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2006.06100

Models for plasma kinetics during simultaneous therapeutic plasma exchange and extracorporeal membrane oxygenation

Charles Puelz, Zach Danial, Jon Marinaro, Jay Raval, Boyce E. Griffith, Charles S. Peskin

correctmedium confidence
Category
Not specified
Journal tier
Specialist/Solid
Processed
Sep 28, 2025, 12:55 AM

Audit review

The paper derives the VA/VV DDE models (eqs. (4), (7)) and ADEs (eqs. (5), (8)), gives the switched-port formulas (eqs. (9)–(12)), and shows ADEs are forward-Euler discretizations of the DDEs (Remark 2) with transit-time steps; it also presents the single-compartment reduction and efficiency comparison (Remark 1, eqs. (13)–(16)). The candidate solution reconstructs each of these steps, including the recirculation term αQQ1/(Q1+αQ) + α^2Q^2/(Q1+αQ)·γ2(t−s3), the Euler-to-ADE step, and the s3=0 α-independence in VV-typical, matching the paper’s equations and logic throughout .

Referee report (LaTeX)

\textbf{Recommendation:} minor revisions

\textbf{Journal Tier:} specialist/solid

\textbf{Justification:}

The work is sound and clearly presented, deriving DDE and ADE models for ECMO+TPE (typical and switched). It adds useful insights on discretization (ADE as forward Euler) and reproduces known single-compartment behavior. Numerical comparisons and sensitivity analysis are appropriate. Minor clarifications on initial histories and explicit statement of modeling assumptions would further strengthen the presentation.