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 .
Is pain prophylaxis in minor gynaecological surgery of clinical value? a double-blind placebo controlled study of paracetamol 1 g versus lornoxicam 8 mg given orally.
Methods : In a prospect i ve r and omised placebo controlled double-blind study 210 ASA I-II women scheduled for elective termination of pregnancy received 1 g paracetamol , 8 mg lornoxicam or placebo orally 60 min before anaesthesia which was st and ardised with propofol , fentanyl and oxygen in nitrous oxide 1:2 .  Postoperative pain was assessed by VAS-score at 30 and 60 min after end of surgery and at discharge as primary endpoints . Need for rescue medication and time to discharge were secondary endpoints . Results : All patients had an uncomplicated course .  Overall pain intensity was low , however , the patients pretreated with lornoxicam had significantly less pain after surgery , no difference could however , be seen in need for rescue medication or time to discharge between the three groups . Conclusion : General pain prophylaxis may be argued in minor gynaecological surgical procedures where postoperative pain is of low intensity . If general prophylaxis is to be given in minor gynaecological surgery , a non steroidal anti-inflammatory ( NSAID ) such as lornoxicam , seems more efficacious as compared to a st and ard dose of 1 g paracetamol
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 .