Is it advantageous to add epinephrine to the arthroscopic infusion solution for the treatment of rotator cuff injury?

Improving visualization in shoulder arthroscopy

Arthroscopic shoulder procedures are one of the most common procedures used to restore function through minimally invasive techniques. With the demand for shoulder arthroscopic procedures comes the need for safe, effective, and efficient surgery that maximizes patient outcomes while minimizing complications. Many variables contribute to visualization in shoulder arthroscopy including vascular anatomy, blood pressure control, arthroscopic pump systems, turbulence control, epinephrine, and tranexamic acid. Furthermore, patient positioning can have a dramatic effect on visualization with both the beach chair position and lateral decubitus positioning having various strengths and weaknesses depending on the intended procedure being performed. The purpose of this review is to examine the benefits and complications reported in the literature for improving visualization in shoulder arthroscopy.

Clinical Issues - April 2023

Flying insects in the OR Key words: fly, pest control, infestation, surgical wound classification, sterile field. Reprocessing and reusing single-use devices Key words: US Food and Drug Administration (FDA), reprocessing, manufacturer, single-use devices (SUDs), adverse event. Using instrument-marking tape Key words: instrument tape, sterile processing, manufacturer's instructions for use (IFU), inspection, unintentionally retained surgical item. Epinephrine in orthopedic irrigation Key words: epinephrine, irrigation, vasoconstrictor, arthroscopic procedures, visual field.