Inhalation anesthesia and total intravenous anesthesia (TIVA) regimens in patients with obesity: an updated systematic review and meta-analysis of randomized controlled trials.

ABSTRACT:

Background

Obesity is a global epidemic, projected to affect 4 billion people by 2035. Anesthesia regimens, including volatile anesthetics and total intravenous anesthesia (TIVA), impact postoperative outcomes, particularly in obese patients who face increased risks of complications. Volatile anesthetics are often associated with higher rates of postoperative nausea and vomiting (PONV), while TIVA may improve recovery but can increase costs and present additional challenges. This systematic review and meta-analysis evaluate the effects of these anesthesia methods on perioperative outcomes, including hemodynamic stability, recovery, and PONV, in this high-risk population.

Methods

Adhering to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines and

SUBMITTER: Domene SS 

PROVIDER: S-EPMC11917146 | biostudies-literature | 2025 Mar

REPOSITORIES: biostudies-literature