Epinephrine Solution in arthroscopic irrigation fluid is Marginally Superior to IV Tranexamic Acid, but should we focus instead on using Ringer's Lactate Instead of Normal Saline for Arthroscopic Clarity?

Abstract

Utilizing a double blinded randomized technique, a matched cohort of shoulder arthroscopic surgeries is compared and evaluated for visual clarity of the surgical field. Epinephrine in a 0.9% saline irrigation solution is marginally superior to an intravenous infusion of tranexamic acid. It is unknown whether 0.9% saline is inferior to a solution of Ringer's lactate irrigation when evaluating loss of clarity due to intraoperative arthroscopic bleeding.