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TEAS reduces preoperative anxiety and postoperative pain in meta-analysis of 1026 surgical patientsCould a gentle electrical pulse help calm nerves before surgery?

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Key Takeaway
Consider TEAS as a potential non-pharmacological adjunct for reducing preoperative anxiety and pain, pending further trials.

This meta-analysis pooled data from 12 randomized controlled trials involving 1026 adult patients undergoing surgery. The intervention studied was transcutaneous electrical acupoint stimulation (TEAS) applied preoperatively, though the specific comparator was not reported in the input data. The analysis examined effects on preoperative anxiety and related physiological and postoperative outcomes.

TEAS was associated with significant reductions in several outcomes. Preoperative anxiety showed a standardized mean difference (SMD) of -1.07 (P = .0002). Heart rate was reduced by a mean difference (MD) of -8.61 (P = .02), and mean arterial pressure showed an SMD of -1.53 (P = .04). Postoperative pain was also significantly reduced with an SMD of -1.89 (P < .0001). However, the effect on sleep quality was not statistically significant (SMD = 0.72, P = .13). Absolute numbers for these outcomes were not reported.

Safety and tolerability data, including adverse events and discontinuations, were not reported in the available input. Key limitations of the included studies were also not reported. The practice relevance is that TEAS may reduce preoperative anxiety and related parameters, but its effect on sleep quality is inconclusive. The authors note this evidence represents an association from a meta-analysis and that further well-designed randomized controlled trials are needed to confirm these findings.

Imagine lying on a gurney, waiting to be wheeled into the operating room. Your heart is racing, and the fear is palpable. For adults facing surgery, this preoperative anxiety is a common and distressing experience. Now, a fresh look at the research is pointing to a potential tool for relief that doesn't involve more medication.

By combining data from over a thousand patients across 12 different studies, researchers found that a technique called transcutaneous electrical acupoint stimulation, or TEAS, was linked to meaningful reductions in anxiety before surgery. This gentle electrical pulse applied to specific points on the skin was also associated with lower heart rates and blood pressure readings, and patients reported less pain after their operations. However, the analysis did not find a clear benefit for improving sleep quality the night before surgery.

It's important to understand what this analysis can and cannot tell us. These results come from a meta-analysis, which means researchers pooled together findings from smaller, existing trials. While the overall signal is positive, we don't know if the technique was well-tolerated or if anyone experienced side effects, as that data wasn't reported. The researchers themselves note that more well-designed, individual studies are needed to firmly establish how effective TEAS is and for whom it works best. For now, it represents a hopeful, non-pharmacological avenue worth exploring further for surgical patients.

What this means for you:
A gentle electrical pulse on acupoints may help calm surgery anxiety, but more research is needed.

Study Details

Study typeMeta analysis
Sample sizen = 1,026
EvidenceLevel 1
PublishedApr 2026
View Original Abstract ↓
PURPOSE: Traditional acupuncture provides sedative and analgesic effects but is invasive and requires skilled practitioners. Transcutaneous electrical acupoint stimulation (TEAS) is a noninvasive alternative with advantages such as ease of use and reproducibility. This study aimed to evaluate the impact of TEAS on preoperative anxiety and related outcomes. DESIGN: A systematic review and meta-analysis of randomized controlled trials. METHODS: Randomized controlled trials from eight databases were analyzed using RevMan5.4 (Version 5.4; Cochrane Collaboration, Oxford, England). The outcomes assessed included anxiety, heart rate, mean arterial pressure, and sleep quality, all of which were measured preoperatively, while pain was the sole outcome evaluated postoperatively. FINDINGS: A total of 1,026 patients across 12 studies were included. TEAS significantly reduced preoperative anxiety (standardized mean difference [SMD] = -1.07, P = .0002), heart rate (mean difference [MD] = -8.61, P = .02), mean arterial pressure (SMD = -1.53, P = .04), and postoperative pain (SMD = -1.89, P < .0001). The effect on sleep quality was not significant (SMD = 0.72, P = .13). CONCLUSIONS: TEAS may reduce preoperative anxiety, heart rate, mean arterial pressure, and postoperative pain, but its effect on sleep quality is inconclusive. Further well-designed randomized controlled trials are needed.
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