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Review of Perioperative Music Medicine: Mechanisms of Pain and Stress Reduction Around Surgery

Clinical-experimental considerations and an approach to understanding the autonomic basis of improved surgical outcomes using Perioperative Music Medicine (PMM) are reviewed. Combined surgical, psycho-physiological, and experimental perspectives on Music Medicine (MM) and its relationship to autonom...

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Autores principales: Ginsberg, J. P., Raghunathan, Karthik, Bassi, Gabriel, Ulloa, Luis
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8854756/
https://www.ncbi.nlm.nih.gov/pubmed/35187004
http://dx.doi.org/10.3389/fmed.2022.821022
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author Ginsberg, J. P.
Raghunathan, Karthik
Bassi, Gabriel
Ulloa, Luis
author_facet Ginsberg, J. P.
Raghunathan, Karthik
Bassi, Gabriel
Ulloa, Luis
author_sort Ginsberg, J. P.
collection PubMed
description Clinical-experimental considerations and an approach to understanding the autonomic basis of improved surgical outcomes using Perioperative Music Medicine (PMM) are reviewed. Combined surgical, psycho-physiological, and experimental perspectives on Music Medicine (MM) and its relationship to autonomic nervous system (ANS) function are discussed. Considerations are given to the inter-related perioperative effects of MM on ANS, pain, and underlying vagal and other neural circuits involved in emotional regulation and dysregulation. Many surgical procedures are associated with significant pain, which is routinely treated with post-operative opioid medications, which cause detrimental side effects and delay recovery. Surgical trauma shifts the sympathetic ANS to a sustained activation impairing physiological homeostasis and causing psychological stress, as well as metabolic and immune dysfunction that contribute to postoperative mortality and morbidity. In this article, we propose a plan to operationalize the study of mechanisms mediating the effects of MM in perioperative settings of orthopedic surgery. These studies will be critical for the implementation of PMM as a routine clinical practice and to determine the potential limitations of MM in specific cohorts of patients and how to improve the treatment.
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spelling pubmed-88547562022-02-19 Review of Perioperative Music Medicine: Mechanisms of Pain and Stress Reduction Around Surgery Ginsberg, J. P. Raghunathan, Karthik Bassi, Gabriel Ulloa, Luis Front Med (Lausanne) Medicine Clinical-experimental considerations and an approach to understanding the autonomic basis of improved surgical outcomes using Perioperative Music Medicine (PMM) are reviewed. Combined surgical, psycho-physiological, and experimental perspectives on Music Medicine (MM) and its relationship to autonomic nervous system (ANS) function are discussed. Considerations are given to the inter-related perioperative effects of MM on ANS, pain, and underlying vagal and other neural circuits involved in emotional regulation and dysregulation. Many surgical procedures are associated with significant pain, which is routinely treated with post-operative opioid medications, which cause detrimental side effects and delay recovery. Surgical trauma shifts the sympathetic ANS to a sustained activation impairing physiological homeostasis and causing psychological stress, as well as metabolic and immune dysfunction that contribute to postoperative mortality and morbidity. In this article, we propose a plan to operationalize the study of mechanisms mediating the effects of MM in perioperative settings of orthopedic surgery. These studies will be critical for the implementation of PMM as a routine clinical practice and to determine the potential limitations of MM in specific cohorts of patients and how to improve the treatment. Frontiers Media S.A. 2022-02-04 /pmc/articles/PMC8854756/ /pubmed/35187004 http://dx.doi.org/10.3389/fmed.2022.821022 Text en Copyright © 2022 Ginsberg, Raghunathan, Bassi and Ulloa. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Medicine
Ginsberg, J. P.
Raghunathan, Karthik
Bassi, Gabriel
Ulloa, Luis
Review of Perioperative Music Medicine: Mechanisms of Pain and Stress Reduction Around Surgery
title Review of Perioperative Music Medicine: Mechanisms of Pain and Stress Reduction Around Surgery
title_full Review of Perioperative Music Medicine: Mechanisms of Pain and Stress Reduction Around Surgery
title_fullStr Review of Perioperative Music Medicine: Mechanisms of Pain and Stress Reduction Around Surgery
title_full_unstemmed Review of Perioperative Music Medicine: Mechanisms of Pain and Stress Reduction Around Surgery
title_short Review of Perioperative Music Medicine: Mechanisms of Pain and Stress Reduction Around Surgery
title_sort review of perioperative music medicine: mechanisms of pain and stress reduction around surgery
topic Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8854756/
https://www.ncbi.nlm.nih.gov/pubmed/35187004
http://dx.doi.org/10.3389/fmed.2022.821022
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