- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03453814
Music Intervention for Agitation Reduction in the Pediatric Intensive Care Unit
Study Overview
Detailed Description
This study is a prospective randomized controlled study to observe patients who have been admitted to the PICU with an altered state of agitation according to the Richmond Agitation Sedation Scale (RASS). These patients will be administered music therapy during a controlled setting in the day to observe whether the introduction of music therapy helps reduce the patient's level of agitation, improving their vital signs and overall recovery in the unit. Once patients are enrolled and have signed consents, patients will receive a headset with music or dead air. Therapy times will be selected so that there are minimal disruptions. Total time will be 2 hours daily, once in the morning and once in the evening. The treatments for session 1 and session 2 of the day will be the same (i.e. Music/ Music, No music/No Music).
The investigators hypothesize that applying music therapy in the PICU will decrease agitation, length of stay, and narcotic administration, and normalize heart rate, respiratory rate, and blood pressure.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
New York
-
Buffalo, New York, United States, 14203
- Oishei Children's Hospital
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- PICU patient at Oishei Children's Hospital of Buffalo
- >4 years of age, <18 years of age
- Patients with RASS of +1
Exclusion Criteria:
- Documented underlying psychological disorders
- Diagnosed with sever developmental delay
- Prior narcotic dependence
- Underlying medical conditions affecting heart rate, blood pressure, or neuromuscular system
- Chemically paralyzed patients
- Anyone with an aneurysm
- Patients who are deaf in both ears
- Ear bone fractures or other middle/inner ear trauma or major ear avulsion as determined by physician
- Hemodynamically unstable patients
- Patients facing imminent death
Study Plan
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: DOUBLE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
EXPERIMENTAL: Interventional
Music therapy.
|
Subjects will receive one hour of music twice a day for three days.
|
NO_INTERVENTION: Comparison
No music therapy.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Richmond Agitation-Sedation Scale (RASS)
Time Frame: 3 days
|
The Richmond Agitation-Sedation Scale (RASS) is a medical scale used to measure the agitation or sedation level of a patient.
The scale measures patient agitation and sedation +4 to -5, with a score of 0 equal to an alert and calm patient, a positive score equal to various levels of aggression, and a negative score equal to various levels of sedation.
Patients receive one score for one observed time point.
Therefore, a patient will have one score from +4 to -5.
For the purpose of this study, a better outcome will be a score that is around 0 or that decreases from a higher positive score to a lower positive score.
The investigators hypothesize that music therapy will decrease agitation in patients and decrease their positive RASS score.
|
3 days
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Bispectral Index (BIS)
Time Frame: 3 days
|
The Bispectral Index provides a direct measure of the effects of sedatives on the brain.
It is an algorithm developed by Aspect Medical Systems that measures EEG after the administration of anesthetic agents and is measure on a BIS monitor.
The BIS monitor reports a single number from 0 to 100 that represents an integrated measure of cerebral electrical activity.
This is interpreted into a patient's level of alertness.
A score of 100 indicates that the patient is fully awake, while a number less than 40 is suggestive of a deep hypnotic effect.
For the purpose of this study, the investigators are using the BIS to measure the level of alertness in a patient.
The investigators hypothesize that the administration of music therapy with have a sedative effect on patients, thereby decreasing their BIS number.
|
3 days
|
Collaborators and Investigators
Investigators
- Principal Investigator: David Rothstein, MD, SUNY Buffalo
Publications and helpful links
Study record dates
Study Major Dates
Study Start (ACTUAL)
Primary Completion (ACTUAL)
Study Completion (ACTUAL)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (ACTUAL)
Study Record Updates
Last Update Posted (ACTUAL)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- STUDY00001771
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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