The United States is currently experiencing critical drug shortages that are resulting in a direct impact on patient care. Critical drugs, including bupivacaine solutions, are currently in short supply. The AANA continues to monitor this shortage and has posted relevant information to www.AANA.com/bupivacaineshortage. Nurse anesthetists are encouraged to work with their healthcare facilities and pharmacy to address drug shortages and determine solutions in order to provide safe anesthesia and analgesia care. Additional recommendations and alternative strategies are delineated by the Society for Obstetric Anesthesia and Perinatology (SOAP) in their Advisory in Response to Shortages of Local Anesthetics in North America. If your facility is experiencing a shortage, it can be reported to email@example.com to help the FDA gauge the extent of the shortage. Please note, this email address is to provide information to the FDA and may not result in an immediate response or resolution. If you have practice-related questions, please contact the Professional Practice Division at firstname.lastname@example.org.