Practising at
Dr Ari Manuel
Respiratory, Sleep and Ventilation Consultant
Dr MBBS (Imperial) BSc (Imperial) MRCP (UK) DPhil (Oxford)
I am currently only accepting virtual consultations.
I am passionate about improving care for those patients diagnosed with sleep disordered breathing (SDB) in the UK. My aim is that all patients with SDB are identified in a timely manner, undergo the correct tests and subsequently receive the correct treatment. Once on treatment, they should be able to access services that support them and their families and be regularly reviewed to ensure they remain on the correct therapy. This needs to be underpinned by robust and clear parameters for healthcare practitioners to follow. All of these processes need be based on the highest possible level of evidence with well-constructed guidelines.
During my clinical and academic career my guiding aim has always been to improve the patient pathway for those who suffer with sleep disordered breathing. I have worked in sleep units for over 10 years in both a clinical and an academic capacity, with the last three years as a Consultant. My career thus far has seen me working in both urban and rural settings, treating a large cross-section of society. I have continued to hone my practice within large tertiary centres and small falling district general hospital units alike, greatly expanding my skill set and knowledge base.
I offer a Sleep and Snoring Clinic, taking a multidisciplinary approach to the management and treatment of sleep and snoring disorders with Mr Derrick Siau, Consultant ENT Surgeon. This specialist clinic provides patients with a personalised treatment plan and supports with a wide range of diagnostics through to treatments.
During my academic tenure at Oxford during my PHD, a key aspect to my work was the ability to gather data, analyse and critique it to a high standard, in order to synthesise useful conclusions. This led to a peer reviewed publication and an editorial on the work I had done in a well-known respiratory journal. I have had the opportunity to apply these skills in other forums, such as contributing to the BTS Driving guidelines for patients with OSA (which I am currently involved in).
I work on a number of national committees (BTS, Royal Society of Medicine and British Sleep Society) which make me acutely aware of the current challenges to provision of services for patients suffering with SDB. Having worked on a number of guidelines for the BTS, in important areas such as oxygen prescription and smoking cessation I am well familiarised to the social, political and economic influences on organisation such as NICE. During my time involved in BTS Special Advisory groups, I have had the satisfaction not only of implementing guidelines that I have helped to create in a clinical setting, but in knowing that other professionals have been able to support patients to achieve the best pathway of care for their needs.
I have worked with the All Party Government Group for Obesity and the fellow to the CEO of the NHS England: I am well versed in the challenges that face us as practitioners in the NHS, as well the issues of inequality in health, public health and social care in regards to access to SDB services for patients.
Three years in a row I have appeared on national radio, broadcasting a show to promote healthy lifestyles and weight management to a target audience of socially disadvantaged ethnic minorities. Public and relevant stakeholder engagement is key to the success of a national guideline and I am well situated to facilitate this. I am also a medical trustee to the Hope-2-Sleep sleep apnoea charity and am also working with the British Lung Foundation on updating their information on sleep apnoea.
Treatment information
Some of the principal treatments carried out by Dr Ari Manuel at Spire include:
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Additional information
Clinical interests
Respiratory medicine
Qualification and professional memberships
DPhil / University of Oxford / 2015
Clinical Medicine
Ultrasound Level 1 / Royal College of Radiology / 2014
Ultrasound Level 1
Respiratory Medicine / Royal College Physicians of the United Kingdom / 2014
MRCP
Diploma in Learning and Higher Education / University of Oxford / 2013
Diploma
MRCP / Royal College of Physicians of the United Kingdom / 2008
Postgraduate Education
MBBS (with Honours) / Imperial College School of Medicine, London / 2003
Bachelor of Medicine, Bachelor of Surgery
BSc / Imperial College School of Medicine, London / 2000
Biochemistry
Professional memberships
Council Member for Sleep Medicine, Royal Society of Medicine
Member of British Thoracic Society, Sleep Society
Past Member of the British Thoracic Society Council
Research and publications
- Is a raised bicarbonate, without hypercapnia, part of the physiologic spectrum of obesity-related hypoventilation? ARG Manuel, N Hart, JR Stradling CHEST 2015 Journal 147 (2), 362-368
- Exploratory study into the effect of abdominal mass loading on airways resistance and ventilatory failure BMJ Open Respiratory Research 2016 3 (1), e000138 RS Dattani, CB Swerner, JR Stradling, ARG Manuel
- Correlates of obesity-related chronic ventilatory failure BMJ open respiratory research 2016 3 (1), e000110 AR Manuel, N Hart, JR Stradling
- Biomarkers of oxidative stress following continuous positive airway pressure withdrawal: data from two randomised trials European Respiratory Journal, ERJ-00232-2015 JR Stradling, EI Schwarz, C Schlatzer, AR Manuel, R Lee, C Antoniades
- Markers of adipose tissue hypoxia are elevated in subcutaneous adipose tissue of morbidly obese patients with hypoventilation syndrome and obstructive sleep apnoea syndrome but not in the moderately obese. Society for Endocrinology BES 2015 M Todorčević, L Austen, A Manuel, Z Michailidou, J Stradling, F Karpe
- Quality of life, diet and exercise measurements in obese individuals with and without ventilatory failure. Obesity research & clinical practice 9 (6), 639 2016 C Turnbull, A Manuel, J Stradling
Contact information
| Telephone | 0151 929 5408 |
| info@spirewirral.com | |
| Private secretary | Karen Lindsay |
| Private secretary telephone | 0151 929 5342 |