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Novel strategy for the control of postoperative pain: long-lasting effect of an implanted analgesic hydrogel in a rat model of postoperative pain.
- Source :
-
Anesthesia and analgesia [Anesth Analg] 2012 Jun; Vol. 114 (6), pp. 1338-45. Date of Electronic Publication: 2012 May 03. - Publication Year :
- 2012
-
Abstract
- Background: The administration of nonsteroidal anti-inflammatory drugs (NSAIDs) is the most common nonopioid analgesic currently used for postoperative pain management. We tested the sustained analgesic effect of ketoprofen emanating from a biodegradable gelatin hydrogel in a rat model of postoperative pain.<br />Methods: A sheet of analgesic-infiltrated hydrogel was inserted below the plantaris muscle at the end of surgery. Mechanical thresholds were measured by use of von Frey filaments before and 2 weeks after the operation. The effect of ketoprofen on the postoperative pain was also assessed immunohistochemically by assessing microglial activation in the spinal cord with anti-OX-42 and phosphorylated p38 mitogen-activated protein kinase antibodies.<br />Results: Implantation of ketoprofen-infiltrated gelatin hydrogel exerted a sustained analgesic effect for 1 week after the operation. Preemptive analgesia with zaltoprofen, another NSAID, produced an additive analgesic effect in conjunction with the ketoprofen-infiltrated hydrogel. Microglial activation was attenuated by the treatment with ketoprofen-infiltrated hydrogel on day 3 after the incision.<br />Conclusions: These results demonstrate that ketoprofen was effective in reducing mechanical hypersensitivity for 1 week in a rat model of postoperative pain and that the implantation of NSAID-infiltrated gelatin hydrogel may serve as a useful analgesic method for the long-term relief of patients after surgery.
- Subjects :
- Animals
Disease Models, Animal
Drug Implants
Hydrogels
Hyperalgesia physiopathology
Hyperalgesia prevention & control
Male
Pain Measurement
Pain Threshold drug effects
Pain, Postoperative diagnosis
Pain, Postoperative physiopathology
Rats
Rats, Wistar
Time Factors
Anti-Inflammatory Agents, Non-Steroidal administration & dosage
Ketoprofen administration & dosage
Pain, Postoperative prevention & control
Subjects
Details
- Language :
- English
- ISSN :
- 1526-7598
- Volume :
- 114
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- Anesthesia and analgesia
- Publication Type :
- Academic Journal
- Accession number :
- 22556212
- Full Text :
- https://doi.org/10.1213/ANE.0b013e31824b26a2