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Effect of music on preoperative anxiety in patients undergoing laparoscopic cholecystectomy

Introduction: Anxiety is a common phenomenon among hospitalized patients awaiting any surgical procedure and causes acute psychological distress in the perioperative period. It activates the sympathetic nervous system, adversely affecting the induction and maintenance of anesthesia and postoperative recovery, leading to a lower level of satisfaction with the treatment. The current study aims to explore the effect of music on preoperative anxiety. Patients and Methods: In this randomized controlled study, 104 patients posted for laparoscopic cholecystectomy were randomly divided into two groups. Patients in both groups received oral alprazolam 0.25 mg on the night before surgery. In addition, patients in Group II were also exposed to 30 min of soft, soothing music, 1 h before the surgery. Vitals of patients, including heart rate (HR), blood pressure, and respiratory rate, in both the groups along with the general anxiety – visual analog scale (GA-VAS), were recorded and compared. Results: On comparing T30 vitals between the two groups, a statistically significant difference was seen in all the monitored parameters, with vitals in Group II being lower than in Group I. T60 vitals in Group II were found to be lower than Group I in all the monitored parameters, except for HR (P = 0.051). The GA-VAS scores in Group II were lower compared to Group I (P = 0.008). Conclusion: Exposure to music, as an addition to alprazolam 0.25 mg, in the preoperative period for patients who underwent laparoscopic cholecystectomy reduces the patient's anxiety compared to alprazolam alone.