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Perioperative music significantly reduces preoperative anxiety and postoperative pain in children and adolescentsMusic helps reduce anxiety and pain for children before surgery

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Key Takeaway
Consider perioperative music as a low-risk adjunct to reduce anxiety and pain in pediatric surgical patients.

This meta-analysis evaluated the impact of perioperative music interventions compared to no-music controls in children and adolescents undergoing surgery. The analysis included 1871 patients and assessed outcomes including anxiety, pain, and physiological markers. The study found that music significantly reduced preoperative anxiety (SMD -2.03; 95% CI -3.19 to -0.86) and postoperative pain (SMD -0.64; 95% CI -1.01 to -0.27). Additionally, heart rate was reduced by 12.92 bpm (95% CI -19.07 to -6.77) and mean arterial pressure was reduced by 8.41 mmHg (95% CI -10.07 to -6.76). Systolic blood pressure did not show a significant change.

The authors noted several limitations, including high heterogeneity, risk of bias, and imprecision in the data. The GRADE assessment indicated very low to low certainty of evidence for all reported outcomes.

Clinically, music may be considered a low-risk adjunct to standard care for pediatric surgical patients. While the effects on anxiety were significant in both children and adolescents, the overall evidence base remains limited by the quality of the included studies.

Surgery is a scary time for any child. The fear of the unknown can cause intense anxiety and physical stress before the procedure even begins. New research suggests that simply listening to music can provide a helpful layer of support for young patients during this stressful period.

Researchers looked at data from 1,871 children and adolescents under 18 years old. They found that music significantly reduced anxiety before surgery for both children and teenagers. It also helped lower their heart rates and mean arterial pressure. Additionally, the music was linked to less pain after the surgery. These benefits were seen regardless of whether the music was chosen by the child or selected by the staff.

While the results are promising, the evidence is currently considered to have low to low certainty. The study noted some inconsistencies in the data and a risk of bias. However, because music is a low-risk addition to standard care, it may be a helpful tool for doctors to help kids feel calmer and more comfortable before they go into the operating room.

What this means for you:
Music can lower anxiety, pain, and heart rates in children and teens before they undergo surgery.

Common questions

Does music actually help children feel less anxious before surgery?

Yes, the study found that music significantly reduced preoperative anxiety for both children under 12 and adolescents over 13. The results were consistent whether the music was chosen by the child or selected by the medical staff.

Can music help with physical symptoms like heart rate and pain?

The data shows that music significantly reduced heart rates by about 13 beats per minute and lowered mean arterial pressure. It also significantly reduced postoperative pain for the children and adolescents involved in the study.

Is it safe to use music as a treatment for kids before surgery?

Music is considered a low-risk addition to standard care. While the evidence for these specific outcomes is currently rated as low to low certainty, it is a simple way to potentially improve a child's experience.

Study Details

Study typeMeta analysis
EvidenceLevel 1
PublishedSep 2026
View Original Abstract ↓
OBJECTIVE: To evaluate the effects of perioperative music interventions on emotional outcomes (preoperative anxiety, postoperative fear, emergence delirium) and related physiological parameters in children and adolescents undergoing surgery, and to examine potential effect modifiers. METHODS: Nine databases were searched from inception to February 2026. Randomized controlled trials comparing music versus no-music control in pediatric surgical patients (≤ 18 years) were included. Risk of bias was assessed with RoB 2.0. Random-effects meta-analyzes were performed for preoperative anxiety, postoperative pain, heart rate, and blood pressure. Subgroup analyzes were conducted for age, music selection method, intervention timing, and surgery type. The certainty of evidence was assessed using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) framework. RESULTS: Seventeen RCTs (1871 children) were included. Music significantly reduced preoperative anxiety (SMD = -2.03; 95% CI -3.19 to -0.86; I = 97%), postoperative pain (SMD = -0.64; 95% CI -1.01 to -0.27; I = 62%), heart rate (MD = -12.92 bpm; 95% CI -19.07 to -6.77; I = 88%), and mean arterial pressure (MD = -8.41 mmHg; 95% CI -10.07 to -6.76; I = 66%). Effects on systolic blood pressure were not significant. Anxiolytic effects were significant in both children (≤ 12 years) and adolescents (≥ 13 years) with no subgroup difference. Self-selected and pre-selected music were both effective. Sensitivity analyzes confirmed robustness. GRADE assessment indicated very low to low certainty of evidence for all outcomes, primarily due to high heterogeneity, risk of bias, and imprecision. CONCLUSIONS: Perioperative music was associated with reduced anxiety and pain, but evidence certainty was very low to low. Pending stronger evidence, music may be considered a low-risk adjunct to standard care.
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