Dr Justin Skowno

Clinical Senior Lecturer, Paediatric Anaesthesia
Paediatrics & Child Health, Children's Hospital, Westmead

Telephone 9845 0000

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Research interests

I have an interest in cardiovascular physiology and monitoring in paediatric anaesthesia, intensive care and surgery, particularly the detection of local, regional and global ischaemia in tissues.

At present I am involved in using optical methods to detect ischaemia/poor perfusion, including Near-infrared spectroscopy and other similar approaches. In addition I have worked in exercise physiology to understand the cardiovascular limitations to maximal exercise. This has involved using cardiac output monitors in maximal exercise in various settings.

Other areas of work include nitrate physiology in cardiopulmonary bypass, and the impact of anaesthesia on the developing brain.

Teaching and supervision

As a full-time paediatric anaesthetist, I am involved in registrar, medical student and nursing student teaching on a daily basis. This involves a combination of in-theatre teaching, small group tutorials, and departmental meeting lectures.

Teaching in the active clinical environment of the operating theatre is a superb way to enable students to understand important physiological concepts.

Selected publications

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Journals

  • Suemori, T., Horton, S., Bottrell, S., Skowno, J., Davidson, A. (2017). Changes in cerebral oxygen saturation and haemoglobin concentration during paediatric cardiac surgery. Anaesthesia and Intensive Care, 45(2), 220-227.
  • Skowno, J., Weatherall, A. (2017). Continuing stories with discontinuity. Paediatric Anaesthesia, 27(3), 224-225. [More Information]
  • Vutskits, L., Skowno, J. (2017). Perioperative Hypotension in Infants: Insights From the GAS Study. Anesthesia and Analgesia, 125(3), 719-720. [More Information]
  • Skowno, J., Karpelowsky, J., Watts, N., Little, D. (2016). Can transcutaneous near infrared spectroscopy detect severe hepatic ischemia: a juvenile porcine model. Paediatric Anaesthesia, 26(12), 1188-1196. [More Information]
  • Suemori, T., Skowno, J., Horton, S., Botterell, S., Butt, W., Davidson, A. (2016). Cerebral oxygen saturation and tissue hemoglobin concentration as predictive markers of early postoperative outcomes after pediatric cardiac surgery. Paediatric Anaesthesia, 26(2), 182-189. [More Information]
  • Krishnamohan, A., Siriwardana, V., Skowno, J. (2016). Using a pulse oximeter to determine clinical depth of anesthesia�investigation of the utility of the perfusion index. Paediatric Anaesthesia, 26(11), 1106-1111. [More Information]
  • Elliott, A., Skowno, J., Prabhu, M., Noakes, T., Ansley, L. (2015). Evidence of cardiac functional reserve upon exhaustion during incremental exercise to determine VO2max. British Journal of Sports Medicine, 49(2), 128-132. [More Information]
  • Skowno, J., Vutskits, L., McGowan, F., Kurth, C. (2015). Staying away from the edge - cerebral oximetry guiding blood pressure management. Paediatric Anaesthesia, 25(7), 654-655. [More Information]
  • Skowno, J., Quick, T., Carpenter, E., de Lima, J., Gibbons, P., Little, D. (2014). Near-infrared spectroscopy for detection of vascular compromise in paediatric supracondylar fractures. Physiological Measurement, 35(3), 471-481. [More Information]
  • Skowno, J., Karpelowsky, J. (2014). Near-infrared spectroscopy for monitoring renal transplant perfusion. Pediatric Nephrology, 29(11), 2241-2242. [More Information]
  • Weatherall, A., Garner, A., Lovell, N., Redmond, S., Lee, A., Skowno, J., Egan, J. (2014). Study protocol for the PHANTOM study: prehospital assessment of noninvasive tissue oximetry monitoring. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, 22(1), 1-8. [More Information]
  • Skowno, J. (2013). Perfusion index changes during emergence from anaesthesia in children. Anaesthesia and Intensive Care, 41(4), 556-557.
  • Weatherall, A., Skowno, J., Lansdown, A., Lupton, T., Garner, A. (2012). Feasibility of cerebral near-infrared spectroscopy monitoring in the pre-hospital environment. Acta Anaesthesiologica Scandinavica, 56(2), 172-177. [More Information]
  • Elliott, A., Skowno, J., Prabhu, M., Ansley, L. (2012). Measurement of cardiac output during exercise in healthy, trained humans using lithium dilution and pulse contour analysis. Physiological Measurement, 33(10), 1691-1701. [More Information]
  • Holtby, H., Skowno, J., Kor, D., Flick, R., Uezono, S. (2012). New technologies in pediatric anesthesia. Paediatric Anaesthesia, 22(10), 952-961. [More Information]
  • Skowno, J. (2011). Correlating cerebral NIRS and superior vena cava ScvO2 in pediatrics. Paediatric Anaesthesia, 21(4), 463-463. [More Information]
  • Swart, J., Lamberts, R., Lambert, M., St Clair Gibson, A., Lambert, E., Skowno, J., Noakes, T. (2009). Exercising with reserve: evidence that the central nervous system regulates prolonged exercise performance. British Journal of Sports Medicine, 43(10), 782-788. [More Information]

2017

  • Suemori, T., Horton, S., Bottrell, S., Skowno, J., Davidson, A. (2017). Changes in cerebral oxygen saturation and haemoglobin concentration during paediatric cardiac surgery. Anaesthesia and Intensive Care, 45(2), 220-227.
  • Skowno, J., Weatherall, A. (2017). Continuing stories with discontinuity. Paediatric Anaesthesia, 27(3), 224-225. [More Information]
  • Vutskits, L., Skowno, J. (2017). Perioperative Hypotension in Infants: Insights From the GAS Study. Anesthesia and Analgesia, 125(3), 719-720. [More Information]

2016

  • Skowno, J., Karpelowsky, J., Watts, N., Little, D. (2016). Can transcutaneous near infrared spectroscopy detect severe hepatic ischemia: a juvenile porcine model. Paediatric Anaesthesia, 26(12), 1188-1196. [More Information]
  • Suemori, T., Skowno, J., Horton, S., Botterell, S., Butt, W., Davidson, A. (2016). Cerebral oxygen saturation and tissue hemoglobin concentration as predictive markers of early postoperative outcomes after pediatric cardiac surgery. Paediatric Anaesthesia, 26(2), 182-189. [More Information]
  • Krishnamohan, A., Siriwardana, V., Skowno, J. (2016). Using a pulse oximeter to determine clinical depth of anesthesia�investigation of the utility of the perfusion index. Paediatric Anaesthesia, 26(11), 1106-1111. [More Information]

2015

  • Elliott, A., Skowno, J., Prabhu, M., Noakes, T., Ansley, L. (2015). Evidence of cardiac functional reserve upon exhaustion during incremental exercise to determine VO2max. British Journal of Sports Medicine, 49(2), 128-132. [More Information]
  • Skowno, J., Vutskits, L., McGowan, F., Kurth, C. (2015). Staying away from the edge - cerebral oximetry guiding blood pressure management. Paediatric Anaesthesia, 25(7), 654-655. [More Information]

2014

  • Skowno, J., Quick, T., Carpenter, E., de Lima, J., Gibbons, P., Little, D. (2014). Near-infrared spectroscopy for detection of vascular compromise in paediatric supracondylar fractures. Physiological Measurement, 35(3), 471-481. [More Information]
  • Skowno, J., Karpelowsky, J. (2014). Near-infrared spectroscopy for monitoring renal transplant perfusion. Pediatric Nephrology, 29(11), 2241-2242. [More Information]
  • Weatherall, A., Garner, A., Lovell, N., Redmond, S., Lee, A., Skowno, J., Egan, J. (2014). Study protocol for the PHANTOM study: prehospital assessment of noninvasive tissue oximetry monitoring. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, 22(1), 1-8. [More Information]

2013

  • Skowno, J. (2013). Perfusion index changes during emergence from anaesthesia in children. Anaesthesia and Intensive Care, 41(4), 556-557.

2012

  • Weatherall, A., Skowno, J., Lansdown, A., Lupton, T., Garner, A. (2012). Feasibility of cerebral near-infrared spectroscopy monitoring in the pre-hospital environment. Acta Anaesthesiologica Scandinavica, 56(2), 172-177. [More Information]
  • Elliott, A., Skowno, J., Prabhu, M., Ansley, L. (2012). Measurement of cardiac output during exercise in healthy, trained humans using lithium dilution and pulse contour analysis. Physiological Measurement, 33(10), 1691-1701. [More Information]
  • Holtby, H., Skowno, J., Kor, D., Flick, R., Uezono, S. (2012). New technologies in pediatric anesthesia. Paediatric Anaesthesia, 22(10), 952-961. [More Information]

2011

  • Skowno, J. (2011). Correlating cerebral NIRS and superior vena cava ScvO2 in pediatrics. Paediatric Anaesthesia, 21(4), 463-463. [More Information]

2009

  • Swart, J., Lamberts, R., Lambert, M., St Clair Gibson, A., Lambert, E., Skowno, J., Noakes, T. (2009). Exercising with reserve: evidence that the central nervous system regulates prolonged exercise performance. British Journal of Sports Medicine, 43(10), 782-788. [More Information]

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