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 .
Effect of active airway warming on body core temperature during adult liver transplantation.
INTRODUCTION Active inspired gas humidification ( AH ) preserves body heat and maintains normothermia intraoperatively . However , it is unclear whether AH shows comparable influences during liver transplantation ( OLT ) , which may be affected by both large internal heat loss and external heat supply . Thus , the aim of this study was to evaluate the effect of AH compared with passive humidification ( PH ) on body temperature in OLT . MATERIAL S AND METHODS Thirty-four adult patients undergoing living donor OLT were r and omly enrolled into two groups : those given AH using a heated humidifier ( HH group , n = 17 ) and those using a heat- and -moisture exchanger ( HME group , n = 17 ) . Both core and skin temperatures ( Tc and Ts ) , as well as respiratory parameters , including static/dynamic lung compliances and PaO(2 ) , were recorded at predetermined times . RESULTS Both Tc and Ts were consistently higher among the HH versus the HME group after 2 hours of anesthesia . Differences in Tc and Ts between the two groups increased gradually over time . The overall Tc during surgery was higher among the HH than the HME group ( P = .023 ) . The incidences of hypothermia were lower in the HH group at 3 hours of anesthesia , 1 and 3 hours of reperfusion , and at the end of surgery ( P = .037 , 0.024 , 0.005 , and 0.010 respectively ) . The duration of hypothermia was lower in the HH than the HME group ( 3.9 ± 3.5 hours versus 6.7 ± 3.3 hours , P = .025 ) . Both groups showed no significant intraoperative changes in respiratory parameters ; there were no postoperative respiratory complications . CONCLUSION Active humidification warms the patient 's body effectively , lessening the incidence and duration of hypothermia during OLT with no respiratory risks
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 .