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Some Toronto hospitals report epidural catheter shortage as global supply issues persist

Click to play video: 'Ontario monitors global epidural supply shortage'
Ontario monitors global epidural supply shortage
WATCH ABOVE: Health officials in Ontario are monitoring a global shortage of epidural supplies and obstetric patients may be paying particular attention as well. Caryn Lieberman reports – Jul 26, 2022

As global supply issues regarding epidural catheters continue, some hospitals in the Toronto-area are beginning to report shortages while others say they are monitoring the situation closely.

In an email to Global News on Tuesday, a spokesperson for the William Osler Health System said it, and other hospitals across Canada, are “currently experiencing shortages of epidural catheters that are used to support pain management during childbirth and lower extremity/abdominal surgeries.”

“As soon as Osler became aware of the potential shortage, we began working closely with suppliers and government partners to secure inventory, and mitigate impacts to services at our hospitals,” the email read.

The William Osler Health System includes three healthcare facilities which serve Brampton and Etobicoke.

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The spokesperson said the William Osler Health System has developed an epidural catheter supply strategy to “meet the emergent and urgent needs of our patients.”

“We continue to monitor the evolving situation to ensure our patients continue to receive safe, quality care,” the email said.

Meanwhile, in an email to Global News, a spokesperson for Lakeridge Health — which operates hospitals in Durham Region —  said the network is facing a “potential shortage” of the devices.

“Although we have an adequate supply of epidural catheters for the short-term, we are working with our partners at Ontario Health and the Ministry of Health who are actively engaging with Health Canada, suppliers, distributors, and manufacturers across Ontario to understand the current situation and supply forecasts,” the email read.

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Global News also reached out to a several other hospitals in the Toronto area to determine whether they are experiencing a epidural catheter shortage.

The Women’s College Hospital told Global News it is “closely monitoring the supply of epidural catheters.”

However, the hospital said “currently” its supply is “stable and there is no impact to patient care.”

Click to play video: 'Ontario monitors global epidural supply shortage'
Ontario monitors global epidural supply shortage

Similarly, in a statement emailed to Global News, Jennifer Bordin, the director of maternal, newborn and child health services at Michael Garron Hospital, said the hospital is “aware some Canadian provinces recently reported shortages in the availability of epidural catheters due to supply chain issues.”

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“At this time, we have sufficient supplies to continue to meet the needs of patients,” Bordin said. “Our teams are closely monitoring the situation and working in partnership with suppliers, hospital leaders and Ontario Health to prepare contingency plans should this become a long-lasting shortage.”

North York General Hospital said it is “currently able to provide epidurals to any patient in labour who requests one.”

“We continue to monitor the situation closely in partnership with Ontario Health and our supply chain partners,” a spokesperson said in an email to Global News.

Global News also reached out to Sunnybrook Hospital and the University Hospital Network, but did not immediately hear back.

In an email to Global News, the Ontario Ministry of Health said the province currently “has an adequate supply of epidural catheters,” adding that “woman are able to access epidurals for childbirth.”
The ministry also said in order to support a “province-wide approach to equitable access to supplies,” Ontario Health is taking a number of steps.

The ministry said it is “activating regional response structures to track inventory and assess the need for redistribution of epidural catheters where possible,” adding that hospitals will receive instructions on how to access and report on current inventory “in the coming days.”

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According to the ministry, Ontario Health is also continuing to work with Health Canada, suppliers, distributors, manufacturers, and other key partners to understand current and future supply in order to “mitigate any potential impact to patients.”

The ministry said Ontario Health is also “convening a clinical working group with key partners to advise on the issue and action required to mitigate potential impacts of patient care.”

Dr. Lucie Filteau, an anesthesiologist at The Ottawa Hospital, previously told The Canadian Press, on average, about 50 to 60 per cent of pregnant women across Canada rely on epidurals to manage pain.

The highest use — up to 80 per cent — is in urban areas where more anesthesiologists are available to provide that service, especially to those having their first baby, Filteau said.

Epidural catheters are also used during surgeries in the lower extremities.

-with files from The Canadian Press.

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