Effect of noise isolation using noise-cancelling headphones during laparoscopic surgery for postoperative pain reduction: A randomized clinical trial

作者全名："You, Shuai; Xu, Fang; Wu, Yingcai; Qin, Siyu; Shu, Bin; Chen, Yuanjing; Chen, Yupei; Huang, He; Duan, Guangyou"

作者地址："[You, Shuai; Xu, Fang; Wu, Yingcai; Qin, Siyu; Shu, Bin; Chen, Yuanjing; Chen, Yupei; Huang, He; Duan, Guangyou] Chongqing Med Univ, Affiliated Hosp 2, Dept Anesthesiol, Chongqing, Peoples R China"

通信作者："Huang, H; Duan, GY (通讯作者)，Chongqing Med Univ, Affiliated Hosp 2, Dept Anesthesiol, Chongqing, Peoples R China."

来源：JOURNAL OF CLINICAL ANESTHESIA

ESI学科分类：CLINICAL MEDICINE

WOS号：WOS:001102784400001

JCR分区：Q1

影响因子：6.7

年份：2024

卷号：92

期号：　

开始页：　

结束页：　

文献类型：Article

关键词：Noise isolation; Postoperative pain; Laparoscopic surgery; General anesthesia

摘要："Study objective: 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.Design: This study was conducted as a prospective parallel-group randomized clinical trial.Setting: Operating room and surgery room.Patients: Ninety patients who underwent laparoscopic surgery under general anesthesia.Interventions: In the intervention group, noise-cancelling headphones were used to reduce noise intensity during laparoscopic surgery under general anesthesia.Measurements: 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.Main results: 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.Conclusion: 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."

基金机构：Natural Science Foundation of Chongqing [cstc2021jcyj-msxmX0188]; National Natural Science Foundation of China [82171210]

基金资助正文："This work was supported by the Natural Science Foundation of Chongqing (No. cstc2021jcyj-msxmX0188, GD) and the National Natural Science Foundation of China (No. 82171210, GD) ."