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 .
Prewarming operating rooms for prevention of intraoperative hypothermia during total knee and hip arthroplasties.
Prewarming operating rooms has been shown to limit hypothermia in pediatric surgical patients but may be associated with extreme discomfort for surgeons . We examined the effect of prewarming operating rooms on core temperatures during knee and hip arthroplasties . Sixty-six patients were r and omized to the  prewarmed group at 24 ° C or control group at 17 ° C . The prewarmed group core temperature ( mean , 36.14 ° C ) before active warming was significantly higher ( P = .018 ) than that of the control group ( mean , 35.83 ° C ) . By the start of surgery , the difference was 36.01 ° C prewarmed vs 35.83 ° C control , P = .038 . There was no significant difference in the last recorded mean temperatures between groups : 36.35 ° C ( prewarmed ) vs 36.16 ° C ( control ) . A prewarmed operating room for adults undergoing knee or hip arthroplasty had minimal effect on preventing intraoperative hypothermia
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 .