STUDY OF CHANGE IN MACULAR VOLUME WITH UNCONTROLLED HBA1C LEVELS IN A DIABETIC PATIENT IN ABSENCE OF DIABETIC MACULAR OEDEMA

Anupam Das, Kishore Das, Arudyuti Choudhury, Minoti Baruah, Amal Kataki, Manoj Kalita
unpublished
Aim: Our aim of this study was to analyze the beneficial effects (if any) of music therapy in decreasing anxiety , providing stable haemodynamics and decreasing anaesthetic agent requirement in patients coming for modified radical mastectomy. Methods: Forty patients in the age group of 40-50 years scheduled for modified radical mastectomy were selected for this prospective observational study. They were randomly assigned to Group M (receiving music therapy) and Group N (not receiving music
more » ... eceiving music therapy). Musical intervention was started one hour prior to surgery. The level of anxiety (score of 1 to 4, based on simplified version of state-trait anxiety inventory), pulse rate, MAP were recorded at 15 minutes interval up to one hour post surgery and compared with their baseline values. Results: With musical intervention, anxiety score declined to 2 in 80 % of cases at the time of induction and in Group N no such improvement was observed. Postoperatively, level of anxiety decreased in Group M was 100 % displaying a score of 1. Group M patients also displayed stable haemodynamics throughout the peri-operative period. However, in Group N, there was a significant increase in both pulse rate and MAP intra-operatively (p < 0.0001). The need for anaesthetic agent (isoflurane) was also more in the control group compared to Group M (p = 0.05 and 0.0250 at 15 minutes and 1 hour after incision respectively). Conclusion: Music therapy has the potential to be an alternative cheap and promising option to pharmacological premedication agents which needs to be looked in to.
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