Skip to main content
OpenTrials
Completed

NCT Number: NCT03453814

Music Intervention for Agitation Reduction in the Pediatric Intensive Care Unit

The objective of this study is to administer music therapy to patients in the pediatric intensive care unit (PICU) in order to observe how music affects patient agitation, vital signs, and overall recovery in the unit.

Completed

Looking for future studies?

Notify Me

Key information

Conditions

Critical Illness Aberrant Motor Behavior in Dementia Behavior Behavioral Symptoms Disease Attributes Dyskinesias Nervous System Diseases Neurobehavioral Manifestations Neurologic Manifestations Pathologic Processes Pathological Conditions, Signs and Symptoms Psychomotor Agitation Psychomotor Disorders Signs and Symptoms

Age range

5 year–17 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Oishei Children's Hospital

Buffalo, New York, 14203, United States

About this study

This study is a prospective randomized controlled study to observe patients who have been admitted to the PICU with an altered state of agitation according to the Richmond Agitation Sedation Scale (RASS). These patients will be administered music therapy during a controlled setting in the day to observe whether the introduction of music therapy helps reduce the patient's level of agitation, improving their vital signs and overall recovery in the unit. Once patients are enrolled and have signed consents, patients will receive a headset with music or dead air. Therapy times will be selected so that there are minimal disruptions. Total time will be 2 hours daily, once in the morning and once in the evening. The treatments for session 1 and session 2 of the day will be the same (i.e. Music/ Music, No music/No Music).

The investigators hypothesize that applying music therapy in the PICU will decrease agitation, length of stay, and narcotic administration, and normalize heart rate, respiratory rate, and blood pressure.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • PICU patient at Oishei Children's Hospital of Buffalo
  • >4 years of age, <18 years of age
  • Patients with RASS of +1

Exclusion criteria

  • Documented underlying psychological disorders
  • Diagnosed with sever developmental delay
  • Prior narcotic dependence
  • Underlying medical conditions affecting heart rate, blood pressure, or neuromuscular system
  • Chemically paralyzed patients
  • Anyone with an aneurysm
  • Patients who are deaf in both ears
  • Ear bone fractures or other middle/inner ear trauma or major ear avulsion as determined by physician
  • Hemodynamically unstable patients
  • Patients facing imminent death

Treatment and study plan

Music Therapy

Other

Subjects will receive one hour of music twice a day for three days.

Primary outcomes

  1. Richmond Agitation-Sedation Scale (RASS)

    Time frame: 3 days

    The Richmond Agitation-Sedation Scale (RASS) is a medical scale used to measure the agitation or sedation level of a patient. The scale measures patient agitation and sedation +4 to -5, with a score of 0 equal to an alert and calm patient, a positive score equal to various levels of aggression, and a negative score equal to various levels of sedation. Patients receive one score for one observed time point. Therefore, a patient will have one score from +4 to -5. For the purpose of this study, a better outcome will be a score that is around 0 or that decreases from a higher positive score to a lower positive score. The investigators hypothesize that music therapy will decrease agitation in patients and decrease their positive RASS score.

Secondary outcomes

  1. Bispectral Index (BIS)

    Time frame: 3 days

    The Bispectral Index provides a direct measure of the effects of sedatives on the brain. It is an algorithm developed by Aspect Medical Systems that measures EEG after the administration of anesthetic agents and is measure on a BIS monitor. The BIS monitor reports a single number from 0 to 100 that represents an integrated measure of cerebral electrical activity. This is interpreted into a patient's level of alertness. A score of 100 indicates that the patient is fully awake, while a number less than 40 is suggestive of a deep hypnotic effect. For the purpose of this study, the investigators are using the BIS to measure the level of alertness in a patient. The investigators hypothesize that the administration of music therapy with have a sedative effect on patients, thereby decreasing their BIS number.

Sponsors and collaborators

Lead sponsor

State University of New York at Buffalo

Other

Registry information

Important dates

Study start
2018
Primary completion
2019
Study completion
2020
First posted
Mar 5, 2018
Registry last updated
Mar 30, 2020

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

Related clinical trials

Published trials that share one or more normalized conditions with this study.