Information from the abstract
Background: This study aimed to compare intraoperative visualization between diluted epinephrine (EPN) irrigation and preoperative intravenous tranexamic acid (TXA) during the glenohumeral and subacromial phases of rotator cuff repair. Methods: Eighty-two patients with rotator cuff tears were prospectively randomized (1:1) to receive either 0.33 mg/L EPN irrigation without TXA (EPN group) or preoperative intravenous TXA (15 mg/kg) without EPN irrigation (TXA group). Visual clarity was evaluated using a pretrained deep learning model with a 3-point grading scale across three stages: intra-articular assessment, subacromial debridement, and rotator cuff repair. Irrigation pump pressure was recorded at each stage. Hypotensive bradycardic events (HBEs) and postoperative adverse events were monitored. Results: Overall visual clarity was significantly greater in the EPN group than in the TXA group (mean difference [MD], 0.07; 95% CI, 0.03-0.10; P
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Related topics: Shoulder Injury and Treatment · Blood transfusion and management · Orthopedic Surgery and Rehabilitation
Thai researcher and institutional participation
Quang Son Tran · Minh Cong Bui · Thanathep Tanpowpong · Danaithep Limskul · Thanathep Tanpowpong · Napatpong Thamrongskulsiri · Chulalongkorn University
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