Effect of Music Therapy on Pain During Non-Invasive Ventilation in Children in Pediatric Intensive Care Units

What this Trial Is About

This research aims to evaluate the effect of music therapy on pain levels during non-invasive ventilation NIV in critically ill children with acute respiratory failure. The study focuses on pediatric patients in intensive care, comparing pain scores to understand if music can improve comfort during NIV, a key respiratory support technique. Pain is measured using the Face Legs Activity Cry Consolability FLACC score by raters who do not know the treatment group to ensure unbiased results. Participants will receive NIV for acute respiratory distress and be randomly assigned to one of two groups one with music therapy and one without. In the music therapy group, children listen to music through headphones during NIV setup, beginning 10 minutes before NIV starts and continuing during the procedure. In the control group, headphones are worn but music is not played. Both groups are videotaped during NIV installation. Throughout the study, childrens pain levels, physiological data such as heart rate and oxygen levels, and NIV setup times will be monitored before, during, and after NIV initiation. The main outcome is the change in pain scores during NIV. Other measures include duration of NIV use, sedation drug use, complications, and length of hospital stay. Data collection occurs over the course of NIV treatment and up to one month after initiation, with close monitoring to assess the impact of music therapy on comfort and clinical outcomes.

Music Therapy During NIV Implantation in Pediatric Intensive Care Units