Pain medicine

Effect of noise isolation using noise-cancelling headphones during laparoscopic surgery for postoperative pain reduction: A randomized clinical trial

J Clin AnesthPublished Randomised controlled trial

Authors' conclusion

During laparoscopic surgery under general anesthesia, intraoperative noise isolation using noise-cancelling headphones is a safe and effective strategy for relieving postoperative pain and decreasing total opioid analgesic consumption.

Study context

Population
Patients undergoing laparoscopic surgery under GA
Participants
90 patients
Comparison
Noise-cancelling headphones during surgery vs control
Primary endpoint
Maximum movement-evoked pain intensity (10-point NRS)
Follow-up
Within 24 h post-surgery
Methodological detailsprospective, parallel-group
  • Prospective
  • Parallel-group

Primary result

As reported in the abstract

Intervention

2.7

mean · SD 1.0

Control

4.0

mean · SD 1.0

P < 0.001

Secondary outcomes

Total opioid consumption · 24 h post-surgery

P = 0.032

Association of postoperative pain scores with proportion of intraoperative time with noise ≥70 dB

Significant association in the control group but not the intervention group; an independent risk factor for postoperative pain

Original publication

Effect of noise isolation using noise-cancelling headphones during laparoscopic surgery for postoperative pain reduction: A randomized clinical trial. J Clin Anesth. Published 12 October 2023. doi:10.1016/j.jclinane.2023.111286

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