Effect of hemodilution on RBC velocity, supply rate, and hematocrit in thecerebral capillary network

The effect of isovolemic hemodilution on the circulation of red blood cells (RBCs) in the cerebrocortical capillary network was studied by intravital videomicroscopy with use of a closed-cranial-window technique in the rat. V elocity and supply rate of RBCs were measured by tracking the movement and counting the number of fluorescently labeled cells. Arterial blood was with drawn in increments of 2 ml and replaced by serum albumin. Arterial blood p ressure was maintained constant with an infusion of methoxamine. Bath veloc ity and supply rate of RBCs increased, by approximately equal amounts, as a rterial hematocrit was reduced from 44 to 15%. The maximum increase in RBC velocity was 4.6 and in RBC supply rate was 5.2 times the baseline value. C alculated lineal density of RBC, an index of capillary hematocrit, did not change with hemodilution. The results suggest that RBC flow and oxygen supp ly in the cerebral capillary network are maintained during isovolemic hemod ilution. The "optimal hematocrit" is as low as 15%.