SCCM Resource Library-Drug Shortage Alert: Albumin

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This Drug Shortage Alert provides recommendations and information regarding the shortage of albumin solutions in the ICU. The document suggests that due to the sporadic shortages of albumin, routine usage should be evaluated and restrictive criteria may need to be implemented to conserve supply for critical patients and certain indications. The alert provides potential management strategies, pharmacotherapeutic considerations, and safety implications for the shortage.<br /><br />The document advises clinicians to consider reserving albumin for specific scenarios, such as large volume paracentesis, spontaneous bacterial peritonitis, hepatorenal syndrome/acute kidney injury, sepsis and septic shock, burn hypovolemia, cardiac surgery, therapeutic apheresis, among others. These recommendations are based on the strongest data supporting the use of albumin for these indications.<br /><br />Furthermore, the alert discusses alternative products for albumin therapy, such as crystalloids, hetastarch, dextran, and fresh frozen plasma. It emphasizes the need for close monitoring of patients at risk for volume overload, as the unavailability of albumin may put them at further risk. The document also highlights the safety implications of utilizing alternative products, as well as the importance of considering the indication and specific dosing when using albumin solutions.<br /><br />In terms of impact on ICU care, the alert acknowledges the challenges of resource allocation and balancing the needs of different patients based on available resources. It recommends that multiprofessional teams evaluate available alternatives and potentially increase stock to address the shortage.<br /><br />Overall, this Drug Shortage Alert provides clinicians with recommendations for managing the shortage of albumin solutions in the ICU, including potential management strategies, pharmacotherapeutic considerations, and safety implications. It emphasizes the need for careful resource allocation, close monitoring of patients at risk for volume overload, and evaluation of available alternatives.

Asset Subtitle

Pharmacology, Crisis Management, 2023, 0:02:00

Meta Tag

Content Type Article

Knowledge Area Pharmacology

Knowledge Area Crisis Management

Membership Level Nonmember

Membership Level Associate

Membership Level Professional

Membership Level Select

Tag Resource Allocation

Year 2023

Keywords

Drug Shortage Alert

albumin solutions

ICU

shortage

restrictive criteria

critical patients

management strategies

alternative products

close monitoring

resource allocation

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