Key recommendations support use of  opioid-sparing perioperative medications  , minimal preoperative fasting and early feeding , use of anesthetic techniques that decrease postoperative nausea and vomiting and pain , use of measures to prevent intraoperative hypothermia , and support of early mobilization after surgery .
Background : Enhanced recovery following surgery can be achieved through the introduction of evidence -based perioperative maneuvers .
This review aims to present a consensus for optimal perioperative management of patients undergoing breast reconstructive surgery  and to provide evidence -based recommendations for an enhanced perioperative protocol .
Intra‐operative rewarming with Hot Dog® resistive heating and forced‐air heating: a trial of lower‐body warming
Resistive heating is an alternative to forced‐air warming which is currently the most commonly used intra‐operative warming system . We therefore tested the hypothesis that rewarming rates are similar with Hot Dog ® ( Augustine Biomedical ) resistive and Bair Hugger ® ( Arizant ) forced‐air heating systems . We evaluated 28 patients having major maxillary tumour surgery . During the establishment of invasive monitoring , patients became hypothermic , dropping their core temperature to about 35 ° C . They were then r and omly assigned to rewarming with lower‐body resistive ( n = 14 ) or forced‐air ( n = 14 ) heating , with each system set to ‘ high ’ . Our primary outcome was the rewarming rate during active heating over a core temperature range from 35 to 37 ° C . Morphometric characteristics were comparable in both groups . Temperature increased at twice the rate in patients assigned to forced‐air warming , with an estimated mean ( SE ) slope of 0.49 ( 0.03 ) ° C.h−1 vs 0.24 ( 0.02 ) ° C.h−1 ( p < 0.001 ) . Resistive heating warmed at half the rate of forced air
Key recommendations support use of  opioid-sparing perioperative medications  , minimal preoperative fasting and early feeding , use of anesthetic techniques that decrease postoperative nausea and vomiting and pain , use of measures to prevent intraoperative hypothermia , and support of early mobilization after surgery .
Background : Enhanced recovery following surgery can be achieved through the introduction of evidence -based perioperative maneuvers .
This review aims to present a consensus for optimal perioperative management of patients undergoing breast reconstructive surgery  and to provide evidence -based recommendations for an enhanced perioperative protocol .