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  • 2005-2009  (2)
  • 1
    ISSN: 1365-2044
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Pre-operative anxiety is common and often significant. Ambulatory surgery challenges our pre-operative goal of an anxiety-free patient by requiring people to be ‘street ready’ within a brief period of time after surgery. Recently, it has been demonstrated that music can be used successfully to relieve patient anxiety before operations, and that audio embedded with tones that create binaural beats within the brain of the listener decreases subjective levels of anxiety in patients with chronic anxiety states. We measured anxiety with the State-Trait Anxiety Inventory questionnaire and compared binaural beat audio (Binaural Group) with an identical soundtrack but without these added tones (Audio Group) and with a third group who received no specific intervention (No Intervention Group). Mean [95% confidence intervals] decreases in anxiety scores were 26.3%[19–33%] in the Binaural Group (p = 0.001 vs. Audio Group, p 〈 0.0001 vs. No Intervention Group), 11.1%[6–16%] in the Audio Group (p = 0.15 vs. No Intervention Group) and 3.8%[0–7%] in the No Intervention Group. Binaural beat audio has the potential to decrease acute pre-operative anxiety significantly.
    Type of Medium: Electronic Resource
    Library Location Call Number Volume/Issue/Year Availability
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  • 2
    ISSN: 1365-2044
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: We investigated whether positioning patients undergoing general anaesthesia for cholecystectomy in a 20° head-up position, as opposed to supine, improved the efficacy of 3 min of standard pre-oxygenation via a circle breathing system. Following pre-oxygenation, patients received a standard induction of anaesthesia and the apnoea time (from administration of rocuronium to the arterial oxygen saturation to fall to 95%) was recorded. Mean (95% CI) apnoea time was 386 (343–429) s in the 20° head-up position (n = 17) vs 283 (243–322) s in the supine position (n = 18; p = 0.002). Pre-oxygenation is significantly more efficacious and by inference more efficient in the 20° head-up position than in the supine position.
    Type of Medium: Electronic Resource
    Library Location Call Number Volume/Issue/Year Availability
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