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The Value of Audio Devices in the Endoscopy Room (VADER) study: a randomised controlled trial

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Music has been used in medical therapy and healing since Ancient Greek times.1 Its use in the operating theatre has been longstanding, with reports of its potential therapeutic effects dating back to the 1940s.2 Music therapy before and during an operation has been shown to reduce anaesthetic requirement and patient anxiety,3 and improve overall satisfaction.4 There is also evidence that proceduralist-selected music improves surgical skill acquisition.5

In gastrointestinal endoscopy, music has shown benefits for patients;614 however, there are no data on the effects of music on improving the performance of endoscopists and on whether a specific style of music would lead to optimal performance. This is particularly relevant in an era where high volumes of endoscopic procedures are performed in an often stressful clinical environment, and where procedural outcomes, such as adenoma detection rate (ADR) in colonoscopy, are reported as validated benchmarks of quality endoscopy.

The appropriate style of music to use and avoid in the operating theatre has been previously proposed,15 but music from epic movies was absent from this list. The soundtracks…