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Hemodynamic Responses to Recorded Maternal Voice Among Sedated Children in the Pediatric Intensive Care Unit: An Open-Label Randomized Controlled Trial

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Abstract

Objective

To assess the effect of maternal audiotaped voice on clinical parameters of sedated children.

Methods

A randomized controlled trial was conducted on 25 sedated critically ill children admitted to the pediatric intensive care unit. An audiotaped maternal voice was played to the children in the experimental group (n=13) via a headphone for 15 minutes, twice a day for 3 days. Children in the control group (n=12) received routine care without any additional auditory stimulation. Clinical and hemodynamic variables were recorded at 5 minutes interval three times.

Results

Significant changes were observed in the mean (SD) heart rate (per minute) at 10 minutes [129.83 (19.14) vs 124.29 (14.90), P=0.051], respiratory rate at 5 minutes [44.38 (17.79) vs 34.65 (7.64), P=<0.001] and 10 minutes [42.79 (13.89) vs 35.44 (7.65) P=<0.001], systolic blood pressure at 5 minutes [95.24 (15.01) vs 101.02 (19.83) P=0.045], and mean blood pressure at 15 minutes [68.66 (13.61) vs 73.61 (17.59) P=0.051] mmHg between the experimental and the control group, respectively.

Conclusion

Listening to recorded maternal voice had a positive effect on clinical parameters of sedated critically ill children.

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Funding

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Authors and Affiliations

  1. College of Nursing, All India Institute of Medical Sciences, New Delhi, 110 029, India

    Shreelata Mandal, Poonam Joshi & Lumchio Levis Murry

  2. Department of Pediatrics, All India Institute of Medical Sciences, New Delhi, India

    Rakesh Lodha

Authors
  1. Shreelata Mandal
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  2. Poonam Joshi
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  3. Lumchio Levis Murry
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  4. Rakesh Lodha
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Contributions

SM,PJ,LLM: conception and design, data collection, analysis and interpretation of data, drafting of manuscript, review and approval; RL: Conception and design, analysis, drafting of manuscript, review and approval.

Corresponding author

Correspondence to Lumchio Levis Murry.

Ethics declarations

EIC, All India Institute of Medical Sciences, New Delhi; No. IECPG-136, dated April 23, 2020.

Additional information

Competing interests

None stated.

Trial Registration

Clinical Trial Registry of India: CTRI/202/08/02378

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Mandal, S., Joshi, P., Murry, L.L. et al. Hemodynamic Responses to Recorded Maternal Voice Among Sedated Children in the Pediatric Intensive Care Unit: An Open-Label Randomized Controlled Trial. Indian Pediatr 60, 471–474 (2023). https://doi.org/10.1007/s13312-023-2911-4

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  • DOI: https://doi.org/10.1007/s13312-023-2911-4

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