# Perioperative Music Implementation in Bariatric Patient Care: An Interventional Study

## TL;DR

This study examined whether playing music during bariatric surgery affects postoperative pain and medication use, finding no significant differences but noting high patient satisfaction and preference for music.

## Contribution

The study evaluates the impact of implementing perioperative music in bariatric surgery, focusing on patient-reported outcomes and satisfaction.

## Key findings

- No significant difference in postoperative pain scores between the music and control groups.
- High patient satisfaction scores in both groups, with no significant difference.
- 86% of patients in the intervention group wanted to listen to music during future surgeries.

## Abstract

Background: Perioperative music can positively affect postoperative pain, opioid requirement, and anxiety. These effects are even present when music is played solely during general anesthesia. This study assesses the effect of implementing perioperative music as standard patient care in elective bariatric metabolic surgery (BMS).

Methods:This prospective study compared the preimplementation (control) and postimplementation (intervention) groups between March and October 2023. The control group did not receive music, while the intervention group received patient-selected music using headphones and a tablet. Music was provided as standard during anesthesia. Only patients undergoing elective BMS (primary ring augmented Roux-en-Y gastric bypass) were included. The primary outcome was postoperative pain on a 10-point scale (numeric rating scale, NRS) on the first postoperative day. The secondary outcomes included postoperative nausea, patient satisfaction, and opioid and antiemetic requirements.

Results: In the control group, 66 patients were included, while 65 were included in the intervention group. Median NRS scores were 5 in both groups, showing no significant difference (p = 0.325). Medication use (analgesics and antiemetics) was similar in both groups. Patient satisfaction scores were high at 8 (8-9) and 9 (8-10), respectively, with no significant difference (p = 0.137). In the intervention group, most patients (86%) want to listen to music during subsequent surgical procedures.

Conclusion:Implementing perioperative music in BMS did not significantly reduce postoperative pain or postoperative medication use. As the bariatric perioperative tract is already well-received without music, it poses a challenge for detecting notable improvements. However, the strong patient preference for music during future surgeries emphasizes the positive perception of music in perioperative care.