Pitfalls in Interventional Pain Medicine: Hyponatremia after DDAVP for a Patient with Von Willebrand Disease Undergoing an Epidural Steroid Injection

<table class="table-group" id="tab2"><tr><td><table class="table"><tr><td class="thead-hr" colspan="1"><hr/></td></tr><tr><td class="align_left">Stress</td></tr><tr><td class="align_left">Surgery</td></tr><tr><td class="align_left">Administration of anesthesia</td></tr><tr><td class="align_left">Opiates (endogenous release of ADH)</td></tr><tr><td class="align_left">Vomiting (loss of sodium)</td></tr><tr><td class="align_left">Liver disease (impaired metabolism of DDAVP)</td></tr><tr><td class="align_left">Renal tubular acidosis (chronically low sodium)</td></tr><tr><td class="align_left">Multiple doses of DDAVP</td></tr><tr><td class="align_left">Overhydration with hyponatremic fluids</td></tr><tr class="table-tr"><td colspan="1"><hr class="tbody-hr"/></td></tr></table></td></tr></table>

Risk factors for hyponatremia after DDAVP [<a href="/journals/cria/2017/6467090/#B12">10</a>].

Case Reports in Anesthesiology

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Table 2

Table 2: Pitfalls in Interventional Pain Medicine: Hyponatremia after DDAVP for a Patient with Von Willebrand Disease Undergoing an Epidural Steroid Injection 

Table 2 | Pitfalls in Interventional Pain Medicine: Hyponatremia after DDAVP for a Patient with Von Willebrand Disease Undergoing an Epidural Steroid Injection 