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Spinal surgery is one of the most effective management for these patients. However, current surgical techniques still present complications such as chronic pain in 10\u201340% of all patients who underwent lumbar surgery, which has a significant impact on patients\u2019 quality of life. Research studies have shown that transcutaneous electrical acupoint stimulation (TEAS) may reduce the cumulative dosage of intraoperative anesthetics as well as postoperative pain medications in these patients.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Objective<\/jats:title>\n                <jats:p>To investigate the effect of pTEAS on pain management and clinical outcome in major spinal surgery patients.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>We conducted a prospective, randomized, double-blind study to verify the effect of pTEAS in improving pain management and clinical outcome after major spinal surgery. Patients (n\u2009=\u200990) who underwent posterior lumbar fusion surgery were randomized into two groups: pTEAS, (n\u2009=\u200945) and Control (n\u2009=\u200945). The pTEAS group received stimulation on acupoints Zusanli (ST.36), Sanyinjiao (SP.6), Taichong (LR.3), and Neiguan (PC.6). The Control group received the same electrode placement but with no electrical output. Postoperative pain scores, intraoperative outcome, perioperative hemodynamics, postoperative nausea and vomiting (PONV), and dizziness were recorded.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Intraoperative outcomes of pTEAS group compared with Control: consumption of remifentanil was significantly lower (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.05); heart rate was significantly lower at the end of the operation and after tracheal extubation (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.05); and there was lesser blood loss (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.05). Postoperative outcomes: lower pain visual analogue scale (VAS) score during the first two days after surgery (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.05); and a significantly lower rate of PONV (on postoperative Day-5) and dizziness (on postoperative Day-1 and Day-5) (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.05).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>pTEAS could manage pain effectively and improve clinical outcomes. It could be used as a complementary technique for short-term pain management, especially in patients undergoing major surgeries.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Trial registration<\/jats:title>\n                <jats:p>ChiCTR1800014634, retrospectively registered on 25\/01\/2018. <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"http:\/\/medresman.org\/uc\/projectsh\/projectedit.aspx?proj=183\">http:\/\/medresman.org\/uc\/projectsh\/projectedit.aspx?proj=183<\/jats:ext-link><\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12871-022-01875-3","type":"journal-article","created":{"date-parts":[[2022,11,8]],"date-time":"2022-11-08T05:02:37Z","timestamp":1667883757000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Perioperative transcutaneous electrical acupoint stimulation (pTEAS) in pain management in major spinal surgery patients"],"prefix":"10.1186","volume":"22","author":[{"given":"Xinyuan","family":"Wu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jieling","family":"Huang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuling","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luying","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yandong","family":"Ji","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wuhua","family":"Ma","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuhui","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2022,11,8]]},"reference":[{"key":"1875_CR1","doi-asserted-by":"crossref","unstructured":"Fritzell P, Hagg O, Wessberg P, Nordwall A, Swedish Lumbar Spine Study G.\u00a0Volvo Award Winner in Clinical Studies: Lumbar fusion versus nonsurgical treatment for chronic low back pain: a multicenter randomized controlled trial from the Swedish Lumbar Spine Study Group. 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