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Music and surgery

Kathryn L Kreicher, Jeremy S Bordeaux
Importance: Cutaneous surgery is performed by otolaryngologists, plastic surgeons, oculoplastic surgeons, dermatologic surgeons, and some primary care physicians. Practice gaps exist among cutaneous surgeons, as do differences in how different physicians approach preoperative, intraoperative, and postoperative decision-making. Objective: To present the newest and best evidence to close common practice gaps in cutaneous surgery. Evidence Review: We performed a detailed search of peer-reviewed publications that were identified through a search of PubMed/MEDLINE (January 1, 2000, through June 30, 2016) using the literature search terms "cutaneous surgery," "Mohs micrographic surgery," "plastic surgery," in combination with "safety," "cost," "anesthesia," "anti-coagulation," "bleeding," "pain," "analgesia," "anxiety," or "infection," among others...
October 20, 2016: JAMA Facial Plastic Surgery
D Wiwatwongwana, P Vichitvejpaisal, L Thaikruea, J Klaphajone, A Tantong, A Wiwatwongwana
PurposeTo investigate the anxiolytic effects of binaural beat embedded audio in patients undergoing cataract surgery under local anesthesia.MethodsThis prospective RCT included 141 patients undergoing cataract surgery under local anesthesia. The patients were randomized into three groups; the Binaural beat music group (BB), the plain music intervention group (MI), and a control group (ear phones with no music). Blood pressure (BP) and heart rate were measured on admission, at the beginning of and 20 min after the start of the operation...
October 14, 2016: Eye
Amy N Luckenbaugh, Gregory B Auffenberg, Scott R Hawken, Apoorv Dhir, Susan Linsell, Sanjeev Kaul, David C Miller
PURPOSE: We examined the frequency of follow-up prostate-specific antigen (PSA) testing and prostate biopsy among men managed with active surveillance (AS) in academic and community urology practices comprising the Michigan Urological Surgery Improvement Collaborative (MUSIC). MATERIALS AND METHODS: MUSIC is a consortium of 42 practices that maintains a prospective clinical registry with validated clinical data for all patients diagnosed with prostate cancer at participating sites...
September 20, 2016: Journal of Urology
Anne Conlin, Jane Lea, Manohar Bance, Neil Chadha, Shaun Kilty, Frederick Kozak, Julian Savage, Ravindar Sidhu, Joseph Chen, Brian D Westerberg
BACKGROUND: Mental practice, the cognitive rehearsal of a task in the absence of overt physical movement, has been successfully used in teaching complex psychomotor tasks including sports and music, and recently, surgical skills. The objectives of this study were, 1) To develop and evaluate a mental practice protocol for mastoidectomy 2) To assess the immediate impact of mental practice on a mastoidectomy surgical task among senior Otolaryngology─Head & Neck Surgery (OHNS) residents...
2016: Journal of Otolaryngology—Head & Neck Surgery
Michael L Cher, Apoorv Dhir, Gregory B Auffenberg, Susan Linsell, Yuqing Gao, Bradley Rosenberg, S Mohammad Jafri, Laurence Klotz, David C Miller, Khurshid R Ghani, Steven J Bernstein, James E Montie, Brian R Lane
PURPOSE: Adoption of active surveillance (AS) is widely variable across urological communities. This suggests a need for more consistency in the counseling of patients. To address this need, we used the RAND/UCLA Appropriateness Method to develop appropriateness criteria and counseling statements for AS. MATERIALS AND METHODS: Panelists were recruited from Michigan Urological Surgery Improvement Collaborative (MUSIC) urology practices. Combinations of parameters thought to influence decision-making were used to create and score 160 theoretical clinical scenarios for appropriateness of AS...
July 12, 2016: Journal of Urology
Marco Riva, Alessandra Casarotti, Alessandro Comi, Federico Pessina, Lorenzo Bello
BACKGROUND: Music is one of the most sophisticated and fascinating functions of the brain. Yet, how music is instantiated within the brain is not fully characterized. Singing is a peculiar aspect of music, in which both musical and linguistic skills are required to provide a merged vocal output. Identifying the neural correlates of this process is relevant for both clinical and research purposes. CASE DESCRIPTION: An adult white man with a presumed left temporal glioma was studied...
September 2016: World Neurosurgery
Tobias Rader, Julia Döge, Youssef Adel, Tobias Weissgerber, Uwe Baumann
In normal hearing, the pitch of an acoustic tone can theoretically be encoded by either the place of stimulation in the cochlea or the corresponding rate of vibration. Thus spectral attributes and temporal fine structure of an acoustic signal are naturally correlated. Cochlear implants (CIs), neural prosthetic devices that restore hearing in the profoundly hearing impaired, currently disregard this mechanism; electrical stimulation is provided at fixed electrode positions with default place independent stimulation rate assignments...
September 2016: Hearing Research
Shantala Hegde, Rose Dawn Bharath, Malla Bhaskara Rao, Karthik Shiva, Arivazhagan Arimappamagan, Sanjib Sinha, Jamuna Rajeswaran, Parthasarathy Satishchandra
Mesial temporal lobe epilepsy (TLE) affects a range of cognitive functions and musical abilities. We report a 16-year-old boy diagnosed with drug-resistant right-medial TLE. He is a professional musician, trained in Carnatic classical music. Clinical, electrophysiological, magnetic resonance imaging (MRI) and positron emission tomography evaluation localized the seizure focus to the right medial temporal lobe. Patient underwent detailed neuropsychological evaluation and functional MRI (fMRI) for musical abilities prior to surgery...
July 1, 2016: Neurocase
Gregory B Auffenberg, Susan Linsell, Apoorv Dhir, Stacie N Myers, Bradley Rosenberg, David C Miller
PURPOSE: We compare pathologic outcomes following radical prostatectomy for a population-based sample of men with low-risk prostate cancer managed with initial active surveillance and delayed prostatectomy versus those treated with immediate surgery in order to better understand this expectant management approach outside of the context of academic cohorts. We hypothesized that delays in surgery due to initial surveillance would not impact surgical pathological outcomes. MATERIAL AND METHODS: We performed a prospective cohort study of two groups of patients with National Comprehensive Cancer Network low-risk prostate cancer from practices in the Michigan Urological Surgery Improvement Collaborative (MUSIC): men who chose initial active surveillance and went on to delayed prostatectomy and those who chose immediate prostatectomy...
May 30, 2016: Journal of Urology
Galina Kipnis, Nili Tabak, Silvia Koton
BACKGROUND: Contemporary medicine and nursing use music to stabilize mood, relieve tension and anxiety, and achieve higher treatment efficiency. Preoperative anxiety may be responsible for cognitive and behavioral changes affecting treatment efficiency. PURPOSE: To evaluate the effect of background music on preoperative anxiety in elective surgery patients and on noise levels in the surgery waiting room. DESIGN: One hundred fifty-nine elective surgery patients were divided into an intervention group (n = 82) and a control group (n = 77)...
June 2016: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
Sylva L McClurkin, Claudia D Smith
PURPOSE: Preoperative anxiety affects patients both physically and psychologically. It may also influence the patient's perioperative experience and result in reduced patient satisfaction with care and potentially delayed recovery. Previous research indicates that patients who listen to music in the perioperative setting experience less anxiety than patients who do not listen to music. Research does not address the duration of music required to effectively reduce anxiety in this population...
June 2016: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
Cynthia Watkins, Michael Rivlin, Pedro K Beredjiklian
Tendon transfers in hand patients are a commonly performed procedure after extensor tendon rupture. However, the standard side to side technique is not applicable in every patient. We present a case of a musician with unique demands to demonstrate the option to customize surgical technique and therapy regimen to the unique needs of each patient. An extensor indicis proprius to extensor digitorum communis transfer was performed in a 73 year old musician. A controlled active motion therapy protocol was followed...
April 2016: Archives of Bone and Joint Surgery
Shiro Horisawa, Shinichi Goto, Takeshi Nakajima, Takakazu Kawamata, Takaomi Taira
BACKGROUND: Focal hand dystonia in musicians, also known as musician's dystonia, is a task-specific movement disorder characterized by unwanted involuntary muscle contractions occurring only when playing a musical instrument. CASE DESCRIPTION: Case 1 was a 50-year-old female professional pianist who underwent staged bilateral ventro-oral (Vo) thalamotomy, with an interval between the first and second surgery of 4 years. The first surgery (right Vo thalamotomy) led to significant improvements in dystonic symptoms without any complications...
August 2016: World Neurosurgery
Murad Alam, Wanjarus Roongpisuthipong, Natalie A Kim, Amita Goyal, Jillian H Swary, Renata T Brindise, Sanjana Iyengar, Natalie Pace, Dennis P West, Mahesh Polavarapu, Simon Yoo
BACKGROUND: Guided imagery and music can reportedly reduce pain and anxiety during surgery, but no comparative study has been performed for cutaneous surgery to our knowledge. OBJECTIVES: We sought to determine whether short-contact recorded guided imagery or relaxing music could reduce patient pain and anxiety, and surgeon anxiety, during cutaneous surgical procedures. METHODS: Subjects were adults undergoing excisional surgery for basal and squamous cell carcinoma...
September 2016: Journal of the American Academy of Dermatology
Firas Abdollah, Zaojun Ye, David C Miller, Susan M Linsell, James E Montie, James O Peabody, Khurshid R Ghani
BACKGROUND: The potential harms of a prostate cancer (PCa) diagnosis may outweigh its benefits in elderly men. OBJECTIVE: To assess the use of prostate biopsy in men with limited life expectancy (LE) within the practices comprising the Michigan Urological Surgery Improvement Collaborative (MUSIC). DESIGN, SETTING, AND PARTICIPANTS: MUSIC is a consortium of 42 practices and nearly 85% of the urologists in Michigan. From July 2013 to October 2014, clinical data were collected prospectively for all men undergoing prostate biopsy...
April 21, 2016: European Urology
T M Morgan, S R Hawken, K R Ghani, D C Miller, F Y Feng, S M Linsell, J A Salisz, Y Gao, J E Montie, M L Cher
BACKGROUND: We used data from the Michigan Urological Surgery Improvement Collaborative (MUSIC) to investigate the use of adjuvant and salvage radiotherapy (ART, SRT) among patients with high-risk pathology following radical prostatectomy (RP). METHODS: For patients with pT3a disease or higher and/or positive surgical margins, we examined post-RP radiotherapy administration across MUSIC practices. We excluded patients with <6 months follow-up, and those that failed to achieve a postoperative PSA nadir ⩽0...
June 2016: Prostate Cancer and Prostatic Diseases
Stacie N Myers, Khurshid R Ghani, Rodney L Dunn, Brian R Lane, Edward W Schervish, Yuqing Gao, Susan M Linsell, David C Miller, James E Montie, James M Dupree
PURPOSE: A priority of MUSIC (Michigan Urological Surgery Improvement Collaborative) is to improve patient outcomes after radical prostatectomy. As part of these efforts we developed a novel system that uses unambiguous events to define an uncomplicated 30-day postoperative recovery and compares these outcomes across diverse urology practices. MATERIALS AND METHODS: MUSIC used a consensus approach to develop an uncomplicated recovery pathway comprising a set of precise perioperative events that are reliably measured and collectively reflect resource utilization, technical complications and coordination of care...
August 2016: Journal of Urology
Jose L Gómez-Urquiza, César Hueso-Montoro, Josefa Urquiza-Olmo, Rocío Ibarrondo-Crespo, Emilio González-Jiménez, Jacqueline Schmidt-Riovalle
AIMS: To determine the effectiveness of photographic display at reducing pre-operative anxiety in an ear, nose and throat surgery unit; alone and in combination with music. BACKGROUND: The waiting time prior to the surgery is often unpleasant and a time of anxiety for patients. Anxiety can affect physical recovery and psychological well-being; lengthening convalescence and hospital stay after the surgery. Improving pre-operative anxiety is a challenge with potential impacts on improving patients' satisfaction and well-being and decreasing the cost of care...
July 2016: Journal of Advanced Nursing
Barbara Byrne Notte, Carol Fazzini, Ruth A Mooney
BACKGROUND: In the immediate postoperative period, managing postsurgical pain with pain medication can contribute to complications. A more effective approach might include a combination of pharmacologic and nonpharmacologic measures, such as Reiki therapy. PURPOSE: The purpose of this pilot study was to determine the impact of Reiki therapy on the pain perception of patients undergoing total knee arthroplasty (TKA) following Reiki sessions, satisfaction with Reiki therapy, satisfaction with the hospital experience overall, and pain medication use following surgery...
February 2016: Nursing
Wai Man Sin, Ka Ming Chow
Unrelieved postoperative pain may have a negative impact on the physiological and psychological well-being of patients. Pharmacological methods are currently used to relieve such pain in gynecological patients; however, inadequate pain control is still reported, and the use of nonpharmacological pain-relieving methods is increasingly being advocated, one of which is music therapy. The purpose of this literature review was to identify, summarize, and critically appraise current evidence on music therapy and postoperative pain management among gynecological patients...
December 2015: Pain Management Nursing: Official Journal of the American Society of Pain Management Nurses
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