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Intensive Care Medicine

, Volume 29, Issue 7, pp 1052–1061 | Cite as

Red blood cell rheology in sepsis

  • M. Piagnerelli
  • K. Zouaoui Boudjeltia
  • M. Vanhaeverbeek
  • J.-L. VincentEmail author
Review

Abstract

Changes in red blood cell (RBC) function can contribute to alterations in microcirculatory blood flow and cellular dysoxia in sepsis. Decreases in RBC and neutrophil deformability impair the passage of these cells through the microcirculation. While the role of leukocytes has been the focus of many studies in sepsis, the role of erythrocyte rheological alterations in this syndrome has only recently been investigated. RBC rheology can be influenced by many factors, including alterations in intracellular calcium and adenosine triphosphate (ATP) concentrations, the effects of nitric oxide, a decrease in some RBC membrane components such as sialic acid, and an increase in others such as 2,3 diphosphoglycerate. Other factors include interactions with white blood cells and their products (reactive oxygen species), or the effects of temperature variations. Understanding the mechanisms of altered RBC rheology in sepsis, and the effects on blood flow and oxygen transport, may lead to improved patient management and reductions in morbidity and mortality.

Keywords

Erythrocyte Deformability Nitric oxide Sialic acid Multiple organ failure Oxygen transport 

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Copyright information

© Springer-Verlag 2003

Authors and Affiliations

  • M. Piagnerelli
    • 1
  • K. Zouaoui Boudjeltia
    • 2
  • M. Vanhaeverbeek
    • 2
  • J.-L. Vincent
    • 1
    Email author
  1. 1.Department of Intensive Care, Erasme University HospitalFree University of BrusselsBrusselsBelgium
  2. 2.Experimental Medicine LaboratoryAndré Vésale HospitalMontigny-le-TilleulBelgium

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