Respiratory failure & ventilation
Music Therapy During Weaning From Invasive Mechanical Ventilation in the ICU: A Randomized Controlled Trial
Authors' conclusion
Music therapy may serve as a nonpharmacological complementary adjunct during weaning by reducing agitation, sedation, and tracheostomy rate. It may potentially decrease perceived stress and IMV and ICU stay durations. Further research is warranted.
Study context
- Population
- Adult critically ill patients admitted to a general ICU who received invasive mechanical ventilation (IMV) for at least 48 hours
- Participants
- 100 adult critically ill patients
- Comparison
- MG vs Control group
- Primary endpoint
- Weaning duration
Primary result
As reported in the abstract
- MG vs Control group: P = 0.97
Further findings
| Outcome | P value |
|---|---|
| Percentage requiring propofolLower percentage in the MG group | P = 0.028 |
| Perceived Stress Scale-14 scores · after 90 daysLower scores in the MG | P = 0.24 |
| Tracheostomy ratesMG significantly reduced tracheostomy rates (14%) | P = 0.025 |
| Median total IMV and ICU stay durationMG vs Control group · total IMV duration shorter in the MG group, not significant | P = 0.206 |
| Median total IMV and ICU stay durationMG vs Control group · ICU stay duration shorter in the MG group, not significant | P = 0.203 |
Agitation and sedation levels (Richmond Agitation-Sedation Scale) · days 1 and 3
- Significant improvements in the MG group (p = 0.048, 0.005, and 0.024)
Perceived pain (Visual Analog Pain Scale)
- No significant difference
Heart rate, respiratory rate, blood pressure, and oxygenation before and after music therapy (MG)
- No significant difference before and after music therapy
Original publication
Music Therapy During Weaning From Invasive Mechanical Ventilation in the ICU: A Randomized Controlled Trial. Crit Care Med. Published 21 October 2026. doi:10. 1097/ ccm. 0000000000007372
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