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Updated October 23, 2024
The Society of Critical Care Medicine (SCCM) is urging all hospitals and institutions to assess protocols related to fluid management to prepare for expected shortages.
A North Carolina facility manufacturing IV solutions for Baxter International was flooded by rains from Hurricane Helene, damaging supplies, raw materials, and local infrastructure required to access the facility. As a result, production has stopped until the situation is resolved. Baxter is working to assess the plant and determine what will be needed to bring it back into service.
Key Messages:
Hospitals are encouraged to implement or create a plan for limited IV solutions for the foreseeable future. Suggestions for management and conservation include careful assessment of clinical needs, assessing fluid responsiveness, discontinuing infusions as soon as appropriate, identifying alternative sources of solutions, optimizing oral fluid management, engaging multidisciplinary clinical teams, and maintaining clear communication with status and action plan adjustments.
Baxter has been working to manage inventory and minimize disruptions to patient care, which includes implementing allocations that limit orders. Baxter continues to ramp up production across their global manufacturing network.
Baxter customers can call + 1 800 933-0303, option 1, during normal business hours for clinical questions regarding conservation strategies.
The FDA is working to temporarily import some products in shortage to help meet patient needs. Review this webpage on Baxter's manufacturing recovery in North Carolina for the latest information from the FDA.
In response to the supply chain disruptions of IV and other medical solutions caused by Hurricane Helene, SCCM has partnered with 10 other healthcare organizations to send a letter to the FDA to urge federal action to help mitigate these issues. Read More
Fluid Stewardship Resources
Resources to Help During Drug Shortages
Fluid Assessment Resources