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

Rebecca Kronström; Sixten Bredbacka; Axel Tomson; Mikael Wirén; Joanna Uddén

doi:10.1016/j.jopan.2025.12.004

March 1, 2026Journal of PeriAnesthesia NursingOpen 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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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.

Implication

Randomized controlled trial compares pain, nausea, vomiting, and opioid use in bariatric surgery, suggesting tailored anesthesia protocols.

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.

Discussion

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Cite This Study

Kronström et al. (2026) studied this question.

synapsesocial.com/papers/69a7cc8ed48f933b5eed82ec https://doi.org/10.1016/j.jopan.2025.12.004

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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

Key Points

Implication

Abstract

Discussion

Cite This Study

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

Key Points

Implication

Abstract

Discussion

Cite This Study

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