The Effect of Perioperative Auditory Stimulation with Music on Procedural Pain: A Narrative Review.
Fabienne C S FrickmannRichard D UrmanKaya SiercksGabriel BurgermeisterMarkus M LuediFriedrich E LerschPublished in: Current pain and headache reports (2023)
The current neuroscientific literature shows a significant convergence of the pain matrix and neuronal networks of pleasure triggered by music. These functions seem to antagonize each other and can thus be brought to fruition in pain therapy. The encouraging results of fMRI and EEG studies still await full translation of this top-down modulating mechanism into broad clinical practice. We embed the current clinical literature in a neurobiological framework. This involves touching on Bayesian "predictive coding" pain theories in broad strokes and outlining functional units in the nociception and pain matrix. These will help to understand clinical findings in the literature summarized in the second part of the review. There are opportunities for perioperative practitioners, including anesthesiologists treating acute pain and anxiety in emergency and perioperative situations, where music could help bring relieve to patients.
Keyphrases
- chronic pain
- pain management
- neuropathic pain
- systematic review
- clinical practice
- cardiac surgery
- primary care
- end stage renal disease
- healthcare
- functional connectivity
- chronic kidney disease
- emergency department
- ejection fraction
- public health
- working memory
- resting state
- acute respiratory distress syndrome
- prognostic factors
- liver failure
- depressive symptoms
- physical activity
- hepatitis b virus
- smoking cessation
- mechanical ventilation
- aortic dissection
- cell therapy
- subarachnoid hemorrhage