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Hurricane Damage Causes National Medical-Grade Fluid Shortage

October 21, 2024

In late September 2024, Hurricane Helene severely damaged a medical-grade fluid manufacturing plant in North Carolina, forcing it to close. Just weeks later, Hurricane Milton led to the closure of a second medical-grade fluid plant in Florida.

The Florida plant sustained less damage and expects to resume production quickly. However, Baxter International’s North Cove plant in North Carolina, which supplies 60% of the medical-grade fluids used nationwide, will not return to full operations before the end of the year at the earliest. As a result, hospitals nationwide are experiencing severe IV fluid shortages and are working diligently to conserve supplies with minimal disruption to patient care.

Like our peers, The University of Kansas Health System is carefully reviewing all planned patient care to manage our fluid supplies, which include large-volume IV fluids (such as normal saline), total parenteral nutrition, IV electrolytes and more. These fluids play a critical role in patient care, including for surgeries, infusion therapy, dialysis, medication delivery and for providing nutrition and hydration.

As part of the region’s premier academic medical center, the health system is well prepared to navigate this challenge. We are creating solutions to manage supplies and ensure that our patients continue to receive the highest quality care. While we anticipate factory production will recover in time, we are proactively addressing the shortage now to ensure fluids are used efficiently. We appreciate your support and understanding during these next few months.

We will share updates on this page as the situation evolves.

Fluid shortage frequently asked questions

  • Medical-grade fluids are used for a variety of purposes, including to provide hydration or nutrition, to deliver medications and to irrigate surgical sites.

  • In some cases, hospitals can make changes if appropriate for the patient’s needs. For example, oral hydration (water or Gatorade), anti-nausea medications and tap water may be suitable alternatives to medical-grade fluids for certain types of care.

  • Every patient’s care is important to us. Until medical-grade fluid supplies can be replenished to normal levels, our care teams will closely evaluate planned patient care to ensure fluids are conserved for those who need them most urgently. Postponement of non-urgent or elective procedures may be necessary. If your procedure is affected, we will communicate directly with you and work to reschedule your care as soon as possible.

  • Our care teams will continue to prioritize lifesaving treatments and will do everything possible to provide undisrupted care for all patients. Some patients may notice small changes, such as receiving pre-medications by mouth instead of IV, receiving medications in smaller fluid volumes or receiving medications by injection under the skin instead of through an IV. We are committed to making the best and safest choices for every patient’s care.

  • Baxter is working to restart operations in North Carolina as quickly as possible. In the meantime, the U.S. Food and Drug Administration has authorized the temporary use of fluid products made outside the United States. Baxter is working to allocate those resources to hospitals across the nation. In addition, other manufacturers are increasing production to help alleviate the shortage.

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