Implementation of music as an anesthetic adjunct during monitored anesthesia care.

Operating room sounds and music can be influential on a patient's experience, especially during monitored anesthesia care (MAC). In this article, the effect of music and noise on patients during MAC was assessed. The Bispectral Index (BIS) Monitor was used to evaluate the effect of music on the level of sedation or anesthesia in the articles reviewed. A review of current literature was completed regarding the use of music in the OR during MAC cases and its relationship to propofol sedation requirements. Ten journal articles were reviewed with publication dates ranging from 1997 to 2009. The use of music as an anesthetic adjunct during MAC cases can reduce the amount of sedation required, speed recovery time, and prevent the likelihood of converting to a general anesthetic.