{"id":10262,"date":"2026-11-05T09:04:20","date_gmt":"2026-11-05T09:04:20","guid":{"rendered":"https:\/\/www.library.sath.nhs.uk\/research\/?p=10262"},"modified":"2026-11-05T09:04:21","modified_gmt":"2026-11-05T09:04:21","slug":"perioperative-music-listening-as-a-non-pharmacological-adjunct-in-enhanced-recovery-after-total-knee-arthroplasty-under-neuraxial-anaesthesia-a-systematic-review-and-meta-analysis-2026","status":"publish","type":"post","link":"https:\/\/www.library.sath.nhs.uk\/research\/2026\/11\/05\/perioperative-music-listening-as-a-non-pharmacological-adjunct-in-enhanced-recovery-after-total-knee-arthroplasty-under-neuraxial-anaesthesia-a-systematic-review-and-meta-analysis-2026\/","title":{"rendered":"Perioperative music listening as a non-pharmacological adjunct in enhanced recovery after total knee arthroplasty under neuraxial anaesthesia: A systematic review and meta-analysis (2026)"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><strong>Type of publication:<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Systematic review<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Author(s):<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Chall, Kramer; Komperla, Siddharth; *Abdelaal, Ali; Seeruthun, Ravish.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Citation:<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Journal of Perioperative Practice. 17504589261490336, 2026 Oct 26.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Abstract:<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">INTRODUCTION: Patients undergoing total knee arthroplasty under neuraxial anaesthesia remain awake within a stressful operative environment. Music listening is a low-cost, non-pharmacological intervention that may reduce anxiety and pain.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">METHODS: We searched PubMed, MEDLINE, Embase and Cochrane Central Register of Controlled Trials from inception to April 2026. Standardised mean differences were pooled using random-effects models; risk of bias was assessed with Cochrane Risk of Bias 2.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">RESULTS: Eight randomised controlled trials (440 participants) were included. Music listening significantly reduced postoperative anxiety (standardised mean difference = -0.95; 95% confidence intervals: -1.34 to -0.55) and postoperative pain at 24 h (standardised mean difference = -0.81; 95% confidence interval: -1.23 to -0.39) and was associated with reduced opioid consumption, lower intraoperative sedation requirements, fewer conversions from neuraxial to general anaesthesia and higher patient satisfaction. Subgroup analysis suggests that a proportion of the benefit may be attributable to noise isolation from headphones alone rather than to music.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">CONCLUSION: Low-certainty evidence suggests music may be an optional, low-cost adjunct within enhanced recovery after surgery pathways for total knee arthroplasty. Further research is needed to refine optimal intervention protocols and validate benefits in larger multicentre trials.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>DOI<\/strong>: 10.1177\/17504589261490336<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Type of publication: Systematic review Author(s): Chall, Kramer; Komperla, Siddharth; *Abdelaal, Ali; Seeruthun, Ravish. Citation: Journal of Perioperative Practice. 17504589261490336, 2026 Oct 26. Abstract: INTRODUCTION: Patients undergoing total knee arthroplasty under neuraxial anaesthesia remain awake within a stressful operative environment.<span class=\"ellipsis\">&hellip;<\/span><\/p>\n<div class=\"read-more\"><a href=\"https:\/\/www.library.sath.nhs.uk\/research\/2026\/11\/05\/perioperative-music-listening-as-a-non-pharmacological-adjunct-in-enhanced-recovery-after-total-knee-arthroplasty-under-neuraxial-anaesthesia-a-systematic-review-and-meta-analysis-2026\/\">Read more <span class=\"screen-reader-text\">Perioperative music listening as a non-pharmacological adjunct in enhanced recovery after total knee arthroplasty under neuraxial anaesthesia: A systematic review and meta-analysis (2026)<\/span><span class=\"meta-nav\"> &#8250;<\/span><\/a><\/div>\n<p><!-- end of .read-more --><\/p>\n","protected":false},"author":12,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[200],"tags":[1106,934,994],"class_list":["post-10262","post","type-post","status-publish","format-standard","hentry","category-staff-publication","tag-1106","tag-knee","tag-trauma-and-orthopaedics"],"_links":{"self":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts\/10262","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/users\/12"}],"replies":[{"embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/comments?post=10262"}],"version-history":[{"count":1,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts\/10262\/revisions"}],"predecessor-version":[{"id":10263,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts\/10262\/revisions\/10263"}],"wp:attachment":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/media?parent=10262"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/categories?post=10262"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/tags?post=10262"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}