeries under general anesthesia are performed in noisy environments, although the effect of intraoperative noise reduction on postoperative pain remains uncertain. This study aimed to explore whether postoperative pain could be reduced through the intraoperative use of noise-cancelling headphones.
This study was conducted as a prospective parallel-group randomized clinical trial.
Operating room and surgery room.
Ninety patients who underwent laparoscopic surgery under general anesthesia.
In the intervention group, noise-cancelling headphones were used to reduce noise intensity during laparoscopic surgery under general anesthesia.
The primary outcome was the maximum movement-evoked pain intensity within 24 h post-surgery, measured using a 10-point numeric rating scale. Secondary outcomes included the maximum resting pain score and total opioid consumption during the 24-h period post-surgery. Mean intraoperative noise and the proportion of intraoperative time with noise intensity ≥70 dB were recorded.
The maximum movement-evoked pain score was significantly lower in the intervention group than in the control group (mean score [SD], 2.7 [1.0] and 4.0[1.0], respectively; P |
| doi_str_mv | 10.1016/j.jclinane.2023.111286 |
| format | Article |
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This study was conducted as a prospective parallel-group randomized clinical trial.
Operating room and surgery room.
Ninety patients who underwent laparoscopic surgery under general anesthesia.
In the intervention group, noise-cancelling headphones were used to reduce noise intensity during laparoscopic surgery under general anesthesia.
The primary outcome was the maximum movement-evoked pain intensity within 24 h post-surgery, measured using a 10-point numeric rating scale. Secondary outcomes included the maximum resting pain score and total opioid consumption during the 24-h period post-surgery. Mean intraoperative noise and the proportion of intraoperative time with noise intensity ≥70 dB were recorded.
The maximum movement-evoked pain score was significantly lower in the intervention group than in the control group (mean score [SD], 2.7 [1.0] and 4.0[1.0], respectively; P < 0.001). The intervention group required significantly fewer opioids than the control group (mean [SD], 44.2 [12.8] and 51.3[17.5] mg, respectively; P = 0.032). In the control group, but not the intervention group, all postoperative pain scores were significantly associated with the proportion of intraoperative time with noise intensity ≥70 dB, which was an independent risk factor for postoperative pain.
During laparoscopic surgery under general anesthesia, intraoperative noise isolation using noise-cancelling headphones is a safe and effective strategy for relieving postoperative pain and decreasing total opioid analgesic consumption.
[Display omitted]
•Noise-cancelling headphones during surgery reduced postoperative pain scores.•Noise-cancelling headphones during surgery reduced postoperative opioid consumption.•Reduction of hyperpathia contributes to the beneficial effect of noise-cancelling.</description><identifier>ISSN: 0952-8180</identifier><identifier>EISSN: 1873-4529</identifier><identifier>DOI: 10.1016/j.jclinane.2023.111286</identifier><identifier>PMID: 37837796</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Analgesics ; Analgesics, Opioid - therapeutic use ; Anesthesia, General - adverse effects ; Blood pressure ; General anesthesia ; Headphones ; Heart rate ; Humans ; Informed consent ; Laparoscopic surgery ; Laparoscopy ; Laparoscopy - adverse effects ; Medical personnel ; Morphine ; Narcotics ; Noise ; Noise isolation ; Pain ; Pain management ; Pain, Postoperative - etiology ; Pain, Postoperative - prevention & control ; Patients ; Postoperative pain ; Postoperative period ; Prospective Studies ; Surgery ; Surgical outcomes</subject><ispartof>Journal of clinical anesthesia, 2024-02, Vol.92, p.111286-111286, Article 111286</ispartof><rights>2023</rights><rights>Copyright © 2023 Elsevier Inc. All rights reserved.</rights><rights>2023. Elsevier Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c396t-75650095f36e8faba24403ca39c535fe8ef985de45a608a78944e349bd2f8fb83</citedby><cites>FETCH-LOGICAL-c396t-75650095f36e8faba24403ca39c535fe8ef985de45a608a78944e349bd2f8fb83</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/2891741585?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>315,781,785,3551,27928,27929,45999,64389,64391,64393,72473</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37837796$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>You, Shuai</creatorcontrib><creatorcontrib>Xu, Fang</creatorcontrib><creatorcontrib>Wu, Yingcai</creatorcontrib><creatorcontrib>Qin, Siyu</creatorcontrib><creatorcontrib>Shu, Bin</creatorcontrib><creatorcontrib>Chen, Yuanjing</creatorcontrib><creatorcontrib>Chen, Yupei</creatorcontrib><creatorcontrib>Huang, He</creatorcontrib><creatorcontrib>Duan, Guangyou</creatorcontrib><title>Effect of noise isolation using noise-cancelling headphones during laparoscopic surgery for postoperative pain reduction: A randomized clinical trial</title><title>Journal of clinical anesthesia</title><addtitle>J Clin Anesth</addtitle><description>Most laparoscopic surgeries under general anesthesia are performed in noisy environments, although the effect of intraoperative noise reduction on postoperative pain remains uncertain. This study aimed to explore whether postoperative pain could be reduced through the intraoperative use of noise-cancelling headphones.
This study was conducted as a prospective parallel-group randomized clinical trial.
Operating room and surgery room.
Ninety patients who underwent laparoscopic surgery under general anesthesia.
In the intervention group, noise-cancelling headphones were used to reduce noise intensity during laparoscopic surgery under general anesthesia.
The primary outcome was the maximum movement-evoked pain intensity within 24 h post-surgery, measured using a 10-point numeric rating scale. Secondary outcomes included the maximum resting pain score and total opioid consumption during the 24-h period post-surgery. Mean intraoperative noise and the proportion of intraoperative time with noise intensity ≥70 dB were recorded.
The maximum movement-evoked pain score was significantly lower in the intervention group than in the control group (mean score [SD], 2.7 [1.0] and 4.0[1.0], respectively; P < 0.001). The intervention group required significantly fewer opioids than the control group (mean [SD], 44.2 [12.8] and 51.3[17.5] mg, respectively; P = 0.032). In the control group, but not the intervention group, all postoperative pain scores were significantly associated with the proportion of intraoperative time with noise intensity ≥70 dB, which was an independent risk factor for postoperative pain.
During laparoscopic surgery under general anesthesia, intraoperative noise isolation using noise-cancelling headphones is a safe and effective strategy for relieving postoperative pain and decreasing total opioid analgesic consumption.
[Display omitted]
•Noise-cancelling headphones during surgery reduced postoperative pain scores.•Noise-cancelling headphones during surgery reduced postoperative opioid consumption.•Reduction of hyperpathia contributes to the beneficial effect of noise-cancelling.</description><subject>Analgesics</subject><subject>Analgesics, Opioid - therapeutic use</subject><subject>Anesthesia, General - adverse effects</subject><subject>Blood pressure</subject><subject>General anesthesia</subject><subject>Headphones</subject><subject>Heart rate</subject><subject>Humans</subject><subject>Informed consent</subject><subject>Laparoscopic surgery</subject><subject>Laparoscopy</subject><subject>Laparoscopy - adverse effects</subject><subject>Medical personnel</subject><subject>Morphine</subject><subject>Narcotics</subject><subject>Noise</subject><subject>Noise isolation</subject><subject>Pain</subject><subject>Pain management</subject><subject>Pain, Postoperative - etiology</subject><subject>Pain, Postoperative - prevention & control</subject><subject>Patients</subject><subject>Postoperative pain</subject><subject>Postoperative period</subject><subject>Prospective Studies</subject><subject>Surgery</subject><subject>Surgical outcomes</subject><issn>0952-8180</issn><issn>1873-4529</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqFkc1u3SAQRlHVqLlN-goRUjfd-BaMMdBVoyj9kSJ1k6wRF4YEyxdcsCOl79H3LZaTLrrpCmk488HMQeiCkj0ltP847Ac7hmgi7FvSsj2ltJX9K7SjUrCm4616jXZE8baRVJJT9LaUgRBSL-gbdMqEZEKofod-X3sPdsbJ45hCARxKGs0cUsRLCfF-qzbWRAvjuBYewLjpIUUo2C15rYxmMjkVm6ZgcVnyPeQn7FPGUypzmiDXvEfAkwkRZ3CLXeM_4UucTXTpGH6Bw-swwZoRzzmY8RydeDMWePd8nqG7L9e3V9-amx9fv19d3jSWqX5uBO85qUN61oP05mDariPMGqYsZ9yDBK8kd9Bx0xNphFRdB6xTB9d66Q-SnaEPW-6U088FyqyPoayD1r2mpehWCsEk7Xlb0ff_oENacqy_q5SioqNc8kr1G2XrQkoGr6ccjiY_aUr0Kk4P-kWcXsXpTVxtvHiOXw5HcH_bXkxV4PMGQN3HY4Csiw1QrbiQq0DtUvjfG38AniCwJg</recordid><startdate>202402</startdate><enddate>202402</enddate><creator>You, Shuai</creator><creator>Xu, Fang</creator><creator>Wu, Yingcai</creator><creator>Qin, Siyu</creator><creator>Shu, Bin</creator><creator>Chen, Yuanjing</creator><creator>Chen, Yupei</creator><creator>Huang, He</creator><creator>Duan, Guangyou</creator><general>Elsevier Inc</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>202402</creationdate><title>Effect of noise isolation using noise-cancelling headphones during laparoscopic surgery for postoperative pain reduction: A randomized clinical trial</title><author>You, Shuai ; 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This study aimed to explore whether postoperative pain could be reduced through the intraoperative use of noise-cancelling headphones.
This study was conducted as a prospective parallel-group randomized clinical trial.
Operating room and surgery room.
Ninety patients who underwent laparoscopic surgery under general anesthesia.
In the intervention group, noise-cancelling headphones were used to reduce noise intensity during laparoscopic surgery under general anesthesia.
The primary outcome was the maximum movement-evoked pain intensity within 24 h post-surgery, measured using a 10-point numeric rating scale. Secondary outcomes included the maximum resting pain score and total opioid consumption during the 24-h period post-surgery. Mean intraoperative noise and the proportion of intraoperative time with noise intensity ≥70 dB were recorded.
The maximum movement-evoked pain score was significantly lower in the intervention group than in the control group (mean score [SD], 2.7 [1.0] and 4.0[1.0], respectively; P < 0.001). The intervention group required significantly fewer opioids than the control group (mean [SD], 44.2 [12.8] and 51.3[17.5] mg, respectively; P = 0.032). In the control group, but not the intervention group, all postoperative pain scores were significantly associated with the proportion of intraoperative time with noise intensity ≥70 dB, which was an independent risk factor for postoperative pain.
During laparoscopic surgery under general anesthesia, intraoperative noise isolation using noise-cancelling headphones is a safe and effective strategy for relieving postoperative pain and decreasing total opioid analgesic consumption.
[Display omitted]
•Noise-cancelling headphones during surgery reduced postoperative pain scores.•Noise-cancelling headphones during surgery reduced postoperative opioid consumption.•Reduction of hyperpathia contributes to the beneficial effect of noise-cancelling.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>37837796</pmid><doi>10.1016/j.jclinane.2023.111286</doi><tpages>1</tpages></addata></record> |
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| ispartof | Journal of clinical anesthesia, 2024-02, Vol.92, p.111286-111286, Article 111286 |
| issn | 0952-8180 1873-4529 |
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| subjects | Analgesics Analgesics, Opioid - therapeutic use Anesthesia, General - adverse effects Blood pressure General anesthesia Headphones Heart rate Humans Informed consent Laparoscopic surgery Laparoscopy Laparoscopy - adverse effects Medical personnel Morphine Narcotics Noise Noise isolation Pain Pain management Pain, Postoperative - etiology Pain, Postoperative - prevention & control Patients Postoperative pain Postoperative period Prospective Studies Surgery Surgical outcomes |
| title | Effect of noise isolation using noise-cancelling headphones during laparoscopic surgery for postoperative pain reduction: A randomized clinical trial |
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