Dr Liyanage is a GMC-registered Consultant Anaesthetist with over 18 years of broad clinical experience across general, obstetric, and specialist anaesthetic practice. She undertakes medico-legal instructions in all areas of anaesthesia, preparing both Personal Injury and Clinical Negligence reports. Her casework includes, but is not limited to, complications arising during or following surgery, adverse reactions to general and regional anaesthesia, airway and perioperative management concerns, and nerve injury associated with regional block insertion or complications.

She accepts instructions on behalf of both claimants and defendants, maintaining a balanced 50/50 caseload, and has developed a particular expertise in obstetric anaesthesia, regularly providing detailed, evidence-based reports in this subspecialty.

Dr Liyanage is currently completing her Bond Solon Expert Witness Certification, further strengthening her understanding of the legal framework underpinning expert evidence. She is experienced in addressing issues of causation, liability, breach of duty, and condition and prognosis. Her reports integrate thorough clinical analysis, clear reasoning, and careful consideration of relevant guidance and standards, ensuring they meet the requirements of CPR Part 35.

With significant real-world clinical exposure and a strong grasp of medico-legal processes, Dr Liyanage is committed to delivering objective, robust, and well-structured expert opinion. She is able to provide oral evidence in court when required.

Dr Liyanage has extensive experience in cases associated with:

General anaesthesia-related issues:

• Obstetric
• Gynaecology
• Cardiothoracic surgery
• Orthopaedics
• Urology
• General surgery
• Maxillofacial surgery
• Breast surgery
• ENT surgery
• Spinal and epidural block insertion and complications
• Nerve injury related to block insertion/ complications
• Peribulbar block
• Sub-Tenon’s block and other peripheral nerve blocks

Medico-legal and Professional Issues:

• Standards of documentation and consent
• Duty of candour and communication with patients/families
• Fitness to practice and professional conduct in anaesthesia
• Review of clinical governance and adherence to guidelines

Perioperative Medicine and Patient Safety:

• Perioperative risk communication and consent
• Preoperative assessment and optimisation
• Recognition and management of complications
• Multidisciplinary team communication and handover

General Anaesthesia:

• Allegations of negligence in the conduct of general, regional or local anaesthesia
• Intraoperative anaesthetic management and monitoring standards
• Risk of oesophageal tear
• Vascular access and line insertions
• Intubation placement/misplacement/size
• Tracheal tube insertion/size/procedure
• Anaesthetic drug errors, adverse drug reactions (including anaphylaxis, effects of anticoagulants/antiplatelets)
• Equipment use and safety (e.g. ventilators, infusion devices)
• Intraoperative cardiovascular management

Complications during/post-surgery:

• Waking
• Risk of choking
• Airway management complications (failed intubation, aspiration, difficult airway)
• Blood clots (including deep vein thrombosis)
• Informed consent
• Implications of ceasing medication to undergo surgery/after-effects/risks
• Hypoxic brain injury
• Post-operative care and recovery issues (e.g. failure to recognise deterioration)
• Post-operative cognitive dysfunction (POCD)
• Post-operative complications (e.g. nausea and vomiting, delayed recovery)
• Pre-operative assessment and optimisation of patients
• Major haemorrhage
• Aspiration pneumonia
• Awareness under anaesthesia
• Rapid sequence induction in emergencies
• Cardiac arrest management and rescue of the deteriorating patient
• Management of massive transfusion

Dr Liyanage’s availability is 4 weeks and has a report turnaround time of  4 -6 weeks.