Manipulation of red blood cells (RBCs) in microscale has proven to play a pivotal role in various applications, such as disease diagnosis and drug delivery. Over the past decades, the capabilities of microscale manipulation techniques have evolved from simple particle manipulation to cells and organisms, with numerous microfluidic-based research tools being developed for RBC manipulation. This review first introduces the reported microscale manipulation techniques and their principles, including passive microfluidic methods based on microstructures and hydrodynamics, as well as active methods such as acoustic, optical, and electrical techniques. It then focuses on the application scenarios of these micro-scale manipulation methods for RBC manipulation, including the investigation of RBC mechanical properties, the preparation of RBC carriers, the control of RBC rotation, and RBC lysis. Finally, the future prospects of microscale techniques in RBC manipulation are discussed. This review offers a comprehensive comparison of various techniques, aiming to provide researchers from different fields with a broad perspective and to guide the continued development of microscale manipulation methods for RBC applications. It seeks to help researchers from diverse backgrounds stay informed about the latest trends and advancements in the field.
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