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 .
An evaluation of underbody forced‐air and resistive heating during hypothermic, on‐pump cardiac surgery *
We conducted a r and omised controlled trial to compare the efficacy of underbody forced‐air warming ( Arizant Healthcare Inc , Eden Prairie , MN , USA ) with an underbody resistive heating mattress ( Inditherm Patient Warming System , Rotherham , UK ) and passive insulation in 129 patients having hypothermic cardiac surgery with cardiopulmonary bypass . Patients were separated from cardiopulmonary bypass at a core temperature of 35 ° C and external warming continued until the end of surgery . Before cardiopulmonary bypass , the temperature‐vs‐time slopes were significantly greater in both active warming groups than in the passive insulation group ( p < 0.001 for each ) . However , the slopes of forced‐air and resistive warming did not differ ( p = 0.55 ) . After cardiopulmonary bypass , the rate of rewarming was significantly greater with forced‐air than with resistive warming or passive insulation ( p < 0.001 for each ) , while resistive warming did not differ from passive insulation ( p = 0.14 ) . However , absolute temperature differences among the groups were small
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 .