... continuous with the sinuses of the medulla, which drain into the central vein of the medulla. The right adrenal vein drains into the inferior vena cava and the left into the renal vein. Hence, the ... ACTH/cortisolsynthesis. In normal individuals administration of an opiateagonist results in a fall in plasma cortisol levels, although itinduces hypotension. In contrast, administration of naloxone,an ... described the clinical aspects of adrenal dysfunction in sepsis, as wellas the role of cortisol replacement in the management of septic shock. In the present review we detail the mechanisms of glucocorticoid...