Lysine vasopressin in the treatment of refractory hemodialysis-induced hypotension.

Abstract

The etiology of hemodialysis-induced hypotension is multifactorial. We assessed the efficacy of intranasal lysine vasopressin (LV) in 6 patients with refractory hemodialysis-induced hypotension. Autonomic testing was abnormal in all. Intranasal LV and placebo were assessed in a double-blind crossover fashion. With LV, the mean number of hypotensive episodes was less (0.9 +/- 0.8 vs. 1.5 +/- 1; t = 3.95, p less than 0.05), as was the total volume of intravenous fluid administered because of hypotension (155 +/- 57 vs. 280 +/- 123 cm3; t = 2.98, p less than 0.05). Systolic, diastolic, and mean arterial blood pressures were significantly greater at 90 min of the dialysis session. Measured baseline epinephrine, norepinephrine, and antidiuretic hormone levels were elevated above normal levels and fell with hypotension despite the use of LV. The results from this study demonstrate the utility of LV in the treatment of refractory hemodialysis-induced hypotension.

• Authors: J S Lindberg, J B Copley, K Melton, C E Wade, J Abrams, D Goode
• Journal: American journal of nephrology (Am J Nephrol) Vol. 10 Issue 4 Pg. 269-75 ( 1990) ISSN: 0250-8095 [Print] Switzerland
• PMID: 2240053 (Publication Type: Clinical Trial, Comparative Study, Journal Article, Randomized Controlled Trial)

Chemical References

• Lypressin

Topics

• Administration, Intranasal
• Autonomic Nervous System Diseases (diagnosis, etiology)
• Double-Blind Method
• Female
• Humans
• Hypotension (drug therapy, etiology)
• Lypressin (administration & dosage, therapeutic use)
• Male
• Middle Aged
• Renal Dialysis (adverse effects)