IV Fat Emulsion Shortage Update - July 14, 2010
A.S.P.E.N. has been in ongoing communications with U.S. suppliers of IV fat emulsion (IVFE). Currently, it is uncertain as to when the shortage will be resolved and IVFE purchase supplies return to normal. It is possible that this shortage may last anywhere from 6 weeks to 6 months.
A.S.P.E.N. recommends that all facilities and practitioners review and implement the "Information to Use in the Event of an Intravenous Fat Emulsion Shortage" available on the A.S.P.E.N. website. Best estimates suggest to us that if all facilities implement the shortage guidelines that the national supply will remain commensurate with national demand.
During the period of shortage, wastage of IVFE is a concern. Any manipulation of IVFE from its original container and preparation of IVFE for infusion may potentially increase risk of contamination and product instability. Facilities and practitioners need to observe and be compliant with the IVFE product labeling (eg, package insert) for storage and use, USP General Chapter <797> Pharmaceutical Compounding-Sterile Preparations, and state Boards of Pharmacy rules and regulations. Practices outside of these sources should not be implemented.
Baxter Healthcare Corporation continues to allocate its national supply on a direct purchase basis. Should you have any questions, please contact your Baxter Sales Representative or Baxter's Center for Service at 1-888-229-0001.