Intensive care discharge facilitation using the REhabilitation after Critical illness Assisted discharge Pack (RECAP) model: A pilot randomized controlled trial

2018 ◽  
Vol 39 (1) ◽  
pp. 63-74
Author(s):  
Máire Gilmartin ◽  
Fidelma Moran ◽  
Ricardo Segurado ◽  
Brenda O’Neill
2020 ◽  
Vol 17 (10) ◽  
pp. 1257-1263
Author(s):  
Fernando G. Zampieri ◽  
Neymar Elias de Oliveira ◽  
Antonio Paulo Nassar ◽  
Airton Leonardo de Oliveira Manoel ◽  
Cintia Grion ◽  
...  

2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Gonzalo Garcia Guerra ◽  
◽  
Ari R. Joffe ◽  
Cathy Sheppard ◽  
Krista Hewson ◽  
...  

Abstract Objective To demonstrate feasibility of a music medicine intervention trial in pediatric intensive care and to obtain information on sedation and analgesia dose variation to plan a larger trial. Material and methods Pilot randomized controlled trial (RCT) was conducted at the Stollery Children’s Hospital general and cardiac intensive care units (PICU/PCICU). The study included children 1 month to 16 years of age on mechanical ventilation and receiving sedation drugs. Patients were randomized in a 1:1:1 ratio to music, noise cancellation or control. The music group received classical music for 30 min three times/day using headphones. The noise cancellation group received the same intervention but with no music. The control group received usual care. Results A total of 60 patients were included. Average enrollment rate was 4.8 patients/month, with a consent rate of 69%. Protocol adherence was achieved with patients receiving > 80% of the interventions. Overall mean (SD) daily Sedation Intensity Score was 52.4 (30.3) with a mean (SD) sedation frequency of 9.75 (7.21) PRN doses per day. There was a small but statistically significant decrease in heart rate at the beginning of the music intervention. There were no study related adverse events. Eighty-eight percent of the parents thought the headphones were comfortable; 73% described their child more settled during the intervention. Conclusions This pilot RCT has demonstrated the feasibility of a music medicine intervention in critically ill children. The study has also provided the necessary information to plan a larger trial.


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