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The overall burden of diseases that may be cured, palliated or treated with surgical intervention is significant and probably rapidly growing. In the UK, Around 10 million patients undergo a surgical procedure each year in the NHS, with approximately 15% of them in the high-risk category needing specialized extra-care to ensure the best possible outcomes after surgery. Though Sri Lankan figures are not available, an upward trend in patients at higher risk from surgery is evident due to complex surgical procedures performed using advancing techniques, increasing life expectancy associated decline in organ functions, and multiple comorbidities complicating the perioperative period. Non-communicable Diseases (NCDs) are a major challenge, threatening the well-being of people in Sri Lanka compounded by the increasing proportion of the elderly in the population.

Implementing Perioperative Care Pathways; Challenges and Opportunities for the Anaesthetists in Sri Lanka