Stephen Mannion

/ Dr. Stephen Mannion

Biography

Dr. Stephen Mannion is a Consultant Anaesthetist at the Department of Anaesthesiology, South Infirmary-Victoria University Hospital, Cork, Ireland and a Senior Clinical Lecturer, School of Medicine, University College Cork.

He qualified in Medicine from University College Cork in 1996 (MB., BMedSci.) and after internship, completed two years of Internal Medical, obtaining his MRCPI in 1999. Following this, he specialized in Anaesthesia, obtaining his FCARCSI in 2002 and received his Certificate of Specialist Doctor (Anaesthesia) from the National Training Programme in 2006.

During his training, his interest in regional anaesthesia resulted in his doctorate thesis -” The psoas compartment block – optimization of analgesic efficacy and safety” (MD conferred 2005) and a Regional Anaesthesia Fellowship (Adult and Paediatric) at Hôpital Lapeyronie, Montpellier, France under the supervision of Professor Xavier Capdevila.

He has published articles in a number of anaesthesia journals. He is currently the Chief Editor of “Ultrasound guided Regional Anesthesia in Children – a practical guide”, Cambridge University Press and has also written a number of book chapters and is co-editor of the DVD, «Regional Anaesthesia-a multimedia interactive guide to modern clinical practice ». He is an invited speaker and faculty member at both national and international conferences. He is a reviewer for Anesthesia & Analgesia and the British Journal of Anaesthesia.

His professional interests include regional anaesthesia for ambulatory surgery & paediatrics, advanced airway management and total intravenous anaesthesia.

Outside of work he enjoys kayaking and hill-walking. He is married to Elaine and they have six children

Abstract
Title: ‘Resilience during a career in anaesthesia- a load of oommmm?’
Dr. Stephen Mannion

Resilience in mental health can be defined as “the process of effectively negotiating, adapting and managing significant sources of stress or trauma (1)- or simply as “the ability to bounce back”. Resilience requires three components: 1) significant adversity or risk, 2) the presence of assets (personal) and resources (external) and 3) a positive adaption or the avoidance of a negative outcome. Resilience is dynamic and will change across a lifespan.

Resilience is an important personal attribute to have as anaesthesiologists. Studies demonstrate that more resilient doctors report less burnout (2). Burnout is well recognised as a significant issue for mental wellbeing in anaesthesiologists, with a prevalence of 30-50% and even higher at certain career points such as residency or high level administrative positions (3). Burnout is associated with poorer quality and safety of patient care (2,3).

Resilience is believed to be an inherent trait by most psychologists, and is adversely impacted only by significant childhood events. However anyone can improve their resilience over a period of weeks (1). Building resilience occurs at a personal (self care, mindfulness, CBT), workplace (hours, cognitive load, resources) and organisational (support, practices, debriefing) level (3).
Resilience training programmes are designed to improve personal resilience and may reduce burnout. Increasingly medical schools and anaesthesia professional bodies are offering these but the full impact of such organisational support requires further study.

  1. Windle G. Reviews Clin Geront 2011; 21: 152-169
  2. de Oliveria G et al. Anesth Analg 2013; 117:182-193
  3. Rama-Maceiras P et al. Curr Opin Anesth 2015; 28:151-158