2-RECK-Syrs-image

 

A Non-Opioid Solution for Periarticular Injection

An injection of ropivacaine, epinephrine, clonidine and ketorolac (R.E.C.K) is used as part of a multimodal pain regimen as a way to minimize postoperative pain and support patients’ recovery from their surgery. 

Poor pain management can increase the cost of care, lead to lengthier hospital stays, reduce functional outcomes, result in chronic pain syndromes, side effects from chronic analgesic and opioid use.

Contact Us

Here are a few resources that discuss this approach:

  1. https://www.drlikover.com/resources/learn-pain-reduction/
  2. Kelley, Todd C et al. “Efficacy of multimodal perioperative analgesia protocol with periarticular medication injection in total knee arthroplasty: a randomized, double-blinded study.” The Journal of arthroplasty vol. 28,8 (2013): 1274-7.
  3. Dalury DF. A state-of-the-art pain protocol for total knee replacement. Arthroplast Today. 2016 Feb 12;2(1):23-25.
  4. Jonathan R. Danoff, Rahul Goel, R. Andrew Henderson, James Fraser, Peter F. Sharkey.Periarticular Ropivacaine Cocktail Is Equivalent to Liposomal Bupivacaine Cocktail in Bilateral Total Knee Arthroplasty.The Journal of Arthroplasty.2018 Aug 33;8:2455-2459.