Efficacy of Music on Reduction of Sedative Drugs in Mechanically Ventilated Intensive Care Unit Patients (MUSIC)
Recruitment status was Recruiting
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Purpose
Major objective: a three-days interventional cross-over trial [one day music on, one day wash-out, one day music off][two periods of listening/day], to evaluate:
- Impact on sedative drug consumption.
- Alteration of stress neuropeptide blood concentrations.
Population: mechanically-ventilated ICU patients
The investigators hypothesize the music will decrease the need of sedative drugs and reduce the concentration of neuropeptides in circulation.
| Condition | Intervention | Phase |
|---|---|---|
|
Sedative Drug Consumption Mechanically Ventilated ICU Patients |
Device: MP3 music program listening |
Phase 2 Phase 3 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Crossover Assignment Masking: Single Blind (Investigator) Primary Purpose: Treatment |
| Official Title: | M.U.S.I.C (MUSicotherapy in the Intensive Care) Interventional, Pilot, Cross-Over, in Mechanically-Ventilated Patients on ICU Ward |
- sedative drug consumption in mechanically ventilated ICU patients [ Time Frame: 3 days ] [ Designated as safety issue: Yes ]
- stress neuropeptide blood content evolution with MUSIC listening [ Time Frame: 3 days ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 50 |
| Study Start Date: | December 2008 |
| Estimated Study Completion Date: | December 2010 |
| Estimated Primary Completion Date: | July 2010 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Group A
Group A: day 1 = music, day 2 = washout, day 3 = headphone without music
|
Device: MP3 music program listening
3 days with two 1 hour periods of headset music listening (1 day on, 1 day wash-out, 1 day off)
|
|
Experimental: Group B
Group B: day 1 = headphone without music, day 2 = washout, day 3 = music
|
Device: MP3 music program listening
3 days with two 1 hour periods of headset music listening (1 day on, 1 day wash-out, 1 day off)
|
Detailed Description:
The study will imply patients mechanically ventilated for more than 3 days, that require sedation with benzodiazepine and narcotics.
There will be two groups both of exposed to music and placebo (headphones without music). The study will be simple blind.
Sedation scale will be followed regularly. Vitals signs and adjustment of sedation will be recorded by the nurse on the ward. Blood test will be taken before and after placement of headphones in the morning. We will measure IL-6, cortisol, copeptin, prolactin, CRP.
We will analyse the total reduction dose of sedation and analgesia on a daily basis. We will consider a fall of 20% of medication to be significative.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- adults older than 18 years old
- expected time of mechanical ventilation of more than 72 hours
- sedation needs for a scale of Sedation-Agitation Scale (SAS) more than 1
Exclusion Criteria:
- hearing impairment
- pregnancy
- needs of vasopressin
- needs of curarisation
Contacts and Locations| Contact: Olivier Lesur, MD | (819)346-1110 | olivier.lesur@usherbrooke.ca |
| Contact: Catherine St-Pierre, MD | (819)346-1110 | catherine.st-pierre@usherbrooke.ca |
| Canada, Quebec | |
| CHUS | Recruiting |
| Sherbrooke, Quebec, Canada, J1H 5N4 | |
| Principal Investigator: | Olivier Lesur, MD | CHUS and Université de Sherbrooke |
More Information
No publications provided
| Responsible Party: | Olivier Lesur (PI) (Catherine St-Pierre co-PI), CRC-CHUS |
| ClinicalTrials.gov Identifier: | NCT00880035 History of Changes |
| Other Study ID Numbers: | 08-105-R2, CRC-PAFI-09 |
| Study First Received: | April 10, 2009 |
| Last Updated: | April 20, 2009 |
| Health Authority: | Canada: Health Canada |
Keywords provided by Universitaire de Sherbrooke:
|
sedative drug stress music mechanical ventilation IL-6 |
cortisol prolactin CRP copeptin |
Additional relevant MeSH terms:
|
Hypnotics and Sedatives Central Nervous System Depressants Physiological Effects of Drugs |
Pharmacologic Actions Central Nervous System Agents Therapeutic Uses |
ClinicalTrials.gov processed this record on June 18, 2013