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Non-Pharmacological Approach to the Perioperative Management of Pain
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Non-Pharmacological Approach to the Perioperative Management of Pain

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Anesthesiology".

Deadline for manuscript submissions: 30 April 2025 | Viewed by 3686

Special Issue Editors

Prof. Dr. Jacques E. Chelly

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Guest Editor
UPMC, Department of Anesthesiology, Anesthesiology & Orthopedic Surgery, Pittsburgh, PA, USA
Interests: anesthesia; complementary medicine; acute pain; pain; regional anesthesia; clinical trial
Dr. David Alimi

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Guest Editor Assistant
Department of Anesthesiology and Perioperative Medicine, University of Pittsburgh Medical Center, Pittsburgh, PA 15219, USA
Interests: randomized controlled trial; placebo; analgesic; visual analogue scale; electroacupuncture
Dr. Shiv Goel

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Guest Editor Assistant
Department of Anesthesiology and Perioperative Medicine, University of Pittsburgh Medical Center, Pittsburgh, PA 15219, USA
Interests: regional anesthesiology; acute pain management
Dr. Hanna Schittek

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Guest Editor Assistant
Regional Anesthesiologist at Washington DC Veterans Medical Center, 50 Irving St NW, Washington, DC 20422, USA
Interests: general anesthesiology

Special Issue Information

Dear Colleagues,

In the sphere of perioperative care, managing pain without relying solely on medications has become an increasingly crucial aspect of patient well-being. This Special Issue delves into innovative non-pharmacological strategies aimed at enhancing pain management throughout the surgical process.

Music therapy: investigating the impact of music on preoperative anxiety and postoperative pain, examining its role in creating a calming and supportive environment for patients undergoing surgery.

Web-based mood disorder management: exploring digital platforms designed to assist patients in regulating mood disorders before and after surgery, assessing their effectiveness in improving overall mental health outcomes during the perioperative period.

Diversity access initiatives: highlighting initiatives focused on ensuring equitable access to pain management resources for diverse patient populations, addressing disparities in care delivery and accessibility.

Nanotechnology innovations: examining cutting-edge nanotechnology applications in pain management, particularly targeted drug delivery systems, and their potential for precise pain relief with minimal side effects.

Alternative therapies: investigating the effectiveness of auriculotherapy, acupuncture, and transcutaneous electrical nerve stimulation (TENS) as complementary approaches to alleviate perioperative pain and discomfort.

This Special Issue aims to comprehensively explore these non-pharmacological approaches, shedding light on their mechanisms, evidence-based outcomes, and integration into perioperative care. By emphasizing these non-drug modalities, this issue advocates for a more holistic and patient-centred approach to pain management in surgical settings.

Prof. Dr. Jacques E. Chelly
Guest Editor

Dr. David Alimi
Dr. Shiv K. Goel
Dr. Hanna T. Schittek
Guest Editor Assistants

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Clinical Medicine is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • music therapy
  • web approach to managing mood disorders
  • diversity access
  • nanotechnology
  • auriculotherapy
  • acupuncture
  • transcutaneous electric nerve stimulation (TENS)

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Published Papers (1 paper)

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Research

19 pages, 1281 KiB  
Article
Music-Based Therapy for the Treatment of Perioperative Anxiety and Pain—A Randomized, Prospective Clinical Trial
by Shiv K. Goel, Valdemir Kim, Jeremy Kearns, Daniel Sabo, Lynsie Zoeller, Coleen Conboy, Nicole Kelm, Ann E. Jackovich and Jacques E. Chelly
J. Clin. Med. 2024, 13(20), 6139; https://doi.org/10.3390/jcm13206139 - 15 Oct 2024
Viewed by 3323
Abstract
Background: Music-based intervention has been advocated as a nonpharmacologic approach for the perioperative control of pain and anxiety in surgical patients. However, its impact on patients with preoperative anxiety has not been clearly established. Our study aimed to examine the impact of [...] Read more.
Background: Music-based intervention has been advocated as a nonpharmacologic approach for the perioperative control of pain and anxiety in surgical patients. However, its impact on patients with preoperative anxiety has not been clearly established. Our study aimed to examine the impact of music-based intervention administered before, during, and after surgery on postoperative opioid consumption and pain levels, as well as preoperative anxiety, depression, and pain catastrophizing. We hypothesized that, compared to a control group, music-based intervention would be effective in reducing opioid requirements and mood disorders. Methods: This study was a single-center, prospective, single-blinded, randomized controlled trial. Inclusion criteria isame-day or observation surgery. Exclusion criteria included American Society of Anesthesiologists physical status IV, use of spinal anesthesia, PROMIS Anxiety T-scores ≤ 57.4 and ≥74.1, preoperative chronic opioid use, transgender surgery, and history of drug or alcohol abuse. Music-based intervention was developed by a certified music therapist. Each patient was randomized to receive standard of care (SC) or SC plus music-based intervention before, during, and after surgery. The primary end point was postoperative oral morphine equivalents (OMEs) over 5 days following surgery using the area under the curve (AUC)Secondary end points were PROMIS Anxiety, PROMIS Depression scores Pain Catastrophizing Scale scores, postoperative nausea and vomiting, time of hospital discharge, and patient satisfaction (0 = totally unsatisfied to 10 = completely satisfied). Results: A total of 75 patients were randomized to a music-based intervention (n = 33) or control (n = 42) group. Patients in the music-based intervention group consumed 56.7% less opioids than those in the control group (AUC was 2.8 in the music-based intervention group vs. 6.4 in the control group, absolute standardized mean difference (aSMD) = 0.34 (−0.17, 0.85)). No difference in pain scores was recorded between groups. Music-based intervention also reduced anxiety on postoperative day (POD)2 (aSMD = 0.38 (−0.16, 0.91)), depression on POD2 (aSMD = 0.31 (−0.23, 0.84)) and POD4 (aSMD = 0.24 (−0.29, 0.77)), and pain catastrophizing on POD1 (aSMD = 0.24 (−0.3, 0.77)). Conclusions: Our data support the use of music-based intervention to reduce postoperative opioid requirements. Music-based intervention may also reduce anxiety, depression, and pain catastrophizing. Full article
(This article belongs to the Special Issue Non-Pharmacological Approach to the Perioperative Management of Pain)
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