Music Use for Sedation in Critically ill Children (MUSiCC trial): a pilot randomized controlled trial

dc.contributor.authorGarcia Guerra, Gonzalo
dc.contributor.authorJoffe, Ari R
dc.contributor.authorSheppard, Cathy
dc.contributor.authorHewson, Krista
dc.contributor.authorDinu, Irina A
dc.contributor.authorHajihosseini, Morteza
dc.contributor.authordeCaen, Allan
dc.contributor.authorJou, Hsing
dc.contributor.authorHartling, Lisa
dc.contributor.authorVohra, Sunita
dc.date.accessioned2021-01-17T01:04:08Z
dc.date.available2021-01-17T01:04:08Z
dc.date.issued2021-01-12
dc.date.updated2021-01-17T01:04:07Z
dc.description.abstractAbstract Objective To demonstrate feasibility of a music medicine intervention trial in pediatric intensive care and to obtain information on sedation and analgesia dose variation to plan a larger trial. Material and methods Pilot randomized controlled trial (RCT) was conducted at the Stollery Children’s Hospital general and cardiac intensive care units (PICU/PCICU). The study included children 1 month to 16 years of age on mechanical ventilation and receiving sedation drugs. Patients were randomized in a 1:1:1 ratio to music, noise cancellation or control. The music group received classical music for 30 min three times/day using headphones. The noise cancellation group received the same intervention but with no music. The control group received usual care. Results A total of 60 patients were included. Average enrollment rate was 4.8 patients/month, with a consent rate of 69%. Protocol adherence was achieved with patients receiving > 80% of the interventions. Overall mean (SD) daily Sedation Intensity Score was 52.4 (30.3) with a mean (SD) sedation frequency of 9.75 (7.21) PRN doses per day. There was a small but statistically significant decrease in heart rate at the beginning of the music intervention. There were no study related adverse events. Eighty-eight percent of the parents thought the headphones were comfortable; 73% described their child more settled during the intervention. Conclusions This pilot RCT has demonstrated the feasibility of a music medicine intervention in critically ill children. The study has also provided the necessary information to plan a larger trial.
dc.identifier.citationJournal of Intensive Care. 2021 Jan 12;9(1):7
dc.identifier.doihttps://doi.org/10.1186/s40560-020-00523-7
dc.identifier.urihttp://hdl.handle.net/1880/112981
dc.identifier.urihttps://doi.org/10.11575/PRISM/44009
dc.language.rfc3066en
dc.rights.holderThe Author(s)
dc.titleMusic Use for Sedation in Critically ill Children (MUSiCC trial): a pilot randomized controlled trial
dc.typeJournal Article
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