Dr Justin Skowno

MBChB, DA(SA), FCA(SA), FANZCA
Clinical Senior Lecturer, Discipline of Child and Adolescent Health, The Children's Hospital at Westmead
Senior Staff Specialist, Department of Anaesthesia, The Children's Hospital at Westmead

Telephone 9845 0000

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Biographical details

Dr Skowno completed his anaesthesia training in Cape Town, South Africa in 2005. He subspecialised in paediatric anaesthesia at Red Cross War Memorial Children's Hospital in Cape Town, and Great Ormond Street Hospital for Chidlren in London. In 2008 he moved to the Children's Hospital at Westmead, where he works as a full-time senior staff specialist.

His clinical subspecialty expertise includes paediatric cardio-thoracic anaesthesia, major neonatal anaesthesia and major paediatric oncological surgery. Other areas of expertise include intraoperative physiological monitoring, total intravenous anaesthesia, regional anaesthesia and vascular access.

Research interests

Dr Skowno's current research spans three broad areas. The first is monitoring the wellbeing of children under anaesthesia using a variety of modalities. His PhD investigated the utility of near infrared spectroscopy to detect ischaemia in paediatric anaesthesia and surgery. The second is the short and long term post-operative effects of routinely used general anaesthetics, both in terms of practical outcomes such as nausea and vomiting, and also the potential long term effects of anaesthesia on neurodevelopment. The third broad area is the role of nitric oxide physiology in congenital heart disease and cardiopulmonary bypass.

He has been an invited speaker at national and international conferences, including the World Congress of Anaesthesia and the International Assembly of Pediatric Anesthesiologists.

Teaching and supervision

As a full-time paediatric anaesthetist, Dr Skowno is involved in fellow, 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.

Outside of direct clinical teaching he is a contributor to the Clinical Neurophysiology unit of study "Neuromonitoring in Anaesthesia"at the University of Sydney.

Current projects

The T-REX study "Neurodevelopmental outcome after sevoflurane versus dexmedetomidine/remifentanil anaesthesia in infancy: a randomised controlled trial" - local Principal Investigator

"The incidence of isoelectric EEG during neonatal anaesthesia and surgery - a prospective, observational, multinational study"Local Principal Investigator

"MOMIS II - Nitrate and Nitrite levels in patients undergoing cardiopulmonary bypass" Co-investigator

"Cyanotic Congenital Heart disease - the role of nitrogen species in adaptation to hypoxaemia" Co-investigator

"PreHospital Assessment of Noninvasive TissueOximetry Monitoring - The PHANTOM study" Co-investigator

Associations

Australian and New Zealand College of Anaesthetists

College of Medicine of South Africa

Society for Paediatric Anaesthesia in Australia and New Zealand

Society of Pediatric Anesthesia - USA

Congenital Cardiac Anesthesia Society - USA

International Society for the study of Oxygen Transport to Tissue

International links

Belgium

(UK Leeuwen) Cerebral auto regulation metric project with Dr Alexander Caicedo-Dorado

United States

(Children's Hospital of Philadelphia) Multi-centre study of infant electroencephalogram measurement under anaesthesia, led by Dr Ian Yuan.

Selected publications

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Journals

  • Olbrecht, V., Skowno, J., Marchesini, V., Ding, L., Jiang, Y., Ward, C., Yu, G., Liu, H., Schurink, B., Vutskits, L., et al (2018). An International, Multicenter, Observational Study of Cerebral Oxygenation during Infant and Neonatal Anesthesia. Anesthesiology, 128(1), 85-96. [More Information]
  • 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]

2018

  • Olbrecht, V., Skowno, J., Marchesini, V., Ding, L., Jiang, Y., Ward, C., Yu, G., Liu, H., Schurink, B., Vutskits, L., et al (2018). An International, Multicenter, Observational Study of Cerebral Oxygenation during Infant and Neonatal Anesthesia. Anesthesiology, 128(1), 85-96. [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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