Ss. Burkhart et al., Turbulence control as a factor in improving visualization during subacromial shoulder arthroscopy, ARTHROSCOPY, 17(2), 2001, pp. 209-212
Bleeding in the subacromial space is an annoying but ever-present impedimen
t to visualization during arthroscopic subacromial procedures. Direct (ther
mal electrocautery) and indirect (hypotensive anesthesia, arthroscopic pump
) means of bleeding control have been used with varying degrees of success.
However, the simplest technique of all has been ignored until now. Applica
tion of Bernoulli's Principle to achieve turbulence control by means of dig
ital pressure over a leaking portal can quickly and easily enhance visualiz
ation.