Specific Considerations with Endocrine Disease - Adrenal Medullary Disease
Physiology
Preganglionic fibers of the sympathetic nervous system stimulate release of catecholamines from the adrenal medulla. Peripheral effects of catecholamines include chronotropic and inotropic stimulation of the heart, vasomotor changes, enhanced hepatic glycogenolysis, and inhibition of insulin release. Catecholamines are biotransformed in the kidney and liver to metanephrine, normetanephrine, and vanillylmandelic acid.
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Citation
Pino, Richard M., editor. "Specific Considerations With Endocrine Disease - Adrenal Medullary Disease." Clinical Anesthesia Procedures, 9th ed., Wolters Kluwer, 2019. Anesthesia Central, anesth.unboundmedicine.com/anesthesia/view/ClinicalAnesthesiaProcedures/728157/all/Specific_Considerations_with_Endocrine_Disease___Adrenal_Medullary_Disease.
Specific Considerations with Endocrine Disease - Adrenal Medullary Disease. In: Pino RMR, ed. Clinical Anesthesia Procedures. Wolters Kluwer; 2019. https://anesth.unboundmedicine.com/anesthesia/view/ClinicalAnesthesiaProcedures/728157/all/Specific_Considerations_with_Endocrine_Disease___Adrenal_Medullary_Disease. Accessed November 5, 2024.
Specific Considerations with Endocrine Disease - Adrenal Medullary Disease. (2019). In Pino, R. M. (Ed.), Clinical Anesthesia Procedures (9th ed.). Wolters Kluwer. https://anesth.unboundmedicine.com/anesthesia/view/ClinicalAnesthesiaProcedures/728157/all/Specific_Considerations_with_Endocrine_Disease___Adrenal_Medullary_Disease
Specific Considerations With Endocrine Disease - Adrenal Medullary Disease [Internet]. In: Pino RMR, editors. Clinical Anesthesia Procedures. Wolters Kluwer; 2019. [cited 2024 November 05]. Available from: https://anesth.unboundmedicine.com/anesthesia/view/ClinicalAnesthesiaProcedures/728157/all/Specific_Considerations_with_Endocrine_Disease___Adrenal_Medullary_Disease.
* Article titles in AMA citation format should be in sentence-case
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