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 .
The experiences of and the nursing care for breast cancer patients undergoing immediate breast reconstruction.
This study explores the experiences of and the nursing care for nine women with breast cancer undergoing immediate breast reconstruction ( IBR ) with a TRAM-flap . The study was prospect i ve and descriptive and source and method triangulation was used . Source triangulation consisted of the patients ' and nurses ' perspectives , whilst method triangulation combined interviews , question naires and medical records . One result is that the meaning of IBR for the women operated is related to feelings of hope , normality and ' wholeness ' . Another result is that not all the needs of the patients are assessed and met ; the nursing care during admission is mainly focused on the physical care and after dismissal the patients are left in a situation characterized by vulnerability and a sense of emptiness . The study points to some implication s in the means of quality development and rehabilitation
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 .