Listening to music helps reduce pain and anxiety after surgery, review shows

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Listening to music before, during, or after surgery notably decreases patients’ pain and anxiety and reduces their use of analgesic drugs, a review published in the Lancet has shown

Use of music has a long history of improving patients’ experience of being in hospital, and studies have shown positive effects on postoperative recovery. But no comprehensive review has previously studied its use in different types of surgery and at different stages of procedures

British Journal of Surgery 16 October 2014

3 articles from British Journal of Surgery (BJS) are shown below:

British Journal of Surgery (3 new articles):

Jeff A; Taylor, C; Gastrointestinal Nursing, 2014

Ward nurses’ experience of enhanced recovery after surgery: a grounded theory approach

Ward nurses’ experience of enhanced recovery after surgery: a grounded theory approach.

at East Cheshire NHS Trust, Cheshire, England.

Congratulations to Angela Jeff our Colorectal Macmillan Nurse Specialist and Claire Taylor, Macmillan Team Leader in Colorectal Cancer at St Mark’s Hospital, London, England on publication of this article in Gastrointestinal Nursing.

Many studies looking at enhanced recovery after surgery (ERAS) examine the clinical outcomes and patient satisfaction of the programme. This article reports on the findings of a qualitative study employing a grounded theory approach to explore the experiences of ward nurses involved in the postoperative stage of the ERAS programme with colorectal patients. Data were collected in 2012 using semistructured interviews. The basic social process that emerged from the analysis describes how ward nurses adapted their delivery of care in order to meet patient need. This process also explains why variance in individual patient recovery, lack of resources, and an inconsistent adherence to protocols necessitated the adapting of the ERAS nursing-care protocol. ERAS can provide a framework for nurses to deliver care but protocol-led care can have limitations. This study also developed the theory of adaptation, which describes how ward nurses adapt in certain situations to deliver care.

Resource feature: Behind the headlines

A good resource, well worth a look – the excellent ‘Behind the Headlines’ facility which is part of the larger, more well known NHS Choices website.  

BTHcategoriesBehind the headlines (BTH) looks at stories in the media to expand and explain how the headline came about.  If you read the article below, you will see how BTH traces the evidence back to the original research and provides an unbiased conclusion.

Hip replacement deaths drop by a half since 2003 

“Death rates following hip replacement surgery fell by half in England and Wales,” reports the BBC News website.

Its headline is based on a new study in The Lancet which looked at data from the National Joint Registry (NJR) over the course of eight years. The registry is an NHS database recording outcomes in artificial joint operations such as hip and knee replacements.

Read the full article, which includes research, a video and an easy to follow conclusion.

J Yates, M Choudhry, G Keys; Case report, Journal of Clinical Pharmacy and Therapeutics; 20 Nov 2012

To read the full article you will need your Athens account details

A case report describing a suspected rivaroxaban hypersensitivity reaction in a surgical patient

Author information:   Department of Orthopaedics, Macclesfield District General Hospital, East Cheshire NHS Trust, Macclesfield


What is known and Objective: Rivaroxaban is an oral anticoagulant, currently licensed for use as a venous thromboembolism (VTE) prophylaxis, and recommended by the National Institute for Clinical Excellence (NICE) for all patients undergoing elective hip and knee replacement surgery in the UK. We present the first case of a suspected hypersensitivity to rivaroxaban.

Case summary: A 57-year-old man with no previous allergies underwent an uncomplicated, elective partial knee replacement, after which he was prescribed a routine 2-week course of rivaroxaban 10 mg. He developed an allergic response requiring readmission for assessment and treatment 7 days post-operatively.

What is new and Conclusion:  We believe this to be the first published case of hypersensitivity associated with rivaroxaban. More research is needed to determine this association. At the same time, given the growing range and increasing use of anticoagulants, particular vigilance is required regarding potential side effects so that these may be managed quickly and effectively in the early stages.

Virtual surgery: dissecting a digital cadaver

In this BBC video at St Mary’s Hospital in London you can see the recently purchased digital anatomy table, the first of its kind in Europe.

The same length and size as a normal dissection table, the “cadaver” on the screen of the Anatomage table is a virtual body, created using a mixture of graphics and real CT scans of the body.

Surgeon Aimee Di Marco demonstrated how it is changing the way surgeons teach anatomy, and even plan real operations.

News from NHS Networks: 3 November

This report highlights the process of care of children less than 18 years of age, including neonates who died within 30 days of emergency or elective surgery on the same admission.
This quarterly report presents provisional results from the monitoring of the NHS stop smoking services in England during the period 1 April 2011 to 30 June 2011.
A major push forward in the implementation of a screening programme for abdominal aortic aneurysms (AAA), which will save the lives of thousands of older men, has been launched by health secretary Andrew Lansley.
A survey by the Medical Technology Group to explore the provision of and access to uterine fibroid embolisation (UFE) treatment for fibroids, found significant variation between PCTs and acute trusts in the numbers of women undergoing UFE, and a lack of patient involvment in commissioning fibroid treatments.
Many news sources have reported that a “major review” of the NHS breast screening programme is to take place. BBC News said “the evidence for breast cancer screening in the UK is being reviewed amid controversy about the measure’s effectiveness”.

News from The Kings Fund: 21 October

Royal College of Surgeons

Patient outcomes in surgery: a report comparing Independent Sector Treatment Centres and NHS providers
This report found that NHS patients undergoing elective operations in dedicated independent sector units report better outcomes than those seen by NHS hospitals treating emergency and elective patients. However, the report also found these differences reflect that those patients seen by independent sector treatment centres tend to be younger, in better health before their operation and from more affluent areas than those seen by NHS hospitals.