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 .
[Hypothermia prevention during surgery: comparison between thermal mattress and thermal blanket].
This study aim ed to compare the efficiency of the thermal blanket and thermal mattress in the prevention of hypothermia during surgery .  Thirty-eight r and omized patients were divided into two groups ( G1 - thermal blanket and G2 - thermal mattress ) . The variables studied were : length of surgery , length of stay in the post-anesthetic care unit , period without using the device after thermal induction , transport time from the operating room to post-anesthetic care unit , intraoperative fluid infusion , surgery size , anesthetic technique , age , body mass index , esophageal , axillary and operating room temperature . In G2 , length of surgery and starch infusion longer was higher ( both p=0.03 ) , but no hypothermia occurred . During the surgical anesthetic procedure , the axillary temperature was higher at 120 minutes ( p=0.04 ) , and esophageal temperature was higher at 120 ( p=0.002 ) and 180 minutes ( p=0.03 ) and at the end of the procedure ( p=0.002 ) . The thermal mattress was more effective in preventing hypothermia during surgery
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 .