Janna D Helfrich, MD
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Contact Info
Yale School of Medicine
333 Cedar St, Dept of Anesthesiology
New Haven, CT 06510
United States
About
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Titles
Assistant Professor
Appointments
Anesthesiology
Assistant ProfessorPrimary
Other Departments & Organizations
- All Institutions
- Anesthesiology
- Center for Brain & Mind Health
- Yale Medicine
- Yale New Haven Health System
Education & Training
- Resident
- University Medical Center Tuebingen (2022)
- Postdoctoral Fellow
- University of California at Berkeley (2019)
- Resident
- University Medical Center Hamburg-Eppendorf (2016)
- Fellow, Intensive Care Medicine
- University Medical Center Hamburg Eppendorf (2016)
- Fellow, Prehospital Emergency Care
- University Medical Center Hamburg-Eppendorf (2015)
- PhD
- Charite University Medical Center, Physiology (2015)
- MD
- Charite University Medical Center Berlin, Medicine (2012)
Research
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Overview
Anesthesia is applied neuroscience, and neuroscience uses anesthesia as a powerful experimental probe to understand how brain networks give rise to consciousness—and how disrupting those networks alters cognition and behavior.
The Helfrich Lab investigates the neurophysiology of unconscious states and their consequences for human cognition, using primarily scalp electroencephalography (EEG) to characterize shared and state-specific neural mechanisms across anesthesia, sleep, and disorders of consciousness.
Our work asks whether anesthesia can be re-engineered to more closely resemble sleep rather than coma, thereby reducing postoperative cognitive side effects while potentially harnessing sleep’s restorative functions, and whether anesthetic perturbations can serve as diagnostic probes to predict recovery trajectories in patients with coma or other disorders of consciousness. The overarching goal of this research is to translate mechanistic insights into improved clinical care for all patients.
Medical Research Interests
ORCID
0000-0002-1967-6110
Research at a Glance
Yale Co-Authors
Publications Timeline
Research Interests
Randolph Helfrich, MD, PhD
Electroencephalography
Sleep
Anesthesia
Consciousness
Publications
2026
Consensus document on electroencephalography education in anaesthesiology: defining learning outcomes: A modified four-round Delphi study.
Berger-Estilita J, Baron Shahaf D, Barreto Chang O, Bonhomme V, Crisan I, Fernández-Candil J, Garcia P, Gisselbaek M, Glezerson B, Hight D, Jakobsen K, Rimstad I, Kaiser H, Kratzer S, Koch S, Dilmen O, Kreuzer M, Helfrich J, Lersch F, Lobo F, Marty A, Marcolino I, Meco B, Palanca B, Pilge S, Radtke F, Rasulo F, Raz A, Romagnoli S, Romero C, Schneider G, Sepúlveda P, Shmukler D, Sinner B, Soehle M, Thyrso de Lara F, Vacas S, Vide S, von Dincklage F, Saxena S, Absalom A. Consensus document on electroencephalography education in anaesthesiology: defining learning outcomes: A modified four-round Delphi study. European Journal Of Anaesthesiology 2026 PMID: 41709666, DOI: 10.1097/eja.0000000000002346.Peer-Reviewed Original ResearchAltmetric
2025
Introducing the Safe Brain Initiative’s EEG boot camp for anaesthesia for standardised training on how to use the electroencephalogram for perioperative care
von Dincklage F, Helfrich J, Koch S, Soehle M, Berger-Estilita J, Bublitz V, Bonhomme V, Sleigh J, Schneider G, Kreuzer M, Radtke F. Introducing the Safe Brain Initiative’s EEG boot camp for anaesthesia for standardised training on how to use the electroencephalogram for perioperative care. BMC Anesthesiology 2025, 25: 449. PMID: 40975762, PMCID: PMC12449795, DOI: 10.1186/s12871-025-03276-8.Peer-Reviewed Original ResearchCitationsAltmetricMeSH Keywords and Concepts
2024
A tradeoff between efficiency and robustness in the hippocampal-neocortical memory network during human and rodent sleep
Hahn M, Lendner J, Anwander M, Slama K, Knight R, Lin J, Helfrich R. A tradeoff between efficiency and robustness in the hippocampal-neocortical memory network during human and rodent sleep. Progress In Neurobiology 2024, 242: 102672. PMID: 39369838, DOI: 10.1016/j.pneurobio.2024.102672.Peer-Reviewed Original ResearchCitationsAltmetricMeSH Keywords and ConceptsConceptsNon-REM sleepInformation coding efficiencyConsolidation processCoding efficiencyStates of disengagementPopulation codeInformation processing capacityMemory consolidationTask engagementCognitive resourcesMemory formationNeural population codesInformation-theoretic perspectiveCognitive engagementBrain statesInformation processingRobust codesIntracranial studiesMemory networkCoding regimeSleepNeocortexPattern repetitionExternal worldProcessing capacityDefining slow wave sleep without slow waves
Lendner J, Helfrich R. Defining slow wave sleep without slow waves. Trends In Neurosciences 2024, 47: 853-855. PMID: 39327160, DOI: 10.1016/j.tins.2024.09.002.Peer-Reviewed Original ResearchAltmetricMultiple Intrinsic Timescales Govern Distinct Brain States in Human Sleep
Lendner J, Lin J, Larsson P, Helfrich R. Multiple Intrinsic Timescales Govern Distinct Brain States in Human Sleep. Journal Of Neuroscience 2024, 44: e0171242024. PMID: 39187378, PMCID: PMC11484545, DOI: 10.1523/jneurosci.0171-24.2024.Peer-Reviewed Original ResearchCitationsAltmetricMeSH Keywords and ConceptsConceptsPower spectrumBrain statesDecay processAperiodic activityIntrinsic timescalesHuman intracranial electroencephalographyTimescalesDecaySpectraNeuronal oscillationsDecay functionNonrapid eye movement sleepElectrophysiological power spectrumPhysical propertiesEye movement sleepNeural populationsRegion-specific mannerHuman sleepTemporal regularityStateMovement sleepOscillationsSuperpositionPharmacological modulationSpectral Slope and Lempel–Ziv Complexity as Robust Markers of Brain States during Sleep and Wakefulness
Höhn C, Hahn M, Lendner J, Hoedlmoser K. Spectral Slope and Lempel–Ziv Complexity as Robust Markers of Brain States during Sleep and Wakefulness. ENeuro 2024, 11: eneuro.0259-23.2024. PMID: 38471778, PMCID: PMC10978822, DOI: 10.1523/eneuro.0259-23.2024.Peer-Reviewed Original ResearchCitationsAltmetricMeSH Keywords and ConceptsConceptsImpact of sleep stagesTask engagementHealthy male human subjectsBrain statesMeasures of brain activityMale human subjectsWithin-subject designN3 sleepREM sleepSpectral slopeSleep stagesBrain activityTask performanceNeurological disordersSleepFrequency rangeHuman subjectsRobust markersLempel-Ziv complexity
2023
Human REM sleep recalibrates neural activity in support of memory formation
Lendner J, Niethard N, Mander B, van Schalkwijk F, Schuh-Hofer S, Schmidt H, Knight R, Born J, Walker M, Lin J, Helfrich R. Human REM sleep recalibrates neural activity in support of memory formation. Science Advances 2023, 9: eadj1895. PMID: 37624898, PMCID: PMC10456851, DOI: 10.1126/sciadv.adj1895.Peer-Reviewed Original ResearchCitationsAltmetricMeSH Keywords and ConceptsConceptsRapid eye movementNeural activityMemory consolidationSleep-dependent memory consolidationIn vivo two-photon calcium imagingOvernight memory consolidationRegulation of neural activityHuman REM sleepLong-term memoryTwo-photon calcium imagingBenefit memoryLack of in vivo dataBrain activityMemory formationREM sleepNeural population activityCalcium imagingEye movementsMemoryPopulation activityNeural population dynamicsScalp electroencephalographyElectroencephalographyForgettingHow Can I Run Sleep and Anesthesia Studies with Intracranial EEG?
Lendner J, Helfrich R. How Can I Run Sleep and Anesthesia Studies with Intracranial EEG? Studies In Neuroscience, Psychology And Behavioral Economics 2023, 315-330. DOI: 10.1007/978-3-031-20910-9_20.Peer-Reviewed Original ResearchCitationsConceptsIntracranial recordingsPresence of slow wavesGeneral anesthesiaDelta oscillationsDecreased responseMechanism-of-actionSleep networksIntracranial EEGClinical routineSleep physiologyNetwork levelAnesthesiaNeural recordingsAnesthesia recordsAnesthetic drugsAnesthesia studiesNeurological disordersSlow wavesSleepNetworkContext of epilepsyEEGRoad mapBehavioral correlatesTechnical prerequisitesAn evolutionary conserved division-of-labor between archicortical and neocortical ripples organizes information transfer during sleep
van Schalkwijk F, Weber J, Hahn M, Lendner J, Inostroza M, Lin J, Helfrich R. An evolutionary conserved division-of-labor between archicortical and neocortical ripples organizes information transfer during sleep. Progress In Neurobiology 2023, 227: 102485. PMID: 37353109, DOI: 10.1016/j.pneurobio.2023.102485.Peer-Reviewed Original ResearchCitationsAltmetricMeSH Keywords and ConceptsOscillatory and aperiodic neuronal activity in working memory following anesthesia
Lendner J, Harler U, Daume J, Engel A, Zöllner C, Schneider T, Fischer M. Oscillatory and aperiodic neuronal activity in working memory following anesthesia. Clinical Neurophysiology 2023, 150: 79-88. PMID: 37028144, DOI: 10.1016/j.clinph.2023.03.005.Peer-Reviewed Original ResearchCitationsAltmetricMeSH Keywords and ConceptsConceptsVerbal learningMemory functionBrain activityCognitive impairmentWorking Memory TaskWorking memory accuracyAssociated with cognitive impairmentMemory taskWorking memoryMemory accuracyMemory deficitsNeuropsychological assessmentElectroencephalographic biomarkerPostoperative cognitive impairmentNeuronal activityPreoperative performanceElectroencephalography markersAperiodic activityPostoperative sessionsMale patientsGeneral anesthesiaImpairmentMemoryScalp electroencephalographyPatients
Academic Achievements & Community Involvement
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Honors
honor WAKWin Mentorship Award
09/01/2021National AwardGerman Association for Anesthesiology and Intensive Care Medicine (DGAI)DetailsGermanyhonor Travel Grant
06/01/2012Other AwardGerman Academic Scholarship FoundationDetailsKenyahonor Travel Grant
04/01/2012Other AwardGerman Academic Scholarship FoundationDetailsNepalhonor Travel Grant
08/01/2011Other AwardGerman Academic Scholarship FoundationDetailsAustraliahonor Travel Grant
02/01/2011Other AwardFederal Association of Medical Students in GermanyDetailsGhana
Clinical Care
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Overview
Clinical Specialties
Board Certifications
Anesthesiology
- Certification Organization
- German Board Certificate
- Original Certification Date
- 2022
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Yale School of Medicine
333 Cedar St, Dept of Anesthesiology
New Haven, CT 06510
United States
Locations
Brady Memorial Laboratory
Lab
310 Cedar Street, Fl 4, Rm 419
New Haven, CT 06510
Patient Care Locations
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