[Artificial nutrition. When? How? What?]

The association of excessive morbidity and mortality with malnourished states has been well documented. Nutritional assessment should now be an integral part of the evaluation of all hospitalized patients, particularly those scheduled for surgical procedures. Determination of the method of feeding the patient depends on the patient's nutritional status, the level of gastrointestinal function and the type and magnitude of treatment which he will undergo. The enteric route is always preferred when it can be used. If oral and enteral feeding are not possible, either peripheral or central nutrition should be employed. To central route is necessary protocol strictly adhered to be Knowledgeable persons. Artificial Nutrition should be instituted before significant protein deficits develop. It is far easier to maintain a patient's nutritional status than it is to repair nutritional deficits.