Editorial Commentary: Epinephrine Solution in Arthroscopic Irrigation Fluid Is Marginally Superior to Intravenous Tranexamic Acid, but Should We Focus Instead on Using Ringer's Lactate Instead of Normal Saline for Arthroscopic Clarity?

Abstract

Using a double-blinded randomized technique, a matched cohort of shoulder arthroscopic surgeries was compared and evaluated for visual clarity of the surgical field. Epinephrine in a 0.9% saline irrigation solution was 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 as a result of intraoperative bleeding during arthroscopy.