IV fluid conservation during a natural disaster
Abstract:
After significant damage to an intravenous fluid manufacturing plant during Hurricane Helene, fluid conservation was necessary, and many healthcare institutions delayed elective procedures to safeguard fluids. We present a perioperative intravenous fluid conservation strategy initiated at one tertiary care institution in response, and specifically reviewed 5 different perioperative sites with predominantly outpatient cases. Perioperative fluid conservation led to an overall 68% reduction in intravenous fluid utilization in one month. Compared with the 3 prior months, rates of intraoperative hemodynamic instability, postoperative nausea and vomiting, and recovery times were similar.
Reference:
Clark CA, McCoy NC, Brewbaker CL, Wolf BJ, Smith JV, Pecha TJ, Mester RA, Wilson SH. Fluid Crisis Management: Intravenous Fluid Conservation Strategies and Outcomes After a Natural Disaster. A A Pract. 2025 Sep 5;19(9):e02051. doi: 10.1213/XAA.0000000000002051. PMID: 40910684.