Current work by the Dartmouth-Hitchcock research group has identified that the causes (thrombotic/lipid emboli, cerebral hypoperfusion & hypotension, and gaseous emboli) of these injuries are byproducts of processes of surgical and perfusion care. Using a 5-year NIH career development award, they are currently leading three medical centers focused on leveraging this insight.
Using a quality improvement model, they will:
- Identify those surgical and perfusion strategies associated with reductions in the incidence of thrombotic/lipid emboli, cerebral hypoperfusion & hypotension, and gaseous emboli
- Measure the effect (decreases in tissue-level and neurologic injury) of redesigning surgical and perfusion care to reduce their occurrence
- Regionally implement only those strategies found to be protective of neurologic injury