Massachusetts’ largest healthcare system halts some elective procedures due to IV fluid shortage from Helene

The Food and Drug Administration declared a shortage Friday of three products as Baxter International’s North Carolina processing facility still reels from the effects of Hurricane Helene.

BOSTON - Massachusetts’ largest healthcare system announced the postponement of some elective procedures less than 24 hours after the Food and Drug Administration declared a shortage of certain intravenous fluids following impacts from the remnants of Hurricane Helene.

Mass General Brigham said it is working with patients to reschedule certain elective surgeries due to a shortage of IV fluids to maximize care for those with immediate needs.

The shortages of medical products stem from Baxter International’s North Carolina processing facility, which was impacted by flooding from the remnants of Hurricane Helene.

The site has remained offline since the storm system’s catastrophic impacts on the western part of the Tar Heel State, leaving travel impossible across many thoroughfares. 

The Baxter facility produces around 60% of the country’s IV products and dialysis solutions, according to estimates from the American Hospital Association.

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Damage left behind after Hurricane Helene's wrath in Asheville, North Carolina. (Brother Wolf Animal Rescue)

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A rescue team paddles down the Swannanoa River on Sunday, Sept. 29, 2024. (Travis Long/The News & Observer/Tribune News Service)

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Damage left behind in Keaton Beach, Florida on Sept. 28, 2024 in the wake of Hurricane Helene.  (Robert Ray)

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TOPSHOT - A local police car is seen half engulfed in mud, in a flooded area of Lake Lure, North Carolina, October 2, 2024, after the passage of Hurricane Helene. The death toll from powerful storm Helene, which battered the southeastern United States, has climbed to at least 155, authorities said on October 1, as President Joe Biden and Vice President Kamala Harris prepared to survey the damage. (Photo by Allison Joyce / AFP) (Photo by ALLISON JOYCE/AFP via Getty Images) (Allison Joyce / AFP)

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Aftermath from Hurricane Helene flooding in Asheville, North Carolina. (Matty Media LLC)

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Aftermath from Hurricane Helene flooding in Asheville, North Carolina. (Matty Media LLC)

HELENE FLOODING CAUSES CRITICAL IV, MEDICAL SOLUTIONS PLANT IN NORTH CAROLINA TO SUSPEND PRODUCTION

Due to reduced production, the FDA has classified Dextrose 70% IV Solution, Lactated Ringer’s IV Solution, and Peritoneal Dialysis Solution as being in shortage.

Many of the fluids are used as quick sources of hydration and nutrition for patients, especially during times of surgery.

To cope with shortfalls, the agency said it is allowing for increased imports as well as taking requests from consumers to use products past their expiration dates.

The Florida Hospital Association reported that it has been notified that Baxter plans to achieve 90-100% allocation of certain IV fluids by the end of the year.

HOSPITALS PREPARE FOR DISRUPTION OF IV FLUIDS AND DIALYSIS SOLUTIONS SHIPMENTS FROM NORTH CAROLINA PLANT

Baxter has not publicly disclosed a timeline for when its North Carolina operations will resume full production levels but said hundreds are working around-the-clock to ensure its reopening happens as quickly as possible.

"Based on Baxter’s efforts to increase manufacturing capacity at its other sites and our current assessment of anticipated timing of inbound products and air shipments, we are increasing the current U.S. allocation levels of our highest demand IV fluids for direct customers from 40% to 60%, and for distributors from 10% to 60%, effective Wednesday, Oct. 9," the company said in a statement. "We are also increasing high concentration dextrose and sterile water for injection allocations and expect to be in a position to make additional increases for certain product codes by early November. Due to the vulnerable patient population they serve, allocations for IV solutions and nutrition products for designated children’s hospitals were increased to 100%."