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ECMO-SchmidtEtAl_FiO2

SchmidtEtAl_FiO2

Description

Ten mechanically ventilated ARDS patients receiving femoro-jugular VV ECMO were studied by Schmidt et al [346]. In the experimental protocol, blood gases were measured after independently varying sweep gas flow, with all other settings held at their maximum. Simulated validation scenarios followed the same approach to evaluate model performance under comparable conditions. Expected results bounds are determined using the inner quartile from digitizing whisker plots of measured data.

Segment Validation

Segment 1

All patients in the study had severe ARDS. Their oxygenation was so impaired that they required venovenous ECMO for life-sustaining gas exchange. Increase pulmonary shunt to reflect severe oxygenation impairment observed in the cohort and to help reproduce the low P/F physiology at baseline. Reduce hemoglobin concentration to approximate the cohort's anemia (representative mean Hb near ~8 g/dL), which impacts oxygen content and saturation response. Patients were deeply sedated. Initiate ultraprotective volume-controlled ventilation using representative cohort settings (VT 110 mL, RR 30/min, PEEP 9 cmH2O, FiO2 0.4) while on VV-ECMO to minimize ventilator-induced lung injury. Attach a femoro-jugular VV-ECMO circuit and initialize device settings to baseline "maximum flow" conditions (pump flow 5.8 L/min, sweep gas 10 L/min, sweep FiO2 1.0) using representative oxygenator diffusing capacities. Subsequent segments vary FiO2 only.

Table 1. Data request validation results for Segment 1.
Property Name Validation Engine Value Percent Error Percent Change Notes
MechanicalVentilator-TidalVolume(mL) EqualTo 110 [346] 105 -4.91%   Median VT (measured)
RightHeart-Oxygen-PartialPressure(mmHg) [71.0,145] [346] 104 0.00%   PO2 from right atrium
RightHeart-Oxygen-Saturation [0.960,1.00] [346] 0.986 0.00%   SO2 from right atrium
RightHeart-CarbonDioxide-PartialPressure(mmHg) [28.0,36.0] [346] 29.9 0.00%   PCO2 from right atrium
PulmonaryArteries-Oxygen-PartialPressure(mmHg) [56.0,105] [346] 123 17.22%   PO2 from pulmonary artery
PulmonaryArteries-Oxygen-Saturation [0.930,0.990] [346] 0.992 0.16%   SO2 from pulmonary artery
PulmonaryArteries-CarbonDioxide-PartialPressure(mmHg) [29.0,36.0] [346] 28.5 -1.58%   PCO2 from pulmonary artery
Aorta-Oxygen-PartialPressure(mmHg) [69.0,132] [346] 157 18.58%   PO2 from peripheral artery
Aorta-Oxygen-Saturation [0.960,1.00] [346] 0.995 0.00%   SO2 from peripheral artery
Aorta-CarbonDioxide-PartialPressure(mmHg) [31.0,37.0] [346] 29.3 -5.36%   PCO2 from peripheral artery


Figure 1. Vitals monitor for Segment 1.



Figure 2. Ventilator monitor for Segment 1.



Figure 3. Landing monitor for Segment 1.


Table 2. Data requests for Segment 1.
Property Name Engine Value
Patient-IdealBodyWeight(kg) 75.3
ExtracorporealMembraneOxygenationDevice-BloodFlow(L/min) 5.80
ExtracorporealMembraneOxygenationDevice-InletOxygenSaturation 0.728
ExtracorporealMembraneOxygenationDevice-OutletOxygenSaturation 0.999
ExtracorporealMembraneOxygenationDevice-MembraneLungOxygenContribution(mL/min) 228
ExtracorporealMembraneOxygenationDevice-MembraneLungCarbonDioxideContribution(mL/min) 186
ExtracorporealMembraneOxygenationDevice-HemoglobinConcentration(g/dL) 8.19
ExtracorporealMembraneOxygenationDevice-SweepGasFlow(L/min) 10.0
ExtracorporealMembraneOxygenationDevice-HydraulicTransmembranePressureGradient(mmHg) 460
ExtracorporealMembraneOxygenationDevice-InletPressure(mmHg) 300
ExtracorporealMembraneOxygenationDevice-OutletPressure(mmHg) 203
ExtracorporealMembraneOxygenationDevice-DrainagePressure(mmHg) -93.4
ExtracorporealMembraneOxygenationDevice-TransmembranePressureGradient(mmHg) 96.7
ExtracorporealMembraneOxygenationDevice-BagVolume(mL) 500
MechanicalVentilator-AirwayPressure(cmH2O) 9.02
MechanicalVentilator-BreathState 6.00
MechanicalVentilator-DynamicRespiratoryCompliance(mL/cmH2O) 20.2
MechanicalVentilator-EndTidalCarbonDioxideFraction 0.00374
MechanicalVentilator-EndTidalCarbonDioxidePressure(mmHg) 2.86
MechanicalVentilator-EndTidalOxygenFraction 0.392
MechanicalVentilator-EndTidalOxygenPressure(mmHg) 301
MechanicalVentilator-ExpiratoryFlow(L/min) 10.4
MechanicalVentilator-ExpiratoryResistance(cmH2O_s/L) 13.1
MechanicalVentilator-ExpiratoryTidalVolume(mL) 105
MechanicalVentilator-ExtrinsicPositiveEndExpiratoryPressure(cmH2O) 9.00
MechanicalVentilator-InspiratoryExpiratoryRatio 1.00
MechanicalVentilator-InspiratoryFlow(L/min) -10.4
MechanicalVentilator-InspiratoryResistance(cmH2O_s/L) 13.1
MechanicalVentilator-InspiratoryTidalVolume(mL) 105
MechanicalVentilator-IntrinsicPositiveEndExpiratoryPressure(cmH2O) 0.281
MechanicalVentilator-LeakFraction 1.99e-13
MechanicalVentilator-MeanAirwayPressure(cmH2O) 10.7
MechanicalVentilator-PeakExpiratoryFlow(L/min) 13.7
MechanicalVentilator-PeakInspiratoryFlow(L/min) 6.60
MechanicalVentilator-PeakInspiratoryPressure(cmH2O) 14.2
MechanicalVentilator-PlateauPressure(cmH2O) 12.7
MechanicalVentilator-RespirationRate(1/min) 30.0
MechanicalVentilator-StaticRespiratoryCompliance(mL/cmH2O) 30.4
MechanicalVentilator-TidalVolume(mL) 105
MechanicalVentilator-TotalLungVolume(mL) 58.2
MechanicalVentilator-TotalPositiveEndExpiratoryPressure(cmH2O) 9.28
MechanicalVentilator-TotalPulmonaryVentilation(L/min) 3.14
HeartRate(1/min) 53.7
HeartStrokeVolume(mL) 130
HeartEjectionFraction 0.669
BloodVolume(L) 5.53
ExtravascularFluidVolume(L) 34.1
MeanArterialPressure(mmHg) 96.0
SystolicArterialPressure(mmHg) 125
DiastolicArterialPressure(mmHg) 63.3
CardiacOutput(L/min) 6.96
HemoglobinContent(g) 450
CentralVenousPressure(mmHg) 3.28
PulmonaryCapillariesWedgePressure(mmHg) 9.05
TidalVolume(mL) 105
RespirationRate(1/min) 30.0
OxygenSaturation 0.995
CarbonDioxideSaturation 0.0296
EndTidalCarbonDioxideFraction 0.00655
EndTidalCarbonDioxidePressure(mmHg) 5.03
TotalAlveolarVentilation(L/min) 0.00
TranspulmonaryPressure(cmH2O) 15.6
CoreTemperature(degC) 37.1
SkinTemperature(degC) 30.7
RespiratoryExchangeRatio 0.795
OxygenConsumptionRate(mL/min) 235
CarbonDioxideProductionRate(mL/min) 187
GlomerularFiltrationRate(mL/min) 44.4
RenalBloodFlow(L/min) 0.756
UrineProductionRate(mL/min) 0.902
LeftAfferentArterioleResistance(mmHg_min/mL) 0.0412
RightAfferentArterioleResistance(mmHg_min/mL) 0.0412
SystemicVascularResistance(mmHg_s/mL) 0.800
BloodPH 7.51
HorowitzIndex(mmHg) 398
Aorta-Oxygen-PartialPressure(mmHg) 157
Aorta-CarbonDioxide-PartialPressure(mmHg) 29.3
VenaCava-Oxygen-PartialPressure(mmHg) 34.9
VenaCava-CarbonDioxide-PartialPressure(mmHg) 41.7
RightTubules-Sodium-Concentration(g/L) 3.91
LeftTubules-Sodium-Concentration(g/L) 3.91
Oxygen-AlveolarTransfer(mL/min) 6.43
CarbonDioxide-AlveolarTransfer(mL/min) -19.8

Segment 2

Update the FiO2 to 90%.

Table 3. Data request validation results for Segment 2.
Property Name Validation Engine Value Percent Error Percent Change Notes
RightHeart-Oxygen-PartialPressure(mmHg) LessThan Segment1 (104) [346] 88.1   -15.55% PO2 from right atrium
RightHeart-Oxygen-PartialPressure(mmHg) [69.0,115] [346] 88.1 0.00%   PO2 from right atrium
RightHeart-Oxygen-Saturation LessThan Segment1 (0.986) [346] 0.976   -0.99% SO2 from right atrium
RightHeart-Oxygen-Saturation [0.960,0.990] [346] 0.976 0.00%   SO2 from right atrium
RightHeart-CarbonDioxide-PartialPressure(mmHg) [30.0,36.0] [346] 32.9 0.00%   PCO2 from right atrium
PulmonaryArteries-Oxygen-PartialPressure(mmHg) LessThan Segment1 (123) [346] 89.9   -26.95% PO2 from pulmonary artery
PulmonaryArteries-Oxygen-PartialPressure(mmHg) [54.0,105] [346] 89.9 0.00%   PO2 from pulmonary artery
PulmonaryArteries-Oxygen-Saturation LessThan Segment1 (0.992) [346] 0.978   -1.39% SO2 from pulmonary artery
PulmonaryArteries-Oxygen-Saturation [0.870,0.980] [346] 0.978 0.00%   SO2 from pulmonary artery
PulmonaryArteries-CarbonDioxide-PartialPressure(mmHg) [32.0,41.0] [346] 32.7 0.00%   PCO2 from pulmonary artery
Aorta-Oxygen-PartialPressure(mmHg) LessThan Segment1 (157) [346] 113   -27.77% PO2 from peripheral artery
Aorta-Oxygen-PartialPressure(mmHg) [63.0,100] [346] 113 13.06%   PO2 from peripheral artery
Aorta-Oxygen-Saturation LessThan Segment1 (0.995) [346] 0.988   -0.75% SO2 from peripheral artery
Aorta-Oxygen-Saturation [0.940,0.980] [346] 0.988 0.82%   SO2 from peripheral artery
Aorta-CarbonDioxide-PartialPressure(mmHg) [31.0,36.0] [346] 32.5 0.00%   PCO2 from peripheral artery


Figure 4. Vitals monitor for Segment 2.



Figure 5. Ventilator monitor for Segment 2.



Figure 6. Landing monitor for Segment 2.


Table 4. Data requests for Segment 2.
Property Name Engine Value
Patient-IdealBodyWeight(kg) 75.3
ExtracorporealMembraneOxygenationDevice-BloodFlow(L/min) 5.80
ExtracorporealMembraneOxygenationDevice-InletOxygenSaturation 0.716
ExtracorporealMembraneOxygenationDevice-OutletOxygenSaturation 0.998
ExtracorporealMembraneOxygenationDevice-MembraneLungOxygenContribution(mL/min) 222
ExtracorporealMembraneOxygenationDevice-MembraneLungCarbonDioxideContribution(mL/min) 181
ExtracorporealMembraneOxygenationDevice-HemoglobinConcentration(g/dL) 8.20
ExtracorporealMembraneOxygenationDevice-SweepGasFlow(L/min) 8.00
ExtracorporealMembraneOxygenationDevice-HydraulicTransmembranePressureGradient(mmHg) 468
ExtracorporealMembraneOxygenationDevice-InletPressure(mmHg) 292
ExtracorporealMembraneOxygenationDevice-OutletPressure(mmHg) 196
ExtracorporealMembraneOxygenationDevice-DrainagePressure(mmHg) -93.3
ExtracorporealMembraneOxygenationDevice-TransmembranePressureGradient(mmHg) 96.7
ExtracorporealMembraneOxygenationDevice-BagVolume(mL) 500
MechanicalVentilator-AirwayPressure(cmH2O) 9.02
MechanicalVentilator-BreathState 6.00
MechanicalVentilator-DynamicRespiratoryCompliance(mL/cmH2O) 20.2
MechanicalVentilator-EndTidalCarbonDioxideFraction 0.00479
MechanicalVentilator-EndTidalCarbonDioxidePressure(mmHg) 3.67
MechanicalVentilator-EndTidalOxygenFraction 0.390
MechanicalVentilator-EndTidalOxygenPressure(mmHg) 299
MechanicalVentilator-ExpiratoryFlow(L/min) 10.4
MechanicalVentilator-ExpiratoryResistance(cmH2O_s/L) 13.1
MechanicalVentilator-ExpiratoryTidalVolume(mL) 105
MechanicalVentilator-ExtrinsicPositiveEndExpiratoryPressure(cmH2O) 9.00
MechanicalVentilator-InspiratoryExpiratoryRatio 1.00
MechanicalVentilator-InspiratoryFlow(L/min) -10.4
MechanicalVentilator-InspiratoryResistance(cmH2O_s/L) 13.1
MechanicalVentilator-InspiratoryTidalVolume(mL) 105
MechanicalVentilator-IntrinsicPositiveEndExpiratoryPressure(cmH2O) 0.281
MechanicalVentilator-LeakFraction 2.70e-13
MechanicalVentilator-MeanAirwayPressure(cmH2O) 10.7
MechanicalVentilator-PeakExpiratoryFlow(L/min) 13.7
MechanicalVentilator-PeakInspiratoryFlow(L/min) 6.60
MechanicalVentilator-PeakInspiratoryPressure(cmH2O) 14.2
MechanicalVentilator-PlateauPressure(cmH2O) 12.7
MechanicalVentilator-RespirationRate(1/min) 30.0
MechanicalVentilator-StaticRespiratoryCompliance(mL/cmH2O) 30.4
MechanicalVentilator-TidalVolume(mL) 105
MechanicalVentilator-TotalLungVolume(mL) 58.2
MechanicalVentilator-TotalPositiveEndExpiratoryPressure(cmH2O) 9.28
MechanicalVentilator-TotalPulmonaryVentilation(L/min) 3.14
HeartRate(1/min) 57.0
HeartStrokeVolume(mL) 124
HeartEjectionFraction 0.660
BloodVolume(L) 5.52
ExtravascularFluidVolume(L) 34.1
MeanArterialPressure(mmHg) 95.3
SystolicArterialPressure(mmHg) 123
DiastolicArterialPressure(mmHg) 63.9
CardiacOutput(L/min) 7.06
HemoglobinContent(g) 450
CentralVenousPressure(mmHg) 3.31
PulmonaryCapillariesWedgePressure(mmHg) 8.75
TidalVolume(mL) 105
RespirationRate(1/min) 30.0
OxygenSaturation 0.988
CarbonDioxideSaturation 0.0283
EndTidalCarbonDioxideFraction 0.00849
EndTidalCarbonDioxidePressure(mmHg) 6.51
TotalAlveolarVentilation(L/min) 0.00
TranspulmonaryPressure(cmH2O) 15.6
CoreTemperature(degC) 37.0
SkinTemperature(degC) 30.5
RespiratoryExchangeRatio 0.798
OxygenConsumptionRate(mL/min) 237
CarbonDioxideProductionRate(mL/min) 189
GlomerularFiltrationRate(mL/min) 92.6
RenalBloodFlow(L/min) 1.10
UrineProductionRate(mL/min) 0.879
LeftAfferentArterioleResistance(mmHg_min/mL) 0.0405
RightAfferentArterioleResistance(mmHg_min/mL) 0.0405
SystemicVascularResistance(mmHg_s/mL) 0.782
BloodPH 7.47
HorowitzIndex(mmHg) 290
Aorta-Oxygen-PartialPressure(mmHg) 113
Aorta-CarbonDioxide-PartialPressure(mmHg) 32.5
VenaCava-Oxygen-PartialPressure(mmHg) 34.6
VenaCava-CarbonDioxide-PartialPressure(mmHg) 43.2
RightTubules-Sodium-Concentration(g/L) 3.93
LeftTubules-Sodium-Concentration(g/L) 3.93
Oxygen-AlveolarTransfer(mL/min) 11.9
CarbonDioxide-AlveolarTransfer(mL/min) -5.34

Segment 3

Update the FiO2 to 80%.

Table 5. Data request validation results for Segment 3.
Property Name Validation Engine Value Percent Error Percent Change Notes
RightHeart-Oxygen-PartialPressure(mmHg) LessThan Segment2 (88.1) [346] 70.6   -19.95% PO2 from right atrium
RightHeart-Oxygen-PartialPressure(mmHg) [60.0,87.0] [346] 70.6 0.00%   PO2 from right atrium
RightHeart-Oxygen-Saturation LessThan Segment2 (0.976) [346] 0.951   -2.60% SO2 from right atrium
RightHeart-Oxygen-Saturation [0.910,0.990] [346] 0.951 0.00%   SO2 from right atrium
RightHeart-CarbonDioxide-PartialPressure(mmHg) [28.0,34.0] [346] 38.6 13.59%   PCO2 from right atrium
PulmonaryArteries-Oxygen-PartialPressure(mmHg) LessThan Segment2 (89.9) [346] 74.6   -17.06% PO2 from pulmonary artery
PulmonaryArteries-Oxygen-PartialPressure(mmHg) [50.0,71.0] [346] 74.6 5.03%   PO2 from pulmonary artery
PulmonaryArteries-Oxygen-Saturation LessThan Segment2 (0.978) [346] 0.959   -1.89% SO2 from pulmonary artery
PulmonaryArteries-Oxygen-Saturation [0.840,0.970] [346] 0.959 0.00%   SO2 from pulmonary artery
PulmonaryArteries-CarbonDioxide-PartialPressure(mmHg) [31.0,39.0] [346] 37.0 0.00%   PCO2 from pulmonary artery
Aorta-Oxygen-PartialPressure(mmHg) LessThan Segment2 (113) [346] 91.4   -19.16% PO2 from peripheral artery
Aorta-Oxygen-PartialPressure(mmHg) [57.0,78.0] [346] 91.4 17.17%   PO2 from peripheral artery
Aorta-Oxygen-Saturation LessThan Segment2 (0.988) [346] 0.976   -1.26% SO2 from peripheral artery
Aorta-Oxygen-Saturation [0.910,0.970] [346] 0.976 0.58%   SO2 from peripheral artery
Aorta-CarbonDioxide-PartialPressure(mmHg) [31.0,36.0] [346] 37.8 5.05%   PCO2 from peripheral artery


Figure 7. Vitals monitor for Segment 3.



Figure 8. Ventilator monitor for Segment 3.



Figure 9. Landing monitor for Segment 3.


Table 6. Data requests for Segment 3.
Property Name Engine Value
Patient-IdealBodyWeight(kg) 75.3
ExtracorporealMembraneOxygenationDevice-BloodFlow(L/min) 5.80
ExtracorporealMembraneOxygenationDevice-InletOxygenSaturation 0.700
ExtracorporealMembraneOxygenationDevice-OutletOxygenSaturation 0.995
ExtracorporealMembraneOxygenationDevice-MembraneLungOxygenContribution(mL/min) 218
ExtracorporealMembraneOxygenationDevice-MembraneLungCarbonDioxideContribution(mL/min) 177
ExtracorporealMembraneOxygenationDevice-HemoglobinConcentration(g/dL) 8.21
ExtracorporealMembraneOxygenationDevice-SweepGasFlow(L/min) 6.00
ExtracorporealMembraneOxygenationDevice-HydraulicTransmembranePressureGradient(mmHg) 455
ExtracorporealMembraneOxygenationDevice-InletPressure(mmHg) 305
ExtracorporealMembraneOxygenationDevice-OutletPressure(mmHg) 208
ExtracorporealMembraneOxygenationDevice-DrainagePressure(mmHg) -93.4
ExtracorporealMembraneOxygenationDevice-TransmembranePressureGradient(mmHg) 96.7
ExtracorporealMembraneOxygenationDevice-BagVolume(mL) 500
MechanicalVentilator-AirwayPressure(cmH2O) 9.02
MechanicalVentilator-BreathState 6.00
MechanicalVentilator-DynamicRespiratoryCompliance(mL/cmH2O) 20.2
MechanicalVentilator-EndTidalCarbonDioxideFraction 0.00575
MechanicalVentilator-EndTidalCarbonDioxidePressure(mmHg) 4.41
MechanicalVentilator-EndTidalOxygenFraction 0.388
MechanicalVentilator-EndTidalOxygenPressure(mmHg) 297
MechanicalVentilator-ExpiratoryFlow(L/min) 10.4
MechanicalVentilator-ExpiratoryResistance(cmH2O_s/L) 13.1
MechanicalVentilator-ExpiratoryTidalVolume(mL) 105
MechanicalVentilator-ExtrinsicPositiveEndExpiratoryPressure(cmH2O) 9.00
MechanicalVentilator-InspiratoryExpiratoryRatio 1.00
MechanicalVentilator-InspiratoryFlow(L/min) -10.4
MechanicalVentilator-InspiratoryResistance(cmH2O_s/L) 13.1
MechanicalVentilator-InspiratoryTidalVolume(mL) 105
MechanicalVentilator-IntrinsicPositiveEndExpiratoryPressure(cmH2O) 0.281
MechanicalVentilator-LeakFraction 1.90e-13
MechanicalVentilator-MeanAirwayPressure(cmH2O) 10.7
MechanicalVentilator-PeakExpiratoryFlow(L/min) 13.7
MechanicalVentilator-PeakInspiratoryFlow(L/min) 6.60
MechanicalVentilator-PeakInspiratoryPressure(cmH2O) 14.2
MechanicalVentilator-PlateauPressure(cmH2O) 12.7
MechanicalVentilator-RespirationRate(1/min) 30.0
MechanicalVentilator-StaticRespiratoryCompliance(mL/cmH2O) 30.4
MechanicalVentilator-TidalVolume(mL) 105
MechanicalVentilator-TotalLungVolume(mL) 58.2
MechanicalVentilator-TotalPositiveEndExpiratoryPressure(cmH2O) 9.28
MechanicalVentilator-TotalPulmonaryVentilation(L/min) 3.14
HeartRate(1/min) 57.3
HeartStrokeVolume(mL) 122
HeartEjectionFraction 0.656
BloodVolume(L) 5.51
ExtravascularFluidVolume(L) 34.1
MeanArterialPressure(mmHg) 96.1
SystolicArterialPressure(mmHg) 124
DiastolicArterialPressure(mmHg) 65.1
CardiacOutput(L/min) 7.00
HemoglobinContent(g) 450
CentralVenousPressure(mmHg) 3.27
PulmonaryCapillariesWedgePressure(mmHg) 8.69
TidalVolume(mL) 105
RespirationRate(1/min) 30.0
OxygenSaturation 0.976
CarbonDioxideSaturation 0.0266
EndTidalCarbonDioxideFraction 0.0103
EndTidalCarbonDioxidePressure(mmHg) 7.87
TotalAlveolarVentilation(L/min) 0.00
TranspulmonaryPressure(cmH2O) 15.6
CoreTemperature(degC) 37.0
SkinTemperature(degC) 30.3
RespiratoryExchangeRatio 0.793
OxygenConsumptionRate(mL/min) 232
CarbonDioxideProductionRate(mL/min) 184
GlomerularFiltrationRate(mL/min) 55.1
RenalBloodFlow(L/min) 0.868
UrineProductionRate(mL/min) 0.914
LeftAfferentArterioleResistance(mmHg_min/mL) 0.0400
RightAfferentArterioleResistance(mmHg_min/mL) 0.0400
SystemicVascularResistance(mmHg_s/mL) 0.795
BloodPH 7.41
HorowitzIndex(mmHg) 235
Aorta-Oxygen-PartialPressure(mmHg) 91.4
Aorta-CarbonDioxide-PartialPressure(mmHg) 37.8
VenaCava-Oxygen-PartialPressure(mmHg) 33.9
VenaCava-CarbonDioxide-PartialPressure(mmHg) 44.5
RightTubules-Sodium-Concentration(g/L) 3.93
LeftTubules-Sodium-Concentration(g/L) 3.93
Oxygen-AlveolarTransfer(mL/min) 11.9
CarbonDioxide-AlveolarTransfer(mL/min) -28.6

Segment 4

Update the FiO2 to 70%.

Table 7. Data request validation results for Segment 4.
Property Name Validation Engine Value Percent Error Percent Change Notes
RightHeart-Oxygen-PartialPressure(mmHg) LessThan Segment3 (70.6) [346] 59.1   -16.16% PO2 from right atrium
RightHeart-Oxygen-PartialPressure(mmHg) [50.0,67.0] [346] 59.1 0.00%   PO2 from right atrium
RightHeart-Oxygen-Saturation LessThan Segment3 (0.951) [346] 0.913   -3.97% SO2 from right atrium
RightHeart-Oxygen-Saturation [0.880,0.950] [346] 0.913 0.00%   SO2 from right atrium
RightHeart-CarbonDioxide-PartialPressure(mmHg) [30.0,33.0] [346] 44.3 34.15%   PCO2 from right atrium
PulmonaryArteries-Oxygen-PartialPressure(mmHg) LessThan Segment3 (74.6) [346] 62.7   -15.88% PO2 from pulmonary artery
PulmonaryArteries-Oxygen-PartialPressure(mmHg) [48.0,70.0] [346] 62.7 0.00%   PO2 from pulmonary artery
PulmonaryArteries-Oxygen-Saturation LessThan Segment3 (0.959) [346] 0.926   -3.52% SO2 from pulmonary artery
PulmonaryArteries-Oxygen-Saturation [0.840,0.960] [346] 0.926 0.00%   SO2 from pulmonary artery
PulmonaryArteries-CarbonDioxide-PartialPressure(mmHg) [30.0,33.0] [346] 44.0 33.36%   PCO2 from pulmonary artery
Aorta-Oxygen-PartialPressure(mmHg) LessThan Segment3 (91.4) [346] 73.3   -19.82% PO2 from peripheral artery
Aorta-Oxygen-PartialPressure(mmHg) [52.0,67.0] [346] 73.3 9.37%   PO2 from peripheral artery
Aorta-Oxygen-Saturation LessThan Segment3 (0.976) [346] 0.950   -2.64% SO2 from peripheral artery
Aorta-Oxygen-Saturation [0.880,0.950] [346] 0.950 0.00%   SO2 from peripheral artery
Aorta-CarbonDioxide-PartialPressure(mmHg) [30.0,34.0] [346] 44.0 29.30%   PCO2 from peripheral artery


Figure 10. Vitals monitor for Segment 4.



Figure 11. Ventilator monitor for Segment 4.



Figure 12. Landing monitor for Segment 4.


Table 8. Data requests for Segment 4.
Property Name Engine Value
Patient-IdealBodyWeight(kg) 75.3
ExtracorporealMembraneOxygenationDevice-BloodFlow(L/min) 5.80
ExtracorporealMembraneOxygenationDevice-InletOxygenSaturation 0.674
ExtracorporealMembraneOxygenationDevice-OutletOxygenSaturation 0.975
ExtracorporealMembraneOxygenationDevice-MembraneLungOxygenContribution(mL/min) 210
ExtracorporealMembraneOxygenationDevice-MembraneLungCarbonDioxideContribution(mL/min) 164
ExtracorporealMembraneOxygenationDevice-HemoglobinConcentration(g/dL) 8.22
ExtracorporealMembraneOxygenationDevice-SweepGasFlow(L/min) 4.00
ExtracorporealMembraneOxygenationDevice-HydraulicTransmembranePressureGradient(mmHg) 467
ExtracorporealMembraneOxygenationDevice-InletPressure(mmHg) 293
ExtracorporealMembraneOxygenationDevice-OutletPressure(mmHg) 196
ExtracorporealMembraneOxygenationDevice-DrainagePressure(mmHg) -93.4
ExtracorporealMembraneOxygenationDevice-TransmembranePressureGradient(mmHg) 96.7
ExtracorporealMembraneOxygenationDevice-BagVolume(mL) 500
MechanicalVentilator-AirwayPressure(cmH2O) 9.02
MechanicalVentilator-BreathState 6.00
MechanicalVentilator-DynamicRespiratoryCompliance(mL/cmH2O) 20.2
MechanicalVentilator-EndTidalCarbonDioxideFraction 0.00821
MechanicalVentilator-EndTidalCarbonDioxidePressure(mmHg) 6.30
MechanicalVentilator-EndTidalOxygenFraction 0.384
MechanicalVentilator-EndTidalOxygenPressure(mmHg) 294
MechanicalVentilator-ExpiratoryFlow(L/min) 10.4
MechanicalVentilator-ExpiratoryResistance(cmH2O_s/L) 13.1
MechanicalVentilator-ExpiratoryTidalVolume(mL) 105
MechanicalVentilator-ExtrinsicPositiveEndExpiratoryPressure(cmH2O) 9.00
MechanicalVentilator-InspiratoryExpiratoryRatio 1.00
MechanicalVentilator-InspiratoryFlow(L/min) -10.4
MechanicalVentilator-InspiratoryResistance(cmH2O_s/L) 13.1
MechanicalVentilator-InspiratoryTidalVolume(mL) 105
MechanicalVentilator-IntrinsicPositiveEndExpiratoryPressure(cmH2O) 0.281
MechanicalVentilator-LeakFraction 7.06e-14
MechanicalVentilator-MeanAirwayPressure(cmH2O) 10.7
MechanicalVentilator-PeakExpiratoryFlow(L/min) 13.7
MechanicalVentilator-PeakInspiratoryFlow(L/min) 6.60
MechanicalVentilator-PeakInspiratoryPressure(cmH2O) 14.2
MechanicalVentilator-PlateauPressure(cmH2O) 12.7
MechanicalVentilator-RespirationRate(1/min) 30.0
MechanicalVentilator-StaticRespiratoryCompliance(mL/cmH2O) 30.4
MechanicalVentilator-TidalVolume(mL) 105
MechanicalVentilator-TotalLungVolume(mL) 58.2
MechanicalVentilator-TotalPositiveEndExpiratoryPressure(cmH2O) 9.28
MechanicalVentilator-TotalPulmonaryVentilation(L/min) 3.14
HeartRate(1/min) 60.4
HeartStrokeVolume(mL) 119
HeartEjectionFraction 0.649
BloodVolume(L) 5.50
ExtravascularFluidVolume(L) 34.1
MeanArterialPressure(mmHg) 96.1
SystolicArterialPressure(mmHg) 123
DiastolicArterialPressure(mmHg) 65.9
CardiacOutput(L/min) 7.16
HemoglobinContent(g) 450
CentralVenousPressure(mmHg) 3.27
PulmonaryCapillariesWedgePressure(mmHg) 8.50
TidalVolume(mL) 105
RespirationRate(1/min) 30.0
OxygenSaturation 0.950
CarbonDioxideSaturation 0.101
EndTidalCarbonDioxideFraction 0.0148
EndTidalCarbonDioxidePressure(mmHg) 11.4
TotalAlveolarVentilation(L/min) 0.00
TranspulmonaryPressure(cmH2O) 15.6
CoreTemperature(degC) 37.0
SkinTemperature(degC) 30.2
RespiratoryExchangeRatio 0.795
OxygenConsumptionRate(mL/min) 233
CarbonDioxideProductionRate(mL/min) 186
GlomerularFiltrationRate(mL/min) 79.6
RenalBloodFlow(L/min) 1.02
UrineProductionRate(mL/min) 0.917
LeftAfferentArterioleResistance(mmHg_min/mL) 0.0396
RightAfferentArterioleResistance(mmHg_min/mL) 0.0396
SystemicVascularResistance(mmHg_s/mL) 0.778
BloodPH 7.35
HorowitzIndex(mmHg) 190
Aorta-Oxygen-PartialPressure(mmHg) 73.3
Aorta-CarbonDioxide-PartialPressure(mmHg) 44.0
VenaCava-Oxygen-PartialPressure(mmHg) 33.2
VenaCava-CarbonDioxide-PartialPressure(mmHg) 47.3
RightTubules-Sodium-Concentration(g/L) 3.94
LeftTubules-Sodium-Concentration(g/L) 3.94
Oxygen-AlveolarTransfer(mL/min) 20.5
CarbonDioxide-AlveolarTransfer(mL/min) -29.9

Segment 5

Update the FiO2 to 60%.

Table 9. Data request validation results for Segment 5.
Property Name Validation Engine Value Percent Error Percent Change Notes
RightHeart-Oxygen-PartialPressure(mmHg) LessThan Segment4 (59.1) [346] 44.0   -25.69% PO2 from right atrium
RightHeart-Oxygen-PartialPressure(mmHg) [42.0,58.0] [346] 44.0 0.00%   PO2 from right atrium
RightHeart-Oxygen-Saturation LessThan Segment4 (0.913) [346] 0.795   -12.94% SO2 from right atrium
RightHeart-Oxygen-Saturation [0.850,0.930] [346] 0.795 -6.46%   SO2 from right atrium
RightHeart-CarbonDioxide-PartialPressure(mmHg) [30.0,32.0] [346] 53.8 68.10%   PCO2 from right atrium
PulmonaryArteries-Oxygen-PartialPressure(mmHg) LessThan Segment4 (62.7) [346] 44.2   -29.59% PO2 from pulmonary artery
PulmonaryArteries-Oxygen-PartialPressure(mmHg) [41.0,52.0] [346] 44.2 0.00%   PO2 from pulmonary artery
PulmonaryArteries-Oxygen-Saturation LessThan Segment4 (0.926) [346] 0.798   -13.83% SO2 from pulmonary artery
PulmonaryArteries-Oxygen-Saturation [0.800,0.910] [346] 0.798 -0.31%   SO2 from pulmonary artery
PulmonaryArteries-CarbonDioxide-PartialPressure(mmHg) [30.0,43.0] [346] 53.7 24.91%   PCO2 from pulmonary artery
Aorta-Oxygen-PartialPressure(mmHg) LessThan Segment4 (73.3) [346] 49.4   -32.56% PO2 from peripheral artery
Aorta-Oxygen-PartialPressure(mmHg) [45.0,61.0] [346] 49.4 0.00%   PO2 from peripheral artery
Aorta-Oxygen-Saturation LessThan Segment4 (0.950) [346] 0.844   -11.12% SO2 from peripheral artery
Aorta-Oxygen-Saturation [0.830,0.950] [346] 0.844 0.00%   SO2 from peripheral artery
Aorta-CarbonDioxide-PartialPressure(mmHg) [31.0,36.0] [346] 52.9 47.04%   PCO2 from peripheral artery


Figure 13. Vitals monitor for Segment 5.



Figure 14. Ventilator monitor for Segment 5.



Figure 15. Landing monitor for Segment 5.


Table 10. Data requests for Segment 5.
Property Name Engine Value
Patient-IdealBodyWeight(kg) 75.3
ExtracorporealMembraneOxygenationDevice-BloodFlow(L/min) 5.80
ExtracorporealMembraneOxygenationDevice-InletOxygenSaturation 0.605
ExtracorporealMembraneOxygenationDevice-OutletOxygenSaturation 0.875
ExtracorporealMembraneOxygenationDevice-MembraneLungOxygenContribution(mL/min) 183
ExtracorporealMembraneOxygenationDevice-MembraneLungCarbonDioxideContribution(mL/min) 112
ExtracorporealMembraneOxygenationDevice-HemoglobinConcentration(g/dL) 8.21
ExtracorporealMembraneOxygenationDevice-SweepGasFlow(L/min) 2.00
ExtracorporealMembraneOxygenationDevice-HydraulicTransmembranePressureGradient(mmHg) 468
ExtracorporealMembraneOxygenationDevice-InletPressure(mmHg) 292
ExtracorporealMembraneOxygenationDevice-OutletPressure(mmHg) 195
ExtracorporealMembraneOxygenationDevice-DrainagePressure(mmHg) -93.2
ExtracorporealMembraneOxygenationDevice-TransmembranePressureGradient(mmHg) 96.7
ExtracorporealMembraneOxygenationDevice-BagVolume(mL) 500
MechanicalVentilator-AirwayPressure(cmH2O) 9.02
MechanicalVentilator-BreathState 6.00
MechanicalVentilator-DynamicRespiratoryCompliance(mL/cmH2O) 20.2
MechanicalVentilator-EndTidalCarbonDioxideFraction 0.0264
MechanicalVentilator-EndTidalCarbonDioxidePressure(mmHg) 20.3
MechanicalVentilator-EndTidalOxygenFraction 0.364
MechanicalVentilator-EndTidalOxygenPressure(mmHg) 279
MechanicalVentilator-ExpiratoryFlow(L/min) 10.4
MechanicalVentilator-ExpiratoryResistance(cmH2O_s/L) 13.1
MechanicalVentilator-ExpiratoryTidalVolume(mL) 105
MechanicalVentilator-ExtrinsicPositiveEndExpiratoryPressure(cmH2O) 9.00
MechanicalVentilator-InspiratoryExpiratoryRatio 1.00
MechanicalVentilator-InspiratoryFlow(L/min) -10.4
MechanicalVentilator-InspiratoryResistance(cmH2O_s/L) 13.1
MechanicalVentilator-InspiratoryTidalVolume(mL) 105
MechanicalVentilator-IntrinsicPositiveEndExpiratoryPressure(cmH2O) 0.281
MechanicalVentilator-LeakFraction 3.08e-13
MechanicalVentilator-MeanAirwayPressure(cmH2O) 10.7
MechanicalVentilator-PeakExpiratoryFlow(L/min) 13.7
MechanicalVentilator-PeakInspiratoryFlow(L/min) 6.60
MechanicalVentilator-PeakInspiratoryPressure(cmH2O) 14.2
MechanicalVentilator-PlateauPressure(cmH2O) 12.7
MechanicalVentilator-RespirationRate(1/min) 30.0
MechanicalVentilator-StaticRespiratoryCompliance(mL/cmH2O) 30.4
MechanicalVentilator-TidalVolume(mL) 105
MechanicalVentilator-TotalLungVolume(mL) 58.2
MechanicalVentilator-TotalPositiveEndExpiratoryPressure(cmH2O) 9.28
MechanicalVentilator-TotalPulmonaryVentilation(L/min) 3.14
HeartRate(1/min) 123
HeartStrokeVolume(mL) 65.6
HeartEjectionFraction 0.499
BloodVolume(L) 5.49
ExtravascularFluidVolume(L) 34.1
MeanArterialPressure(mmHg) 97.0
SystolicArterialPressure(mmHg) 113
DiastolicArterialPressure(mmHg) 79.5
CardiacOutput(L/min) 8.03
HemoglobinContent(g) 450
CentralVenousPressure(mmHg) 3.44
PulmonaryCapillariesWedgePressure(mmHg) 5.93
TidalVolume(mL) 105
RespirationRate(1/min) 30.0
OxygenSaturation 0.844
CarbonDioxideSaturation 0.396
EndTidalCarbonDioxideFraction 0.0484
EndTidalCarbonDioxidePressure(mmHg) 37.1
TotalAlveolarVentilation(L/min) 0.00
TranspulmonaryPressure(cmH2O) 15.6
CoreTemperature(degC) 36.9
SkinTemperature(degC) 30.5
RespiratoryExchangeRatio 0.793
OxygenConsumptionRate(mL/min) 231
CarbonDioxideProductionRate(mL/min) 183
GlomerularFiltrationRate(mL/min) 94.1
RenalBloodFlow(L/min) 1.28
UrineProductionRate(mL/min) 0.953
LeftAfferentArterioleResistance(mmHg_min/mL) 0.0381
RightAfferentArterioleResistance(mmHg_min/mL) 0.0381
SystemicVascularResistance(mmHg_s/mL) 0.699
BloodPH 7.27
HorowitzIndex(mmHg) 135
Aorta-Oxygen-PartialPressure(mmHg) 49.4
Aorta-CarbonDioxide-PartialPressure(mmHg) 52.9
VenaCava-Oxygen-PartialPressure(mmHg) 31.9
VenaCava-CarbonDioxide-PartialPressure(mmHg) 57.1
RightTubules-Sodium-Concentration(g/L) 4.03
LeftTubules-Sodium-Concentration(g/L) 4.03
Oxygen-AlveolarTransfer(mL/min) 46.0
CarbonDioxide-AlveolarTransfer(mL/min) -43.6

Segment 6

Update the FiO2 to 50%.

Table 11. Data request validation results for Segment 6.
Property Name Validation Engine Value Percent Error Percent Change Notes
RightHeart-Oxygen-PartialPressure(mmHg) LessThan Segment5 (44.0) [346] 44.1 0.39%   PO2 from right atrium
RightHeart-Oxygen-PartialPressure(mmHg) [40.0,53.0] [346] 44.1 0.00%   PO2 from right atrium
RightHeart-Oxygen-Saturation LessThan Segment5 (0.795) [346] 0.778   -2.15% SO2 from right atrium
RightHeart-Oxygen-Saturation [0.810,0.930] [346] 0.778 -3.95%   SO2 from right atrium
RightHeart-CarbonDioxide-PartialPressure(mmHg) [29.0,31.0] [346] 60.1 93.88%   PCO2 from right atrium
PulmonaryArteries-Oxygen-PartialPressure(mmHg) LessThan Segment5 (44.2) [346] 44.1   -0.22% PO2 from pulmonary artery
PulmonaryArteries-Oxygen-PartialPressure(mmHg) [40.0,55.0] [346] 44.1 0.00%   PO2 from pulmonary artery
PulmonaryArteries-Oxygen-Saturation LessThan Segment5 (0.798) [346] 0.777   -2.62% SO2 from pulmonary artery
PulmonaryArteries-Oxygen-Saturation [0.780,0.910] [346] 0.777 -0.44%   SO2 from pulmonary artery
PulmonaryArteries-CarbonDioxide-PartialPressure(mmHg) [30.0,31.0] [346] 60.4 94.78%   PCO2 from pulmonary artery
Aorta-Oxygen-PartialPressure(mmHg) LessThan Segment5 (49.4) [346] 49.1   -0.56% PO2 from peripheral artery
Aorta-Oxygen-PartialPressure(mmHg) [39.0,50.0] [346] 49.1 0.00%   PO2 from peripheral artery
Aorta-Oxygen-Saturation LessThan Segment5 (0.844) [346] 0.827   -2.04% SO2 from peripheral artery
Aorta-Oxygen-Saturation [0.790,0.910] [346] 0.827 0.00%   SO2 from peripheral artery
Aorta-CarbonDioxide-PartialPressure(mmHg) [29.0,33.0] [346] 59.1 78.95%   PCO2 from peripheral artery


Figure 16. Vitals monitor for Segment 6.



Figure 17. Ventilator monitor for Segment 6.



Figure 18. Landing monitor for Segment 6.


Table 12. Data requests for Segment 6.
Property Name Engine Value
Patient-IdealBodyWeight(kg) 75.3
ExtracorporealMembraneOxygenationDevice-BloodFlow(L/min) 5.80
ExtracorporealMembraneOxygenationDevice-InletOxygenSaturation 0.586
ExtracorporealMembraneOxygenationDevice-OutletOxygenSaturation 0.856
ExtracorporealMembraneOxygenationDevice-MembraneLungOxygenContribution(mL/min) 183
ExtracorporealMembraneOxygenationDevice-MembraneLungCarbonDioxideContribution(mL/min) 125
ExtracorporealMembraneOxygenationDevice-HemoglobinConcentration(g/dL) 8.24
ExtracorporealMembraneOxygenationDevice-SweepGasFlow(L/min) 2.00
ExtracorporealMembraneOxygenationDevice-HydraulicTransmembranePressureGradient(mmHg) 431
ExtracorporealMembraneOxygenationDevice-InletPressure(mmHg) 329
ExtracorporealMembraneOxygenationDevice-OutletPressure(mmHg) 232
ExtracorporealMembraneOxygenationDevice-DrainagePressure(mmHg) -93.2
ExtracorporealMembraneOxygenationDevice-TransmembranePressureGradient(mmHg) 96.7
ExtracorporealMembraneOxygenationDevice-BagVolume(mL) 500
MechanicalVentilator-AirwayPressure(cmH2O) 9.02
MechanicalVentilator-BreathState 6.00
MechanicalVentilator-DynamicRespiratoryCompliance(mL/cmH2O) 20.2
MechanicalVentilator-EndTidalCarbonDioxideFraction 0.0291
MechanicalVentilator-EndTidalCarbonDioxidePressure(mmHg) 22.3
MechanicalVentilator-EndTidalOxygenFraction 0.360
MechanicalVentilator-EndTidalOxygenPressure(mmHg) 276
MechanicalVentilator-ExpiratoryFlow(L/min) 10.4
MechanicalVentilator-ExpiratoryResistance(cmH2O_s/L) 13.1
MechanicalVentilator-ExpiratoryTidalVolume(mL) 105
MechanicalVentilator-ExtrinsicPositiveEndExpiratoryPressure(cmH2O) 9.00
MechanicalVentilator-InspiratoryExpiratoryRatio 1.00
MechanicalVentilator-InspiratoryFlow(L/min) -10.4
MechanicalVentilator-InspiratoryResistance(cmH2O_s/L) 13.1
MechanicalVentilator-InspiratoryTidalVolume(mL) 105
MechanicalVentilator-IntrinsicPositiveEndExpiratoryPressure(cmH2O) 0.281
MechanicalVentilator-LeakFraction 3.14e-13
MechanicalVentilator-MeanAirwayPressure(cmH2O) 10.7
MechanicalVentilator-PeakExpiratoryFlow(L/min) 13.7
MechanicalVentilator-PeakInspiratoryFlow(L/min) 6.60
MechanicalVentilator-PeakInspiratoryPressure(cmH2O) 14.2
MechanicalVentilator-PlateauPressure(cmH2O) 12.7
MechanicalVentilator-RespirationRate(1/min) 30.0
MechanicalVentilator-StaticRespiratoryCompliance(mL/cmH2O) 30.4
MechanicalVentilator-TidalVolume(mL) 105
MechanicalVentilator-TotalLungVolume(mL) 58.2
MechanicalVentilator-TotalPositiveEndExpiratoryPressure(cmH2O) 9.28
MechanicalVentilator-TotalPulmonaryVentilation(L/min) 3.14
HeartRate(1/min) 129
HeartStrokeVolume(mL) 63.1
HeartEjectionFraction 0.485
BloodVolume(L) 5.48
ExtravascularFluidVolume(L) 34.1
MeanArterialPressure(mmHg) 97.0
SystolicArterialPressure(mmHg) 113
DiastolicArterialPressure(mmHg) 80.1
CardiacOutput(L/min) 8.13
HemoglobinContent(g) 451
CentralVenousPressure(mmHg) 3.42
PulmonaryCapillariesWedgePressure(mmHg) 5.86
TidalVolume(mL) 105
RespirationRate(1/min) 30.0
OxygenSaturation 0.827
CarbonDioxideSaturation 0.495
EndTidalCarbonDioxideFraction 0.0533
EndTidalCarbonDioxidePressure(mmHg) 40.9
TotalAlveolarVentilation(L/min) 0.00
TranspulmonaryPressure(cmH2O) 15.6
CoreTemperature(degC) 36.9
SkinTemperature(degC) 30.6
RespiratoryExchangeRatio 0.792
OxygenConsumptionRate(mL/min) 230
CarbonDioxideProductionRate(mL/min) 183
GlomerularFiltrationRate(mL/min) 121
RenalBloodFlow(L/min) 1.55
UrineProductionRate(mL/min) 0.976
LeftAfferentArterioleResistance(mmHg_min/mL) 0.0371
RightAfferentArterioleResistance(mmHg_min/mL) 0.0371
SystemicVascularResistance(mmHg_s/mL) 0.691
BloodPH 7.23
HorowitzIndex(mmHg) 135
Aorta-Oxygen-PartialPressure(mmHg) 49.1
Aorta-CarbonDioxide-PartialPressure(mmHg) 59.1
VenaCava-Oxygen-PartialPressure(mmHg) 32.6
VenaCava-CarbonDioxide-PartialPressure(mmHg) 64.9
RightTubules-Sodium-Concentration(g/L) 4.03
LeftTubules-Sodium-Concentration(g/L) 4.03
Oxygen-AlveolarTransfer(mL/min) 47.0
CarbonDioxide-AlveolarTransfer(mL/min) -9.58

Segment 7

Update the FiO2 to 40%.

Table 13. Data request validation results for Segment 7.
Property Name Validation Engine Value Percent Error Percent Change Notes
RightHeart-Oxygen-PartialPressure(mmHg) LessThan Segment6 (44.1) [346] 44.1   -0.12% PO2 from right atrium
RightHeart-Oxygen-PartialPressure(mmHg) [39.0,47.0] [346] 44.1 0.00%   PO2 from right atrium
RightHeart-Oxygen-Saturation LessThan Segment6 (0.778) [346] 0.765   -1.69% SO2 from right atrium
RightHeart-Oxygen-Saturation [0.760,0.870] [346] 0.765 0.00%   SO2 from right atrium
RightHeart-CarbonDioxide-PartialPressure(mmHg) [28.0,34.0] [346] 64.5 89.84%   PCO2 from right atrium
PulmonaryArteries-Oxygen-PartialPressure(mmHg) LessThan Segment6 (44.1) [346] 44.1 0.11%   PO2 from pulmonary artery
PulmonaryArteries-Oxygen-PartialPressure(mmHg) [37.0,41.0] [346] 44.1 7.61%   PO2 from pulmonary artery
PulmonaryArteries-Oxygen-Saturation LessThan Segment6 (0.777) [346] 0.765   -1.49% SO2 from pulmonary artery
PulmonaryArteries-Oxygen-Saturation [0.750,0.810] [346] 0.765 0.00%   SO2 from pulmonary artery
PulmonaryArteries-CarbonDioxide-PartialPressure(mmHg) [29.0,33.0] [346] 64.7 95.98%   PCO2 from pulmonary artery
Aorta-Oxygen-PartialPressure(mmHg) LessThan Segment6 (49.1) [346] 49.2 0.16%   PO2 from peripheral artery
Aorta-Oxygen-PartialPressure(mmHg) [44.0,49.0] [346] 49.2 0.46%   PO2 from peripheral artery
Aorta-Oxygen-Saturation LessThan Segment6 (0.827) [346] 0.818   -1.13% SO2 from peripheral artery
Aorta-Oxygen-Saturation [0.830,0.870] [346] 0.818 -1.50%   SO2 from peripheral artery
Aorta-CarbonDioxide-PartialPressure(mmHg) [29.0,35.0] [346] 63.3 80.78%   PCO2 from peripheral artery


Figure 19. Vitals monitor for Segment 7.



Figure 20. Ventilator monitor for Segment 7.



Figure 21. Landing monitor for Segment 7.


Table 14. Data requests for Segment 7.
Property Name Engine Value
Patient-IdealBodyWeight(kg) 75.3
ExtracorporealMembraneOxygenationDevice-BloodFlow(L/min) 5.80
ExtracorporealMembraneOxygenationDevice-InletOxygenSaturation 0.579
ExtracorporealMembraneOxygenationDevice-OutletOxygenSaturation 0.847
ExtracorporealMembraneOxygenationDevice-MembraneLungOxygenContribution(mL/min) 182
ExtracorporealMembraneOxygenationDevice-MembraneLungCarbonDioxideContribution(mL/min) 134
ExtracorporealMembraneOxygenationDevice-HemoglobinConcentration(g/dL) 8.25
ExtracorporealMembraneOxygenationDevice-SweepGasFlow(L/min) 2.00
ExtracorporealMembraneOxygenationDevice-HydraulicTransmembranePressureGradient(mmHg) 432
ExtracorporealMembraneOxygenationDevice-InletPressure(mmHg) 328
ExtracorporealMembraneOxygenationDevice-OutletPressure(mmHg) 231
ExtracorporealMembraneOxygenationDevice-DrainagePressure(mmHg) -93.2
ExtracorporealMembraneOxygenationDevice-TransmembranePressureGradient(mmHg) 96.7
ExtracorporealMembraneOxygenationDevice-BagVolume(mL) 500
MechanicalVentilator-AirwayPressure(cmH2O) 9.02
MechanicalVentilator-BreathState 6.00
MechanicalVentilator-DynamicRespiratoryCompliance(mL/cmH2O) 20.2
MechanicalVentilator-EndTidalCarbonDioxideFraction 0.0310
MechanicalVentilator-EndTidalCarbonDioxidePressure(mmHg) 23.7
MechanicalVentilator-EndTidalOxygenFraction 0.358
MechanicalVentilator-EndTidalOxygenPressure(mmHg) 274
MechanicalVentilator-ExpiratoryFlow(L/min) 10.4
MechanicalVentilator-ExpiratoryResistance(cmH2O_s/L) 13.1
MechanicalVentilator-ExpiratoryTidalVolume(mL) 105
MechanicalVentilator-ExtrinsicPositiveEndExpiratoryPressure(cmH2O) 9.00
MechanicalVentilator-InspiratoryExpiratoryRatio 1.00
MechanicalVentilator-InspiratoryFlow(L/min) -10.4
MechanicalVentilator-InspiratoryResistance(cmH2O_s/L) 13.1
MechanicalVentilator-InspiratoryTidalVolume(mL) 105
MechanicalVentilator-IntrinsicPositiveEndExpiratoryPressure(cmH2O) 0.281
MechanicalVentilator-LeakFraction 3.01e-13
MechanicalVentilator-MeanAirwayPressure(cmH2O) 10.7
MechanicalVentilator-PeakExpiratoryFlow(L/min) 13.7
MechanicalVentilator-PeakInspiratoryFlow(L/min) 6.60
MechanicalVentilator-PeakInspiratoryPressure(cmH2O) 14.2
MechanicalVentilator-PlateauPressure(cmH2O) 12.7
MechanicalVentilator-RespirationRate(1/min) 30.0
MechanicalVentilator-StaticRespiratoryCompliance(mL/cmH2O) 30.4
MechanicalVentilator-TidalVolume(mL) 105
MechanicalVentilator-TotalLungVolume(mL) 58.2
MechanicalVentilator-TotalPositiveEndExpiratoryPressure(cmH2O) 9.28
MechanicalVentilator-TotalPulmonaryVentilation(L/min) 3.14
HeartRate(1/min) 154
HeartStrokeVolume(mL) 53.7
HeartEjectionFraction 0.441
BloodVolume(L) 5.47
ExtravascularFluidVolume(L) 34.1
MeanArterialPressure(mmHg) 98.1
SystolicArterialPressure(mmHg) 112
DiastolicArterialPressure(mmHg) 84.4
CardiacOutput(L/min) 8.26
HemoglobinContent(g) 451
CentralVenousPressure(mmHg) 3.45
PulmonaryCapillariesWedgePressure(mmHg) 5.43
TidalVolume(mL) 105
RespirationRate(1/min) 30.0
OxygenSaturation 0.818
CarbonDioxideSaturation 0.542
EndTidalCarbonDioxideFraction 0.0567
EndTidalCarbonDioxidePressure(mmHg) 43.5
TotalAlveolarVentilation(L/min) 0.00
TranspulmonaryPressure(cmH2O) 15.6
CoreTemperature(degC) 36.8
SkinTemperature(degC) 30.6
RespiratoryExchangeRatio 0.793
OxygenConsumptionRate(mL/min) 232
CarbonDioxideProductionRate(mL/min) 184
GlomerularFiltrationRate(mL/min) 112
RenalBloodFlow(L/min) 1.51
UrineProductionRate(mL/min) 1.03
LeftAfferentArterioleResistance(mmHg_min/mL) 0.0367
RightAfferentArterioleResistance(mmHg_min/mL) 0.0367
SystemicVascularResistance(mmHg_s/mL) 0.687
BloodPH 7.20
HorowitzIndex(mmHg) 137
Aorta-Oxygen-PartialPressure(mmHg) 49.2
Aorta-CarbonDioxide-PartialPressure(mmHg) 63.3
VenaCava-Oxygen-PartialPressure(mmHg) 33.2
VenaCava-CarbonDioxide-PartialPressure(mmHg) 70.4
RightTubules-Sodium-Concentration(g/L) 4.03
LeftTubules-Sodium-Concentration(g/L) 4.03
Oxygen-AlveolarTransfer(mL/min) 49.4
CarbonDioxide-AlveolarTransfer(mL/min) -20.4

Scenario Output Plots


Figure 22. Select outputs from the scenario.


Distributed under the Apache License, Version 2.0.

See accompanying NOTICE file for details.