The Impact of Anesthesiologists on Mitigating Chronic Post-Surgical Pain and Opioid Dependence Through Neurobiological Strategies: A Brief Review - Takeaways - MDSpire

The Impact of Anesthesiologists on Mitigating Chronic Post-Surgical Pain and Opioid Dependence Through Neurobiological Strategies: A Brief Review

  • By

  • Trisha Nair

  • Ofelia Loani Elvir-Lazo

  • Robert Wong

  • March 31, 2026

  • 0 min

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  • 1

    Chronic Post-Surgical Pain (CPSP) is defined as pain lasting for ≥3 months post-surgery, localized to the surgical area, with other causes excluded.

  • 2

    Postoperative Chronic Opioid Use (COU) is characterized by prolonged opioid utilization, defined as ≥10 prescriptions or ≥120 days’ supply in the postsurgical year.

  • 3

    Preoperative psychosocial factors, such as anxiety and catastrophizing, are significant predictors of CPSP and COU, necessitating thorough risk stratification.

  • 4

    Anesthesiologists can mitigate CPSP and COU through targeted interventions, including regional anesthesia and non-opioid adjuncts like intravenous lidocaine.

  • 5

    A precision medicine approach is essential for addressing individual variability in CPSP and COU, focusing on mechanism-based perioperative analgesia.

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