AOSSM Specialty Day 2023 with ISAKOS - no CME-1. AOSSM-ISAKOS - Session VI

Video Transcription

Video Summary

In this video, Alan Getgood discusses a study on the use of tranexamic acid (TXA) and epinephrine in arthroscopic shoulder surgery to improve visualization. The study, a double-blind randomized clinical trial, involved 128 participants and five surgeons. The interventions were saline placebo, epinephrine in the irrigation fluid, IV TXA, or a combination of both. The primary outcome, visual clarity, was assessed using a Likert scale every 15 minutes during surgery. The results showed that epinephrine significantly improved visual clarity, while TXA did not. The study also found no additional benefit of combining TXA with epinephrine. The limitations included subjective rating and non-standardized patient positioning and anesthetic type. Overall, the study concluded that TXA is not as effective as epinephrine in improving visual clarity during shoulder arthroscopy.

Keywords

tranexamic acid

epinephrine

arthroscopic shoulder surgery

visualization

double-blind randomized clinical trial