Leah Acker, MD, PhD
Principal Investigator
Assistant Professor in Anesthesiology
Assistant Research Professor in Neurobiology

Would you like to take part in our latest clinical study?

Please email charmed@duke.edu or visit our CHARMED Study website for more information.

Contact Us

Anesthesiology, Cognitive Neuroscience, and Engineering Research (ACkER) Lab
136 Sands Building
303 Research Drive
DUMC 3094
Durham, NC 27710
Office: 919-684-6427

Lab Description

Acker Lab Group Photo 2023
ACkER Lab Logo

The ACkER Lab is rethinking how we protect the brain during and after surgery—especially in older patients at risk for long-term cognitive decline. We’re a multidisciplinary team spanning neuroscience, engineering, and clinical care, working to help patients recover faster, think more clearly, and feel better after anesthesia.

Our long-term goal is bold: to reduce—and eventually replace—the use of drugs in anesthesia with safe, non-invasive technologies grounded in brain science. With support from the NIH and other funders, we’re working toward a future where every patient experiences full cognitive recovery after surgery.

Here are a few ways we’re working toward that goal:

  1. Partnering with patients to understand what causes stress before surgery and what helps them feel better after
  2. Studying how the brain works so we can better protect it during and after surgery
  3. Designing safe, non-drug tools to reduce pain, anxiety, and memory problems
  4. Exploring how the brain, heart, and immune system work together to support healing for the brain and the body
  5. Testing new approaches to strengthen the brain before surgery and help it recover afterward—without relying on medication

Lab Opportunities

Lab Manager / Technician 
We’re expanding! Our lab is looking for a second lab manager or technician to support ongoing clinical studies. If you’re curious about the brain—and have experience or interest in neuroscience, EEG, cognitive testing, or clinical research—we’d love to hear from you. Strong interpersonal skills and a positive, patient-focused attitude are essential.

Medical Students
Are you a third-year medical student eager to make a real-world impact? Join our team to work directly with older adults preparing for surgery. We also offer research opportunities involving healthy volunteers. Come help us personalize perioperative care through neuroscientific discovery!

Graduate Students
We are looking for curious, driven PhD students who want to make neuroscience discoveries with real-world impact. Our lab studies attention, perception, brain-body interactions, and consciousness—using tools like EEG, ERPs, neuroimaging, neurofeedback, and neuromodulation. If you’re excited by the science and motivated to help transform brain health, we’d love to hear from you.

Lab Members

Assistant Professor in Anesthesiology
Undergraduate Student
Undergraduate Student
Undergraduate Student
Post-Doctoral Researcher
Clinical Research Coordinator
PhD Student
Undergraduate Student
‪Clinical Research Coordinator
Associate in Research
Undergraduate Student
Undergraduate Student
Undergraduate Student
Undergraduate Student

Lab Alumni

Undergraduate Student
Visiting Medical Student
Undergraduate Student
Undergraduate Student
Undergraduate Student
Undergraduate Student - Class of 2024
Undergraduate Student - Class of 2024
‪Clinical Research Coordinator
Undergraduate Student - Class of 2024

In the News

New Test Predicts Risk of Cognitive Dysfunction in Older Surgery Patients

New research led by Duke Anesthesiology’s Dr. Leah Acker and published in the British Journal of Anaesthesia reveals that a simple preoperative electroencephalogram measurement detects a signal of cognitive vulnerability when patients are asked to close, then open their eyes.

Duke Anesthesiology Faculty Awarded FAER Grants

Congratulations to Drs. Leah Acker and Elizabeth Malinzak on being selected as recipients of the 2023 Foundation for Anesthesia Education and Research-American Board of Anesthesiology Research in Education Grant and the Grant for Early Medical/Surgical Specialists' Transition to Aging Research.

Dr. Acker Receives a “Strong Start” Award

Congratulations to Duke Anesthesiology’s Leah Acker, MD, PhD, on being among the four School of Medicine faculty members selected to receive a Physician-Scientist “Strong Start” Award, which supports the development of independent research programs.

That’s a Wrap! Highlights from ASA 2022

It was another successful American Society of Anesthesiologists (ASA) meeting for Duke Anesthesiology! View the photo gallery and read the full recap from New Orleans!

Dr. Acker Awarded NIH Grant for HIPPIE Study

Congratulations to Leah Acker, MD, PhD, on receiving a $322,000 grant from the National Institutes of Health to investigate the role of the aging brain-heart-immune axis in postoperative delirium.

Dr. Acker Earns Neuroscience Research Accolade

Congratulations to Leah Acker, MD, PhD, on being named the 2022 recipient of the William L. Young Neuroscience Research Award for her project that focuses on electroencephalography changes in anxious older adults awaiting surgery.

News from Duke University School of Medicine

Selected Publications

  1. Acker L, Ha C, Zhou J, Manor B, Giattino CM, Roberts K, Berger M, Wright MC, Colon-Emeric C, Devinney M, Au S, Woldorff MG, Lipsitz LA, Whitson HE. Electroencephalogram-Based Complexity Measures as Predictors of Post-operative Neurocognitive Dysfunction. Front Syst Neurosci. 2021 Nov 10;15:718769. doi: 10.3389/fnsys.2021.718769. PMID: 34858144; PMCID: PMC8631543.
  2. Vasunilashorn SM, Devinney MJ, Acker L, Jung Y, Ngo L, Cooter M, Huang R, Marcantonio ER, Berger M. A New Severity Scoring Scale for the 3-Minute Confusion Assessment Method (3D-CAM). J Am Geriatr Soc. 2020 Aug;68(8):1874-1876. doi: 10.1111/jgs.16538. Epub 2020 Jun 1. PMID: 32479640; PMCID: PMC7429287.
  3. Vasunilashorn SM, Lunardi N, Newman JC, Crosby G, Acker L, Abel T, Bhatnagar S, Cunningham C, de Cabo R, Dugan L, Hippensteel JA, Ishizawa Y, Lahiri S, Marcantonio ER, Xie Z, Inouye SK, Terrando N, Eckenhoff RG; NIDUS Delirium Network. Preclinical and translational models for delirium: Recommendations for future research from the NIDUS delirium network. Alzheimers Dement. 2023 May;19(5):2150-2174. doi: 10.1002/alz.12941. Epub 2023 Feb 17. PMID: 36799408.
  4. David-Bercholz J, Acker L, Caceres AI, Wu PY, Goenka S, Franklin NO, Rodriguiz RM, Wetsel WC, Devinney M, Wright MC, Zetterberg H, Yang T, Berger M, Terrando N. Conserved YKL-40 changes in mice and humans after postoperative delirium. Brain Behav Immun Health. 2022 Nov 17;26:100555. doi: 10.1016/j.bbih.2022.100555. PMID: 36457825; PMCID: PMC9706140.

Photos

Hayden Kenney, Ava Rothrock and Dr. Leah Acker discussing data collection and analysis.
Hayden Kenney, Ava Rothrock and Dr. Leah Acker discuss data collection and analysis
End of term celebration with Ken Roberts, Emmalee Metzler, Kevin Xu, Ava Rothrock, Shelby the lab mascot, Hayden Kenney, Sloan Soyster-Heinz, and Izzy Kjaerulff.
End of term celebration with Ken Roberts, Emmalee Metzler, Kevin Xu, Ava Rothrock, Shelby the lab mascot, Hayden Kenney, Sloan Soyster-Heinz, and Izzy Kjaerulff
Sloan Soyster-Heinz, a member of our lab presenting at Academic Evening 2023.
Sloan Soyster-Heinz, a member of our lab presenting at Academic Evening 2023
Izzy Kjaerulff, a member of our lab presenting at Academic Evening 2024.
Izzy Kjaerulff, a member of our lab presenting at Academic Evening 2024
The ACkER lab at the 2024 Academic Evening
The ACkER lab at the 2024 Academic Evening
The ACkER lab on Halloween 2023
The ACkER lab on Halloween 2023
2024 ACkER lab luncheon with Dr. Evan Kharasch
2024 ACkER lab luncheon with Dr. Evan Kharasch
Travis Larson, Dr. Leah Acker & Sloan Soyster Heinz performing an EEG in the lab
Travis Larson, Dr. Leah Acker & Sloan Soyster Heinz performing an EEG in the lab
The ACkER lab celebrating in 2024
The ACkER lab celebrating in 2024