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Eur Respir J. 2019 Jan 17;53(1). pii: 1801873. doi: 10.1183/13993003.01873-2018. Print 2019 Jan.

A musical intervention for respiratory comfort during noninvasive ventilation in the ICU.

Author information

1
Medical-Surgical Intensive Care Unit, Hôpital Louis Mourier, AP-HP, Colombes, France.
2
UMRS 1137 (IAME), Sorbonne Paris Cité, Université Paris Diderot, Paris, France.
3
UMRS 1137 (IAME), INSERM, Paris, France.
4
Medical-Surgical Intensive Care Unit, District Hospital Center, La Roche-sur-Yon, France.
5
Medical-Surgical Intensive Care Unit, Institut Gustave Roussy, Villejuif, France.
6
Unité de Recherche Clinique Paris-Nord, Hôpital Bichat, AP-HP, Paris, France.
7
Dépt de Biostatistiques, Santé Publique et Information Médicale, Hôpital Pitié-Salpêtrière, AP-HP, Paris, France.
8
Dépt de Biostatistique, Santé Publique et Information Médicale, Centre de Pharmaco-Epidémiologie de l'AP-HP, Sorbonne Université, CIC 1421, Hôpital Pitié-Salpêtrière, AP-HP, Paris, France.
9
UMRS 1123 (ECEVE), CIC-EC 1425, INSERM, Paris, France.

Abstract

Discomfort associated with noninvasive ventilation (NIV) may participate in its failure. We aimed to determine the effect of a musical intervention on respiratory discomfort during NIV in patients with acute respiratory failure (ARF).An open-label, controlled trial was performed over three centres. Patients requiring NIV for ARF were randomised to either a musical intervention group (where they received a musical intervention and were subjected to visual deprivation during the first 30 min of each NIV session), a sensory deprivation group (where they wore insulating headphones and were subjected to visual deprivation during the first 30 min of each NIV session), or a control group (where they received NIV as routinely performed). The primary outcome was the change in respiratory discomfort before and after 30 min of the first NIV session.A total of 113 patients were randomised (36 in the musical intervention group, 38 in the sensory deprivation group and 39 in the control group). Median (interquartile range (IQR)) change in respiratory discomfort was 0 (-1; 1) between the musical intervention and control groups (p=0.7). Between groups comparison did not evidence any significant variation of respiratory parameters across time or health-related quality of life (HRQoL) at day-90. The Peri-traumatic Distress Inventory (PDI) at intensive care unit (ICU) discharge was reduced in musical intervention group patients. However, a 30 min musical intervention did not reduce respiratory discomfort during NIV for ARF in comparison to conventional care or sensory deprivation.

PMID:
30578396
DOI:
10.1183/13993003.01873-2018
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Conflict of interest statement

Conflict of interest: J. Messika reports congress fee reimbursement from Fisher and Paykel, outside the submitted work. Conflict of interest: J.-D. Ricard reports congress fee reimbursement from Fisher and Paykel, outside the submitted work.

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