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?

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.