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March 4, 2026Journal of PeriAnesthesia Nursing0 citationsOpen Access

Total Intravenous Anesthesia Versus Volatile Anesthesia in Bariatric Surgery: A Balanced Comparison of Patient-reported Pain, Postoperative Nausea and Vomiting, and Opioid Use in a Randomized Controlled Trial

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RKRebecca KronströmSBSixten BredbackaATAxel Tomson

Key Points

  • This research aims to compare the effects of total intravenous anesthesia (TIVA) and volatile anesthesia on pain, nausea, vomiting, and opioid use in bariatric surgery.
  • Conducted a randomized controlled trial with patients undergoing bariatric surgery.
  • Compared outcomes related to pain, postoperative nausea and vomiting (PONV), and opioid consumption between TIVA and volatile anesthesia.
  • Collected patient-reported outcomes for a detailed assessment of recovery.
  • TIVA reduced early postoperative nausea and vomiting compared to volatile anesthesia.
  • Opioid requirements increased in patients receiving TIVA during their recovery period.
  • The findings highlight the need for balanced anesthetic approaches in bariatric surgery.

Abstract

TIVA reduces early PONV but increases opioid requirements compared to volatile anesthesia in bariatric surgery. These findings underscore the importance of tailored anesthetic protocols that balance early recovery benefits with opioid-related risks.

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Cite This Study

Kronström et al. (2026) studied this question.

synapsesocial.com/papers/69a7cc8ed48f933b5eed82echttps://doi.org/10.1016/j.jopan.2025.12.004
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