“…122 Unfortunately, the hematocrit level, whether directly determined by centrifugation or calculated from the mean corpuscular volume (MCV) and the red cell count, will not reflect these changes because even under normal circumstances, the distribution of red cells and plasma is not uniform throughout the circulatory system. [123][124][125] Rather, as demonstrated by independent determinations of the red cell mass and plasma volume, the ratio of red cells to plasma is higher in the peripheral vessels, venous or arterial, than it is in the body as a whole (ie, whole body hematocrit derived from independent measurements of red cell mass and plasma volume/peripheral venous hematocrit ϭ 0.92). 126,127 This is a consequence of both the slower flow of the peripherally displaced plasma compared with the axial red cells and plasma skimming in the smaller vessels.…”