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Patients receiving mechanical ventilation experience significant levels of anxiety. In a multicenter randomized trial that enrolled 373 patients receiving mechanical ventilatory support, Chlan and colleagues assessed the effects of listening to music that was self-initiated and patient-directed on anxiety and the intensity and frequency of sedative exposure. The authors found that patient-directed music resulted in greater reductions in anxiety and sedation intensity than usual care but not compared with noise-cancelling headphones and greater reduction in sedation frequency than either usual care or noise-cancelling headphones. In an editorial, Azoulay and colleagues discuss the potential of music therapy to reduce anxiety in critically ill, mechanically ventilated patients.
This Week in JAMA. JAMA. 2013;309(22):2295. doi:10.1001/jama.2013.5825
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