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Non-Opioid Solution for Periarticular Injection

An injection of 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.

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Benefits of the R.E.C.K injection include:

  • The ready-to-administer syringe makes it easy for the operating room team to decant from the syringe and draw up into the surgeon's preferred syringe and needle combination. Other benefits include:
  • Supports local infiltration anesthesia which is a mainstay of multimodal pain management
  • Eliminates the need to compound in the hospital or mix products in the O.R. 90-day beyond use date helps reduce waste
  • Supplied by an FDA registered 503B outsourcing facility
  • Shipped directly to your hospital pharmacy and available in all 50 states

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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.