Are you actually using PulseAudio? Having run Arch (well, Parabola) since 2011, I haven't had any problems with PulseAudio... because I've never installed PulseAudio. Actually, I did have a problem with Wine and lib32-libpulse lagging slightly behind the video (where it's only a fraction of a second off, but enough that it doesn't feel like the words match the faces); and then I figured out how to get Wine to use ALSA, just like everything else.