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

• 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.