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Evidence-based protocol using IMPACT® Specialized Nutrition Formulas Proven to Reduce Infectious Complications1 •All IMPACT® formulas provide the same unique evidence-based nutrient blend shown to reduce infection in major elective surgery.2 • Preoperative use of IMPACT® formulas has been shown to reduce the risk of complications in major elective surgery patients by 58% versus control (p<0.0001).3 Preoperative (5 days) 3 cartons/day 1 UltraPak®/day* * Initiate IMPACT® tube feeding and advance to ≥ 1000 calories/day to meet nutritional needs for 5 days. Also available in open system. References: 1. Drover JW et al. Perioperative use of arginine-supplemented diets: A systematic review of the evidence. J Am Coll Surg 2011;212(3):385-399. 2. Braga M. et al. Preoperative oral arginine and n-3 fatty acid supplementation improves the immunometabolic host response and outcome after colorectal resection for cancer. Surg 2002 132:805-814. 3. Waitzberg et al. Post surgical infections are reduced with specialized nutrition support. World J Surg. 2006; 30:1592-1604. USE UNDER MEDICAL SUPERVISION. NOT INDICATED WHEN IMMUNE SUPPRESSION IS DESIRED. Immunonutrition Formulas All trademarks are owned by Société des Produits Nestlé S.A., Vevey, Switzerland. ©2016 Nestlé. All rights reserved. IPCT-12705-0716