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AnesthesiologistsLikeBlues,SurgeonsPreferTop
40Hits
ByKathrynDoyle January04,2016
(ReutersHealth)Musiciscommoninoperatingrooms,withpatientsandprovidersgenerallyagreeingthatit'sa
positiveaddition,buttheymaypartwaysonthebesttypeofmusictopromotesuccessfulsurgery,anewstudy
suggests.

U.S.researcherssurveyeddoctors,nursesandpatientsandfounddifferencesforinstance,anesthesiologistsmore
oftenpreferbluesorjazzatlowervolume,whilesurgeonsliketopumpupthevolumeoftop40hits.

"Becausemusicisfrequentlyplayedduringoperations,webelievethattheimplicationsofmusicinthe(operating
room)areclinicallyrelevantandneedtobebetterresearched,"saidseniorauthorDr.ClaudiusConradofThe
UniversityofTexasMDAndersonCancerCenterinHouston.

Patientsseemedtointuitivelyunderstandthatmusiccanimproveconcentrationandcommunicationintheoperating
team,hesaid.

"Wewereastonishedbyhowsignificantthedifferencesinmusicalpreferences(genre,tempo,volume)byspecialty
(surgeryvsanesthesiology)andprofessionalstatus(attendingphysicianvsresidentvsnurse)were,"Conradtold
ReutersHealthbyemail.

"Assurgeonswestrivetomaketheoperatingroomthesafestplacepossibleforourpatients,"hesaid."Surgery
demandscognitivelyandtechnicallycomplexskillswhilealsorequiringbroadteamcoordinationtosynchronize
tasks."

Theresearchersgavemusicalpreferencequestionnairesto282preoperativepatientsand390providers,including
attendingdoctors,residentsandnursesinanesthesiologyandsurgery.

Threequartersofpatientsreportedahighlevelofmusicenjoyment,andmostoftenfavoredrock,classicalandtop
40genres.Theoperationstheywerehavingrangedfromveryminortomajorsurgery.

Morethan40%ofpatientsthoughtmusicshouldbeplayedoftenintheoperatingroom,andmostfeltthemusic
choiceshouldbeuptothesurgeonoroperatingteam.

Mostprovidersalsoratedmusicenjoymenthighly,thestudyteamreportedonlineDecember23inthejournal
Surgery.

Attendingdoctorstendedtopreferclassicalmusicoverothergenreslikehiphoporelectronicmusic.

Nursesandsurgeonstendedtoprefermusicathighervolumethanresidentsandattendingdoctors,whilethosein
surgeryalsopreferredloudermusicthanthoseinanesthesiology

Anesthesiologistsmustprocessaudiovisualalarmsduringprocedures,sosoftervolumesmakesense,Conradsaid.
Faster,loudermusicmaybemoresuitedtotheprolongedmotorperformancerequiredofsurgery.

"Ateam'sabilitytoeffectivelycommunicateandfunctionasanintegratedunitisoneofthemostimportant
determinantsofsuccessandiscriticaltothedeliveryofhighqualitymedicalcare,avoidanceofmedicalerrors,and
managementofunexpectedsurgicaleventsorcrises,particularlyatthesurgeonanesthesiologistinterface,"Conrad
said.

"Basedonourstudy,givenmusic'simpactonteamdynamics,theuseofmusicintheORrequirescareful
considerationanddiscussionamongteammemberstoensurethattheneedsofallarebeingmet,"hesaid.

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1/11/2016 www.medscape.com/viewarticle/856677_print

SurgeryprovidersmostoftenselectthemusicthatplaysintheOR,henoted.

"WhileexecutivedecisionmakingcancontributetoefficiencyintheORandmayalsocreateasenseofcontrolthat
isanimportantstressrelievingmechanism,surgicalprovidersmustrecognizethesignificantdifferencesthatexist
betweenthedifferentprovidersintheoperatingroom,"Conradsaid.

CollectivedecisionmakingisthebestwaytochoosemusicintheOR,hesaid.

"Healthcareprovidersmaynotbeawareofthemusicpreferencesofpatientsandtheirstaffcolleagues,"saidLinda
L.Chlan,associatedeanfornursingresearchattheMayoClinicinRochester,Minnesota,whowasnotpartofthe
newstudy.

Oneperson'smusicchoiceforconcentrationmaybeverydistractingforanothercolleague,ChlantoldReuters
Healthbyemail.

Patientswhowillbeawakeduringsurgerymaywanttouseheadphonessotheycanlistentotheirpreferredmusic
toreduceanxiety,notthemusicchosenbythehealthcareteammembers,Chlansaid.

"Practicallyspeaking,ourresultssuggestthatclassicalmusicinparticular,whenplayedatanappropriatevolume,
couldbeasuitableoptionfortheheterogeneousworkenvironmentoftheOR,"Conradsaid."Whileitmaynotbethe
bestoptionforeachindividualprovider,itmightbeoneofthebest'commondenominators'inmusicchoiceforthe
heterogeneousenvironmentoftheoperatingroom."

SOURCE:http://bit.ly/1Pzq5B8

Surgery2015.

ReutersHealthInformation2015

Citethisarticle:AnesthesiologistsLikeBlues,SurgeonsPreferTop40Hits.Medscape.Dec31,2015.

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