Standard Operating Procedure: Packed Cell Volume (PCV)
1. Purpose and Scope
To determine the volume percentage of red blood cells in whole blood using the microhematocrit centrifugation method.
2. Specimen Requirements
- Type: Whole blood.
- Anticoagulant: K2/K3 EDTA or capillary blood (heparinized tube).
- Stability: Test within 6 hours at room temperature.
- Rejection: Clotted samples.
3. Safety and Precautions
- Standard PPE. Ensure centrifuge lid is securely locked before starting.
4. Equipment and Reagents
- Microhematocrit centrifuge.
- Capillary tubes (plain for EDTA blood, heparinized for capillary blood).
- Tube sealant (clay/plasticine).
- Hematocrit reader.
5. Step-by-Step Procedure
- Mix the EDTA specimen gently by inverting 8-10 times.
- Fill a capillary tube to about 3/4 of its length by touching it to the blood drop or dipping it into the EDTA tube.
- Wipe the outside of the tube clean.
- Seal the dry end of the tube firmly with sealing clay. Ensure a flat, leak-proof seal.
- Place the tube in the centrifuge rotor with the sealed end pointing outward (against the rubber gasket). Balance with an opposite tube.
- Secure the inner and outer lids. Centrifuge at 10,000-12,000 RPM for 5 minutes.
- Remove the tube and place it in the hematocrit reader.
- Align the bottom of the red cell column with the 0% line and the top of the plasma with the 100% line.
- Read the percentage at the top of the red cell column (excluding the buffy coat).
6. Quality Control
- Check centrifuge speed with a tachometer every 6 months.
- Ensure no plasma is trapped in the red cell column (recentrifuge if PCV > 50% to rule out trapped plasma).
7. Reference Ranges
- The canonical sex-specific adult reference intervals are shown in the Reference Ranges panel below.
8. Reporting Results
- Report as a percentage (%) or decimal fraction (L/L).