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British Journal of Anaesthesia, 2003, Vol. 91, No. 2 265-272
© 2003 The Board of Management and Trustees of the British Journal of Anaesthesia

Review Article

Disorders of the lymph circulation: their relevance to anaesthesia and intensive care

A. Mallick and A. R. Bodenham*

Department of Anaesthesia, Leeds General Infirmary, United Leeds Teaching Hospitals, Leeds LS1 3EX, UK

Corresponding author. E-mail: andy.bodenham@leedsth.nhs.uk

Abstract

The lymphatic system is known to perform three major functions in the body: drainage of excess interstitial fluid and proteins back to the systemic circulation; regulation of immune responses by both cellular and humoral mechanisms; and absorption of lipids from the intestine. Lymphatic disorders are seen following malignancy, congenital malformations, thoracic and abdominal surgery, trauma, and infectious diseases. They can occasionally cause mortality, and frequently morbidity and cosmetic disfiguration. Many lymphatic disorders are encountered in the operating theatre and critical care settings. Disorders of the lymphatic circulation relevant to anaesthesia and intensive care medicine are discussed in this review.

Br J Anaesth 2003; 91: 265–72


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