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Updated: Mar 23, 2026

Reverse Total Shoulder Arthroplasty
Published on: July 5, 2011
Severe refractory hypertension during shoulder arthroscopy
1Department of Anesthesiology, University of Iowa Hospitals and Clinics, Iowa City, Iowa 52242, USA.
Abstract:
The use of epinephrine-containing saline irrigating solutions during arthroscopic shoulder surgery gained popularity after it was reported that the addition of epinephrine reduced bleeding and improved visualization without adverse cardiovascular effects. We share a case of a patient undergoing shoulder arthroscopy who received a standard intra-articular infusion of epinephrine-containing normal saline (1 mcg/mL) and experienced severe hemodynamic consequences.
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