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The Effect of Pressor and Depressor Drugs on Intramedullary Bone-Marrow Pressure
ARTHUR H. STEINJR.; HARRY C. MORGAN; ROBERTO F. PORRAS
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Orthopaedic Division of the Department of Surgery, Washington University School of Medicine, St. Louis
1958 by The Journal of Bone and Joint Surgery, Incorporated
The Journal of Bone & Joint Surgery.  1958; 40:1103-1110 
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Abstract

1. Intramedullary bone-marrow pressure levels are dependent upon the systemic-blood pressure and the patency of the nutrient artery and possibly other smaller vessels.

2. Intramedullary pressure may be lowered by simultaneously lowering systemic-blood pressure by injection of histamine. The marrow pressure can be increased simultaneously with the systemic pressure by amphetamine.

3. Intramedullary pressure may be lowered while there is a simultaneous rise in the systemic-blood pressure. Adrenalin, nor-epinephrine, and pituitrin produce the response.

4. From the evidence presented, it is believed that the major effect of adrenalin, nor-epinephrine, and pituitrin is produced locally and is independent of systemic-blood pressure. The marked fall in marrow pressure following injection of adrenalin and nor-epinephrine is probably due to vasoconstriction of the nutrient vessels.

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    Accreditation Statement
    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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