肾上腺素溶液在关节镜下冲洗液中略微优于静脉注射氨甲环酸，但我们是否应该将重点放在使用乳酸林格液而不是生理盐水来实现关节镜下的清晰度？

IF 4.4 1区医学 Q1 ORTHOPEDICS

Arthroscopy-The Journal of Arthroscopic and Related Surgery Pub Date : 2025-07-03 DOI:10.1016/j.arthro.2025.06.035

Mark G Siegel

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引用次数: 0

摘要

利用双盲随机技术，对肩关节镜手术的匹配队列进行比较和评估手术视野的视觉清晰度。0.9%生理盐水冲洗溶液中的肾上腺素略优于静脉输注氨甲环酸。尚不清楚在评估术中关节镜出血导致的清晰度丧失时，0.9%生理盐水是否优于乳酸林格冲洗液。

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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?

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.

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来源期刊

Arthroscopy-The Journal of Arthroscopic and Related Surgery 医学-外科

CiteScore

9.30

自引率

17.00%

发文量

555

审稿时长

58 days

期刊介绍： Nowhere is minimally invasive surgery explained better than in Arthroscopy, the leading peer-reviewed journal in the field. Every issue enables you to put into perspective the usefulness of the various emerging arthroscopic techniques. The advantages and disadvantages of these methods -- along with their applications in various situations -- are discussed in relation to their efficiency, efficacy and cost benefit. As a special incentive, paid subscribers also receive access to the journal expanded website.