{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T20:17:20Z","timestamp":1790194640330,"version":"4.1.0"},"reference-count":41,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T00:00:00Z","timestamp":1777507200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Huafeng Dingye (Beijing) Technology Company","award":["2026-z-30"],"award-info":[{"award-number":["2026-z-30"]}]},{"name":"Technology Plan Project of Tongzhou District, Beijing","award":["KJ2024CX056"],"award-info":[{"award-number":["KJ2024CX056"]}]}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Med."],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Perioperative hypothermia is common during video-assisted thoracoscopic surgery (VATS) and is associated with adverse clinical outcomes. Transcutaneous electrical acupoint stimulation (TEAS) is a noninvasive neuromodulation technique that may modulate thermoregulation; however, evidence from randomized controlled trials remains limited. This study evaluated whether TEAS prevents perioperative hypothermia in patients undergoing VATS.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Adults scheduled for elective VATS under general anesthesia were randomized (1:1) to receive TEAS at predefined acupoints from 30\u202fmin before anesthesia induction until the end of surgery, or sham stimulation. The primary outcome was the incidence of perioperative hypothermia, defined as a core temperature &amp;lt;36\u202f\u00b0C. Secondary outcomes included intraoperative temperature trajectories, hemodynamic parameters, postoperative recovery metrics, and complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of 92 enrolled patients, 88 completed the trial (mean age, 52.8\u202f\u00b1\u202f10.0\u202fyears; 41 women) and were included in the final analysis (44 per group). The incidence of perioperative hypothermia was lower in the TEAS group than in the control group (15.9% [7\/44] vs. 40.9% [18\/44];\n                      <jats:italic>p<\/jats:italic>\n                      \u202f=\u202f0.009; OR, 0.273; 95% CI, 0.100\u20130.748). Patients receiving TEAS maintained higher intraoperative core temperatures. The incidence of postoperative complications was lower in the TEAS group than in the control group (2.3% [1\/44] vs. 18.2% [8\/44];\n                      <jats:italic>p<\/jats:italic>\n                      \u202f=\u202f0.030; OR, 0.105; 95% CI, 0.012\u20130.877). However, these findings were primarily driven by differences in postoperative shivering. No between-group differences were observed in other secondary outcomes. No TEAS-related adverse events were observed.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Perioperative TEAS improved thermoregulation, reduced the incidence of perioperative hypothermia and shivering in VATS. As a safe, noninvasive intervention, TEAS may be a useful adjunct to standard perioperative temperature management.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical trial registration<\/jats:title>\n                    <jats:p>\n                      <jats:ext-link>https:\/\/itmctr.ccebtcm.org.cn\/mgt\/project\/view\/-7254737145961978300<\/jats:ext-link>\n                      , Identifier ITMCTR2024000425.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fmed.2026.1799152","type":"journal-article","created":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T05:39:56Z","timestamp":1777527596000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Effect of transcutaneous electrical acupoint stimulation on perioperative hypothermia in video-assisted thoracoscopic surgery: a randomized controlled trial"],"prefix":"10.3389","volume":"13","author":[{"given":"Yajie","family":"Zhao","sequence":"first","affiliation":[{"name":"Department of Anesthesiology, Peking University People\u2019s Hospital","place":["Beijing, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hansheng","family":"Liang","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Peking University People\u2019s Hospital","place":["Beijing, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kaidi","family":"Kang","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Peking University People\u2019s Hospital","place":["Beijing, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Menghan","family":"Su","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Peking University People\u2019s Hospital","place":["Beijing, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qian","family":"Gao","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Peking University People\u2019s Hospital","place":["Beijing, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yaqing","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Peking University People\u2019s Hospital","place":["Beijing, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Weixin","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Peking University People\u2019s Hospital","place":["Beijing, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yue","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Peking University People\u2019s Hospital","place":["Beijing, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liang","family":"Sun","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Peking University People\u2019s Hospital","place":["Beijing, China"]},{"name":"Department of Anesthesiology, Peking University People's Hospital Shijiazhuang Campus, Shijiazhuang People's Hospital","place":["Shijiazhuang, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yi","family":"Feng","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Peking University People\u2019s Hospital","place":["Beijing, China"]},{"name":"Department of Anesthesiology, Peking University People's Hospital Shijiazhuang Campus, Shijiazhuang People's Hospital","place":["Shijiazhuang, 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