Department of Anesthesiology, Jinan Second People's Hospital, Jinan, China.
J Biomater Appl. 2021 Mar;35(8):1034-1042. doi: 10.1177/0885328220988462. Epub 2021 Jan 24.
Lidocaine is widely used as a local anesthetic for alleviation of post-operative pain and for management of acute and chronic painful conditions. Although several approaches are currently used to prolong the duration of action, an effective strategy to achieve neural blockage for several hours remains to be identified. In this study, a lidocaine-loaded Pluronic® F68-reduced graphene oxide hydrogel was developed to achieve sustained release of lidocaine. Fourier transform infrared spectroscopy, X-ray diffraction, and Raman spectroscopy confirmed the synthesis of Pluronic® F68-reduced graphene oxide. Transmission electron microscopy showed wrinkled, flat nanosheets with micelles attached. The developed hydrogel showed desirable pH, viscosity, adhesiveness, hardness, and cohesiveness for topical application. The release study demonstrated the ability of the Pluronic® F68-reduced graphene oxide hydrogel to prolong release up to 10 h, owing to the strong π-π interactions between the graphene oxide and the lidocaine. In comparison with a commercial lidocaine ointment, the developed graphene oxide hydrogel showed sustained anesthetic effect in the radiant heat tail flick test and sciatic nerve block model. Thus, this study demonstrates the potential of using Pluronic® F68-reduced graphene oxide nanocarriers to realize prolonged effects of local anesthesia for effective pain management.
利多卡因被广泛用作局部麻醉剂,以缓解术后疼痛,并用于治疗急性和慢性疼痛病症。尽管目前有几种方法可延长其作用持续时间,但仍需要找到一种有效的策略来实现数小时的神经阻滞。在这项研究中,开发了一种负载利多卡因的 Pluronic® F68-还原氧化石墨烯水凝胶,以实现利多卡因的持续释放。傅里叶变换红外光谱、X 射线衍射和拉曼光谱证实了 Pluronic® F68-还原氧化石墨烯的合成。透射电子显微镜显示了带有附着胶束的皱缩、平坦纳米片。所开发的水凝胶具有理想的 pH 值、粘度、粘附性、硬度和内聚性,适用于局部应用。释放研究表明,Pluronic® F68-还原氧化石墨烯水凝胶能够通过氧化石墨烯和利多卡因之间的强π-π相互作用将释放延长至 10 小时。与商业利多卡因软膏相比,开发的氧化石墨烯水凝胶在辐射热尾闪烁试验和坐骨神经阻滞模型中显示出持续的麻醉效果。因此,这项研究表明,使用 Pluronic® F68-还原氧化石墨烯纳米载体来实现局部麻醉的长效作用,从而有效管理疼痛具有潜力。