An analysis of 28 studies in major elective surgery showed only IMPACT® formula reduced the risk of infectious complications by 51% vs. standard nutrition or no intervention. Other immunonutrition formulas showed no significant effect.1
- Contains a unique immunonutrient blend (arginine, omega-3 fatty acids from fish oil, nucleotides) clinically proven to reduce risk of infection and length of stay after major elective surgery2
- Contains immune-modulating nutrients supported by the 2016 Critical Care Nutrition Guidelines3**
- The IMPACT®family has been shown in multiple clinical trials to support the immune system and help reduce rates of infection, ventilator days and LOS in surgical and critically ill patients when used as part of an early enteral nutrition regimen
- Recommended intake of 3 cartons per day for 5 days pre-, peri- or post-operatively4 or as otherwise recommended by a healthcare provider
**The above statement does not constitute an endorsement of IMPACT® formula or any other Nestlé HealthCare Nutrition products by SCCM or A.S.P.E.N
1Drover JW et al. JACS 2011:212(3):385-399. 2Braga M et al. Surg 2002;132:805-814. 3McClave SA et al. JPEN 2016:40(2):159-211
4Waitzberg DL et al. WJS 2016;30:1592-1604
kcal/mL: 1.2
Caloric Distribution (% of kcal)
Protein: 35%
Carbohydrate: 31%
Fat: 34%
Protein Source: calcium and sodium caseinates (milk), L-arginine
Supplemental L-arginine: 4.2 g/178 mL
Dietary Nucleotides***: 430 mg/178 mL
NPC:N Ratio: 36:1
MCT:LCT Ratio: 16:84
n6:n3 Ratio: 1.2:1
EPA + DHA: 1.1 g/178 mL
Osmolality (mOsm/kg water): 730
Water 81%
HCPCS Code B4154
Suitable for these diets: lactose intolerance*, gluten-free, halal
*Not for individuals with galactosemia
***From yeast RNA
- Pre-op preparation and/or post-op recovery from major elective surgery:
- Major gastrointestinal cancer surgery (esophageal, gastric, pancreatic, colon)
- Gynecological cancer surgery
- Hip surgery
- Head and neck surgery
- Cardiac surgery
- Bladder cancer surgery
- Trauma patients
- Burns and wounds
NOT FOR PARENTERAL USE
USE UNDER MEDICAL SUPERVISION
Not indicated when immune suppression is desired.
INGREDIENTS: WATER, SUGAR, CALCIUM CASEINATE (MILK), SODIUM CASEINATE, L-ARGININE, REFINED FISH OIL (ANCHOVY, SARDINE). AND LESS THAN 2% OF CORN OIL, CITRIC ACID, MEDIUM CHAIN TRIGLYCERIDES, MALTODEXTRIN, NATURAL AND ARTIFICIAL FLAVOR, YEAST EXTRACT, POTASSIUM CITRATE, POTASSIUM CHLORIDE,CALCIUM PHOSPHATE, MAGNESIUM PHOSPHATE,SALT, MAGNESIUM CHLORIDE, CELLULOSE GEL,CELLULOSE GUM, CHOLINE CHLORIDE, SODIUMASCORBATE, SUCRALOSE (SWEETENER),CARRAGEENAN, ZINC SULFATE, FERROUS SULFATE,D-ALPHA-TOCOPHEROL, NIACINAMIDE, SOYBEAN OIL, DL-ALPHA TOCOPHERYL ACETATE, CALCIUM PANTOTHENATE, COPPER GLUCONATE, MANGANESE SULFATE, VITAMIN A PALMITATE, PYRIDOXINE HYDROCHLORIDE, RIBOFLAVIN, THIAMINE HYDROCHLORIDE, BETA-CAROTENE, FOLIC ACID,POTASSIUM IODIDE, SODIUM SELENITE, SODIUMMOLYBDATE, CHROMIUM CHLORIDE, VITAMIN K1,BIOTIN, VITAMIN D3, VITAMIN B12
Contains Milk