// ~->[DNET-1]->~ // File created by Norsys using Netica 4.02 on Feb 09, 2010 at 09:26:42. bnet ALARM { autoupdate = TRUE; comment = "\n\ ALARM Copyright 1998-2010 Norsys \ Software Corp.\n\n\ ALARM stands for 'A Logical Alarm Reduction Mechanism'.\n\ A medical diagnostic alarm message system for patient monitoring.\n\n\ This network is described in Beinlich, Ingo, H. J. Suermondt, R. M. Chavez, and G. F. Cooper \ (1989) \"The ALARM \n\ monitoring system: A case study with two probabilistic inference techniques for Bayes nets\" in \ Proc. of the \n\ Second European Conf. on Artificial Intelligence in Medicine (London, Aug.), 38, 247-256. Also \ Tech. Report \n\ KSL-88-84, Knowledge Systems Laboratory, Medical Computer Science, Stanford Univ., CA.\n\n\n\ TUTORIAL: Probabilistic Inference & Sensitivity\n\ --------\n\n\ For simple probabilistic inference, see the \"Chest Clinic\" Bayes net.\n\n\ Click in the network window to make it the active window, then choose Network->Compile. \n\ The display changes to show belief bars.\n\n\ Most nodes in this network have more than two states. For example \"Breathing Pressure\" has: \ zero, low,\n\ normal and high. This sort of a breakdown is typical of Bayes nets with nodes representing \ continuous\n\ variables. Netica has facilities for more advanced discretization if desired. If you have \ trouble finding\n\ the \"Breathing Pressure\" node, try Edit->Find and type in \"breathing\".\n\n\ If you want to enter a negative finding (i.e. a finding that a node isn't in some state) hold \ down the\n\ shift key while clicking on it. For example, hold down the shift key and click on \"normal\" and \ \"high\" \n\ of the \"Breathing Pressure\" node. The probability of those two states drops to 0, and that of\n\ zero and low increases.\n\n\ Sometimes it is useful to know how much the findings at another node can influence the beliefs of \ a \n\ particular node. For instance, say you wanted to know which nodes could most influence our \ knowledge of\n\ \"Heart Rate\". Click on \"Heart Rate\" (the actual title) to select it, and then choose \ Network->Sensitivity\n\ to Findings. A detailed report will be produced, which is described in Netica's onscreen help.\n\ At the end of the report is a list of all the nodes, with the ones whose findings are most likely \ to \n\ produce the greatest change in the belief of Heart Rate listed first. The first column of \ numbers provides \n\ a numerical degree. The report takes findings currently entered into account. The nodes are \ referred to \n\ by name, rather than title (you can observe the names of all the nodes by making the network \ window \n\ active and choosing Style->Name).\n\n\ For those studying how the internals of Bayes net systems work, you may be interested to see the\n\ Markov network, triangulated network, elimination order and junction tree produced. \n\ Choose Style->Links->Markov Net, Style->Links->Triangulated, Report->Elimination Order and\n\ Report->Junction Tree, respectively. Be careful about saving the network after doing this, since \ it may\n\ have lost the bends in the links.\n\n\n\ "; whenchanged = 1265419477; visual V1 { defdispform = LABELBOX; nodelabeling = TITLE; NodeMaxNumEntries = 50; nodefont = font {shape= "Arial"; size= 10;}; linkfont = font {shape= "Arial"; size= 9;}; windowposn = (2, -120, 1428, 483); CommentShowing = TRUE; CommentWindowPosn = (2, 482, 1051, 822); resolution = 72; magnification = 0.853012; drawingbounds = (1660, 748); showpagebreaks = FALSE; usegrid = TRUE; gridspace = (6, 6); NodeSet Node {BuiltIn = 1; Color = 0xc0c0c0;}; NodeSet Nature {BuiltIn = 1; Color = 0xf8eed2;}; NodeSet Deterministic {BuiltIn = 1; Color = 0xd3caa6;}; NodeSet Finding {BuiltIn = 1; Color = 0xa0a0a0;}; NodeSet Constant {BuiltIn = 1; Color = 0xffffff;}; NodeSet ConstantValue {BuiltIn = 1; Color = 0xffffb4;}; NodeSet Utility {BuiltIn = 1; Color = 0xffbdbd;}; NodeSet Decision {BuiltIn = 1; Color = 0xdee8ff;}; NodeSet Documentation {BuiltIn = 1; Color = 0xf0fafa;}; NodeSet Title {BuiltIn = 1; Color = 0xffffff;}; PrinterSetting A { margins = (1270, 1270, 1270, 1270); landscape = FALSE; magnify = 1; }; }; node Hypovolemia { kind = NATURE; discrete = TRUE; chance = CHANCE; states = (true, false); parents = (); probs = // true false (0.2, 0.8); title = "Hypovolemia"; whenchanged = 1084560291; visual V1 { center = (78, 96); height = 11; }; }; node LVFailure { kind = NATURE; discrete = TRUE; chance = CHANCE; states = (true, false); parents = (); probs = // true false (0.05, 0.95); title = "Left Ventricular Failure"; whenchanged = 1084560312; visual V1 { center = (276, 96); height = 1; }; }; node LVEDVolume { kind = NATURE; discrete = TRUE; chance = CHANCE; states = (low, normal, high); parents = (Hypovolemia, LVFailure); probs = // low normal high // Hypovolemia LVFailure (((0.95, 0.04, 0.01), // true true (0.98, 0.01, 0.01)), // true false ((0.01, 0.09, 0.9), // false true (0.05, 0.9, 0.05))); // false false ; title = "Left Ventricular End-diastolic Vol"; whenchanged = 1084562422; visual V1 { center = (150, 198); height = 31; }; }; node StrokeVolume { kind = NATURE; discrete = TRUE; chance = CHANCE; states = (low, normal, high); parents = (LVFailure, Hypovolemia); probs = // low normal high // LVFailure Hypovolemia (((0.98, 0.01, 0.01), // true true (0.5, 0.49, 0.01)), // true false ((0.95, 0.04, 0.01), // false true (0.05, 0.9, 0.05))); // false false ; title = "Stroke Volume"; whenchanged = 1084561048; visual V1 { center = (384, 186); height = 2; link 1 { path = ((286, 106), (373, 177)); }; }; }; node CVP { kind = NATURE; discrete = TRUE; chance = CHANCE; states = (low, normal, high); parents = (LVEDVolume); probs = // low normal high // LVEDVolume ((0.95, 0.04, 0.01), // low (0.04, 0.95, 0.01), // normal (0.01, 0.29, 0.7)); // high ; title = "Central Venous Pressure"; whenchanged = 1084562148; visual V1 { center = (186, 300); height = 35; }; }; node PCWP { kind = NATURE; discrete = TRUE; chance = CHANCE; states = (low, normal, high); parents = (LVEDVolume); probs = // low normal high // LVEDVolume ((0.95, 0.04, 0.01), // low (0.04, 0.95, 0.01), // normal (0.01, 0.04, 0.95)); // high ; title = "PC Wedge Pressure"; whenchanged = 1084562094; visual V1 { center = (84, 474); height = 33; link 1 { path = ((136, 208), (18, 282), (18, 414), (75, 465)); }; }; }; node InsuffAnesth { kind = NATURE; discrete = TRUE; chance = CHANCE; states = (true, false); parents = (); probs = // true false (0.2, 0.8); title = "Insufficient Anesthesia"; whenchanged = 1084561201; visual V1 { center = (576, 168); height = 3; }; }; node PulmEmbolus { kind = NATURE; discrete = TRUE; chance = CHANCE; states = (true, false); parents = (); probs = // true false (0.01, 0.99); title = "Pulmary Embolus"; whenchanged = 1084561370; visual V1 { center = (732, 78); height = 26; }; }; node Intubation { kind = NATURE; discrete = TRUE; chance = CHANCE; states = (normal, esophageal, one_sided); parents = (); probs = // normal esophageal one sided (0.92, 0.03, 0.05); title = "Intubation"; whenchanged = 1084561535; visual V1 { center = (954, 84); height = 27; }; }; node Shunt { kind = NATURE; discrete = TRUE; chance = CHANCE; states = (normal, high); parents = (PulmEmbolus, Intubation); probs = // normal high // PulmEmbolus Intubation (((0.1, 0.9), // true normal (0.1, 0.9), // true esophageal (0.01, 0.99)), // true one sided ((0.95, 0.05), // false normal (0.95, 0.05), // false esophageal (0.05, 0.95))); // false one sided ; title = "Shunt"; whenchanged = 1084561504; visual V1 { center = (774, 252); height = 28; link 1 { path = ((724, 88), (678, 138), (678, 198), (758, 243)); }; link 2 { path = ((947, 94), (924, 120), (864, 168), (864, 216), (796, 243)); }; }; }; node KinkedTube { kind = NATURE; discrete = TRUE; chance = CHANCE; states = (true, false); parents = (); probs = // true false (0.04, 0.96); title = "Kinked Tube"; whenchanged = 1084561713; visual V1 { center = (1134, 132); height = 8; }; }; node MinVolSet { kind = NATURE; discrete = TRUE; chance = CHANCE; states = (low, normal, high); parents = (); probs = // low normal high (0.01, 0.98, 0.01); title = "MinVolSet"; comment = "Minute ventilation?\nMV = Respitory Rate * Tidal Volume"; whenchanged = 1084561924; visual V1 { center = (1494, 138); height = 19; }; }; node VentMach { kind = NATURE; discrete = TRUE; chance = CHANCE; states = (zero, low, normal, high); parents = (MinVolSet); probs = // zero low normal high // MinVolSet ((0.01, 0.97, 0.01, 0.01), // low (0.01, 0.01, 0.97, 0.01), // normal (0.01, 0.01, 0.01, 0.97)); // high ; title = "Vent Machine"; whenchanged = 1084561959; visual V1 { center = (1494, 234); height = 18; }; }; node Disconnect { kind = NATURE; discrete = TRUE; chance = CHANCE; states = (true, false); parents = (); probs = // true false (0.05, 0.95); title = "Disconnection"; whenchanged = 1084561847; visual V1 { center = (1314, 132); height = 20; }; }; node VentTube { kind = NATURE; discrete = TRUE; chance = CHANCE; states = (zero, low, normal, high); parents = (VentMach, Disconnect); probs = // zero low normal high // VentMach Disconnect (((0.97, 0.01, 0.01, 0.01), // zero true (0.97, 0.01, 0.01, 0.01)), // zero false ((0.97, 0.01, 0.01, 0.01), // low true (0.01, 0.97, 0.01, 0.01)), // low false ((0.97, 0.01, 0.01, 0.01), // normal true (0.01, 0.01, 0.97, 0.01)), // normal false ((0.97, 0.01, 0.01, 0.01), // high true (0.01, 0.01, 0.01, 0.97))); // high false ; title = "Vent Tube"; whenchanged = 1084561870; visual V1 { center = (1314, 234); height = 17; }; }; node VentLung { kind = NATURE; discrete = TRUE; chance = CHANCE; states = (zero, low, normal, high); parents = (KinkedTube, VentTube, Intubation); probs = // zero low normal high // KinkedTube VentTube Intubation ((((0.97, 0.01, 0.01, 0.01), // true zero normal (0.97, 0.01, 0.01, 0.01), // true zero esophageal (0.97, 0.01, 0.01, 0.01)), // true zero one sided ((0.95, 0.03, 0.01, 0.01), // true low normal (0.97, 0.01, 0.01, 0.01), // true low esophageal (0.95, 0.03, 0.01, 0.01)), // true low one sided ((0.4, 0.58, 0.01, 0.01), // true normal normal (0.97, 0.01, 0.01, 0.01), // true normal esophageal (0.5, 0.48, 0.01, 0.01)), // true normal one sided ((0.3, 0.68, 0.01, 0.01), // true high normal (0.97, 0.01, 0.01, 0.01), // true high esophageal (0.3, 0.68, 0.01, 0.01))), // true high one sided (((0.97, 0.01, 0.01, 0.01), // false zero normal (0.97, 0.01, 0.01, 0.01), // false zero esophageal (0.97, 0.01, 0.01, 0.01)), // false zero one sided ((0.01, 0.97, 0.01, 0.01), // false low normal (0.97, 0.01, 0.01, 0.01), // false low esophageal (0.01, 0.97, 0.01, 0.01)), // false low one sided ((0.01, 0.01, 0.97, 0.01), // false normal normal (0.97, 0.01, 0.01, 0.01), // false normal esophageal (0.01, 0.01, 0.97, 0.01)), // false normal one sided ((0.01, 0.01, 0.01, 0.97), // false high normal (0.97, 0.01, 0.01, 0.01), // false high esophageal (0.01, 0.01, 0.01, 0.97)))); // false high one sided ; title = "Vent Lung"; whenchanged = 1084561748; visual V1 { center = (1134, 234); height = 7; }; }; node VentAlv { kind = NATURE; discrete = TRUE; chance = CHANCE; states = (zero, low, normal, high); parents = (Intubation, VentLung); probs = // zero low normal high // Intubation VentLung (((0.97, 0.01, 0.01, 0.01), // normal zero (0.01, 0.97, 0.01, 0.01), // normal low (0.01, 0.01, 0.97, 0.01), // normal normal (0.01, 0.01, 0.01, 0.97)), // normal high ((0.97, 0.01, 0.01, 0.01), // esophageal zero (0.01, 0.97, 0.01, 0.01), // esophageal low (0.01, 0.01, 0.97, 0.01), // esophageal normal (0.01, 0.01, 0.01, 0.97)), // esophageal high ((0.97, 0.01, 0.01, 0.01), // one sided zero (0.03, 0.95, 0.01, 0.01), // one sided low (0.01, 0.94, 0.04, 0.01), // one sided normal (0.01, 0.88, 0.1, 0.01))); // one sided high ; title = "Vent Alv"; whenchanged = 1084561624; visual V1 { center = (954, 234); height = 6; }; }; node FiO2 { kind = NATURE; discrete = TRUE; chance = CHANCE; states = (low, normal); parents = (); probs = // low normal (0.01, 0.99); title = "FiO2"; whenchanged = 1084561797; visual V1 { center = (1134, 444); height = 39; }; }; node PVSat { kind = NATURE; discrete = TRUE; chance = CHANCE; states = (low, normal, high); parents = (VentAlv, FiO2); probs = // low normal high // VentAlv FiO2 (((0.98, 0.01, 0.01), // zero low (0.98, 0.01, 0.01)), // zero normal ((0.98, 0.01, 0.01), // low low (0.98, 0.01, 0.01)), // low normal ((0.95, 0.04, 0.01), // normal low (0.01, 0.95, 0.04)), // normal normal ((0.95, 0.04, 0.01), // high low (0.01, 0.01, 0.98))); // high normal ; title = "PVSat"; comment = "PASAT = Pulmonary artery oxygen saturation"; whenchanged = 1084561683; visual V1 { center = (912, 468); height = 10; link 1 { path = ((945, 244), (864, 318), (864, 384), (907, 459)); }; }; }; node SaO2 { kind = NATURE; discrete = TRUE; chance = CHANCE; states = (low, normal, high); parents = (Shunt, PVSat); probs = // low normal high // Shunt PVSat (((0.98, 0.01, 0.01), // normal low (0.01, 0.98, 0.01), // normal normal (0.01, 0.01, 0.98)), // normal high ((0.98, 0.01, 0.01), // high low (0.98, 0.01, 0.01), // high normal (0.69, 0.3, 0.01))); // high high ; title = "SaO2"; whenchanged = 1084561559; visual V1 { center = (774, 354); height = 4; link 2 { path = ((901, 459), (784, 364)); }; }; }; node Anaphylaxis { kind = NATURE; discrete = TRUE; chance = CHANCE; states = (true, false); parents = (); probs = // true false (0.01, 0.99); title = "Anaphylaxis"; whenchanged = 1084560965; visual V1 { center = (102, 390); height = 37; }; }; node TPR { kind = NATURE; discrete = TRUE; chance = CHANCE; states = (low, normal, high); parents = (Anaphylaxis); probs = // low normal high // Anaphylaxis ((0.98, 0.01, 0.01), // true (0.3, 0.4, 0.3)); // false ; title = "Peripheral Resistance"; whenchanged = 1084562282; visual V1 { center = (288, 390); height = 34; }; }; node ArtCO2 { kind = NATURE; discrete = TRUE; chance = CHANCE; states = (low, normal, high); parents = (VentAlv); probs = // low normal high // VentAlv ((0.01, 0.01, 0.98), // zero (0.01, 0.01, 0.98), // low (0.04, 0.92, 0.04), // normal (0.9, 0.09, 0.01)); // high ; title = "ArtCO2"; whenchanged = 1084561651; visual V1 { center = (954, 354); height = 29; }; }; node Catechol { kind = NATURE; discrete = TRUE; chance = CHANCE; states = (normal, high); parents = (InsuffAnesth, SaO2, TPR, ArtCO2); probs = // normal high // InsuffAnesth SaO2 TPR ArtCO2 (((((0.01, 0.99), // true low low low (0.01, 0.99), // true low low normal (0.01, 0.99)), // true low low high ((0.01, 0.99), // true low normal low (0.01, 0.99), // true low normal normal (0.01, 0.99)), // true low normal high ((0.01, 0.99), // true low high low (0.01, 0.99), // true low high normal (0.01, 0.99))), // true low high high (((0.01, 0.99), // true normal low low (0.01, 0.99), // true normal low normal (0.01, 0.99)), // true normal low high ((0.01, 0.99), // true normal normal low (0.01, 0.99), // true normal normal normal (0.01, 0.99)), // true normal normal high ((0.05, 0.95), // true normal high low (0.05, 0.95), // true normal high normal (0.01, 0.99))), // true normal high high (((0.01, 0.99), // true high low low (0.01, 0.99), // true high low normal (0.01, 0.99)), // true high low high ((0.05, 0.95), // true high normal low (0.05, 0.95), // true high normal normal (0.01, 0.99)), // true high normal high ((0.05, 0.95), // true high high low (0.05, 0.95), // true high high normal (0.01, 0.99)))), // true high high high ((((0.05, 0.95), // false low low low (0.05, 0.95), // false low low normal (0.01, 0.99)), // false low low high ((0.05, 0.95), // false low normal low (0.05, 0.95), // false low normal normal (0.01, 0.99)), // false low normal high ((0.05, 0.95), // false low high low (0.05, 0.95), // false low high normal (0.01, 0.99))), // false low high high (((0.1, 0.9), // false normal low low (0.1, 0.9), // false normal low normal (0.1, 0.9)), // false normal low high ((0.95, 0.05), // false normal normal low (0.95, 0.05), // false normal normal normal (0.3, 0.7)), // false normal normal high ((0.95, 0.05), // false normal high low (0.95, 0.05), // false normal high normal (0.3, 0.7))), // false normal high high (((0.95, 0.05), // false high low low (0.95, 0.05), // false high low normal (0.3, 0.7)), // false high low high ((0.99, 0.00999999), // false high normal low (0.99, 0.00999999), // false high normal normal (0.99, 0.00999999)), // false high normal high ((0.95, 0.05), // false high high low (0.99, 0.00999999), // false high high normal (0.3, 0.7))))); // false high high high ; title = "Catecholamine"; whenchanged = 1084561217; visual V1 { center = (576, 252); height = 16; link 3 { path = ((324, 381), (456, 348), (565, 262)); }; link 4 { path = ((950, 345), (930, 300), (690, 300), (597, 262)); }; }; }; node HR { kind = NATURE; discrete = TRUE; chance = CHANCE; states = (low, normal, high); parents = (Catechol); probs = // low normal high // Catechol ((0.1, 0.89, 0.01), // normal (0.01, 0.09, 0.9)); // high ; title = "Heart Rate"; whenchanged = 1084561232; visual V1 { center = (576, 360); height = 15; }; }; node CO { kind = NATURE; discrete = TRUE; chance = CHANCE; states = (low, normal, high); parents = (HR, StrokeVolume); probs = // low normal high // HR StrokeVolume (((0.98, 0.01, 0.01), // low low (0.95, 0.04, 0.01), // low normal (0.3, 0.69, 0.01)), // low high ((0.95, 0.04, 0.01), // normal low (0.04, 0.95, 0.01), // normal normal (0.01, 0.3, 0.69)), // normal high ((0.8, 0.19, 0.01), // high low (0.01, 0.04, 0.95), // high normal (0.01, 0.01, 0.98))); // high high ; title = "Cardiac Output"; whenchanged = 1166677673; visual V1 { center = (384, 282); height = 22; link 1 { path = ((555, 351), (406, 292)); }; }; }; node History { kind = NATURE; discrete = TRUE; chance = CHANCE; states = (true, false); parents = (LVFailure); probs = // true false // LVFailure ((0.9, 0.1), // true (0.01, 0.99)); // false ; title = "History"; whenchanged = 1084560331; visual V1 { center = (462, 96); height = 24; }; }; node BP { kind = NATURE; discrete = TRUE; chance = CHANCE; states = (low, normal, high); parents = (CO, TPR); probs = // low normal high // CO TPR (((0.98, 0.01, 0.01), // low low (0.98, 0.01, 0.01), // low normal (0.3, 0.6, 0.1)), // low high ((0.98, 0.01, 0.01), // normal low (0.1, 0.85, 0.05), // normal normal (0.05, 0.4, 0.55)), // normal high ((0.9, 0.09, 0.01), // high low (0.05, 0.2, 0.75), // high normal (0.01, 0.09, 0.9))); // high high ; title = "Blood Pressure"; whenchanged = 1084561105; visual V1 { center = (384, 486); height = 32; }; }; node ErrCauter { kind = NATURE; discrete = TRUE; chance = CHANCE; states = (true, false); parents = (); probs = // true false (0.1, 0.9); title = "Error Cauter"; whenchanged = 1084561572; visual V1 { center = (726, 444); height = 5; }; }; node HREKG { kind = NATURE; discrete = TRUE; chance = CHANCE; states = (low, normal, high); parents = (HR, ErrCauter); probs = // low normal high // HR ErrCauter (((0.3333333, 0.3333333, 0.3333333), // low true (0.98, 0.01, 0.01)), // low false ((0.3333333, 0.3333333, 0.3333333), // normal true (0.01, 0.98, 0.01)), // normal false ((0.3333333, 0.3333333, 0.3333333), // high true (0.01, 0.01, 0.98))); // high false ; title = "HREKG"; whenchanged = 1084561258; visual V1 { center = (576, 570); height = 13; }; }; node HRSat { kind = NATURE; discrete = TRUE; chance = CHANCE; states = (low, normal, high); parents = (HR, ErrCauter); probs = // low normal high // HR ErrCauter (((0.3333333, 0.3333333, 0.3333333), // low true (0.98, 0.01, 0.01)), // low false ((0.3333333, 0.3333333, 0.3333333), // normal true (0.01, 0.98, 0.01)), // normal false ((0.3333333, 0.3333333, 0.3333333), // high true (0.01, 0.01, 0.98))); // high false ; title = "HRSat"; whenchanged = 1084561292; visual V1 { center = (765, 570); height = 14; link 1 { path = ((579, 370), (633, 500), (749, 561)); }; }; }; node ErrLowOutput { kind = NATURE; discrete = TRUE; chance = CHANCE; states = (true, false); parents = (); probs = // true false (0.05, 0.95); title = "Error Low Ouput"; whenchanged = 1084560981; visual V1 { center = (192, 570); height = 36; }; }; node HRBP { kind = NATURE; discrete = TRUE; chance = CHANCE; states = (low, normal, high); parents = (ErrLowOutput, HR); probs = // low normal high // ErrLowOutput HR (((0.98, 0.01, 0.01), // true low (0.4, 0.59, 0.01), // true normal (0.3, 0.4, 0.3)), // true high ((0.98, 0.01, 0.01), // false low (0.01, 0.98, 0.01), // false normal (0.01, 0.01, 0.98))); // false high ; title = "HRBP"; whenchanged = 1084561150; visual V1 { center = (387, 570); height = 12; link 2 { path = ((573, 370), (526, 507), (406, 561)); }; }; }; node ExpCO2 { kind = NATURE; discrete = TRUE; chance = CHANCE; states = (zero, low, normal, high); parents = (ArtCO2, VentLung); probs = // zero low normal high // ArtCO2 VentLung (((0.97, 0.01, 0.01, 0.01), // low zero (0.01, 0.97, 0.01, 0.01), // low low (0.01, 0.97, 0.01, 0.01), // low normal (0.01, 0.97, 0.01, 0.01)), // low high ((0.97, 0.01, 0.01, 0.01), // normal zero (0.01, 0.01, 0.97, 0.01), // normal low (0.01, 0.01, 0.97, 0.01), // normal normal (0.01, 0.01, 0.97, 0.01)), // normal high ((0.97, 0.01, 0.01, 0.01), // high zero (0.01, 0.01, 0.01, 0.97), // high low (0.01, 0.01, 0.01, 0.97), // high normal (0.01, 0.01, 0.01, 0.97))); // high high ; title = "ExpCO2"; whenchanged = 1084561782; visual V1 { center = (1134, 354); height = 30; }; }; node PAP { kind = NATURE; discrete = TRUE; chance = CHANCE; states = (low, normal, high); parents = (PulmEmbolus); probs = // low normal high // PulmEmbolus ((0.01, 0.19, 0.8), // true (0.05, 0.9, 0.05)); // false ; title = "Pulmonary Pressure"; whenchanged = 1084561458; visual V1 { center = (774, 168); height = 25; }; }; node Press { kind = NATURE; discrete = TRUE; chance = CHANCE; states = (zero, low, normal, high); parents = (KinkedTube, Intubation, VentTube); probs = // zero low normal high // KinkedTube Intubation VentTube ((((0.97, 0.01, 0.01, 0.01), // true normal zero (0.01, 0.49, 0.3, 0.2), // true normal low (0.01, 0.01, 0.08, 0.9), // true normal normal (0.01, 0.01, 0.01, 0.97)), // true normal high ((0.97, 0.01, 0.01, 0.01), // true esophageal zero (0.1, 0.84, 0.05, 0.01), // true esophageal low (0.05, 0.25, 0.25, 0.45), // true esophageal normal (0.01, 0.15, 0.25, 0.59)), // true esophageal high ((0.97, 0.01, 0.01, 0.01), // true one sided zero (0.01, 0.29, 0.3, 0.4), // true one sided low (0.01, 0.01, 0.08, 0.9), // true one sided normal (0.01, 0.01, 0.01, 0.97))), // true one sided high (((0.97, 0.01, 0.01, 0.01), // false normal zero (0.01, 0.97, 0.01, 0.01), // false normal low (0.01, 0.01, 0.97, 0.01), // false normal normal (0.01, 0.01, 0.01, 0.97)), // false normal high ((0.97, 0.01, 0.01, 0.01), // false esophageal zero (0.4, 0.58, 0.01, 0.01), // false esophageal low (0.2, 0.75, 0.04, 0.01), // false esophageal normal (0.2, 0.7, 0.09, 0.01)), // false esophageal high ((0.97, 0.01, 0.01, 0.01), // false one sided zero (0.01, 0.9, 0.08, 0.01), // false one sided low (0.01, 0.01, 0.38, 0.6), // false one sided normal (0.01, 0.01, 0.01, 0.97)))); // false one sided high ; title = "Breathing Pressure"; whenchanged = 1084561984; visual V1 { center = (1500, 354); height = 21; link 1 { path = ((1155, 123), (1260, 78), (1590, 78), (1590, 270), (1509, 345)); }; link 2 { path = ((992, 79), (1146, 54), (1608, 54), (1608, 276), (1512, 345)); }; link 3 { path = ((1327, 244), (1486, 345)); }; }; }; node MinVol { kind = NATURE; discrete = TRUE; chance = CHANCE; states = (zero, low, normal, high); parents = (VentLung, Intubation); probs = // zero low normal high // VentLung Intubation (((0.97, 0.01, 0.01, 0.01), // zero normal (0.97, 0.01, 0.01, 0.01), // zero esophageal (0.97, 0.01, 0.01, 0.01)), // zero one sided ((0.01, 0.97, 0.01, 0.01), // low normal (0.6, 0.38, 0.01, 0.01), // low esophageal (0.01, 0.97, 0.01, 0.01)), // low one sided ((0.01, 0.01, 0.97, 0.01), // normal normal (0.5, 0.48, 0.01, 0.01), // normal esophageal (0.01, 0.01, 0.97, 0.01)), // normal one sided ((0.01, 0.01, 0.01, 0.97), // high normal (0.5, 0.48, 0.01, 0.01), // high esophageal (0.01, 0.01, 0.01, 0.97))); // high one sided ; title = "MinVol"; whenchanged = 1084561892; visual V1 { center = (1314, 354); height = 9; link 2 { path = ((966, 94), (1080, 174), (1224, 174), (1224, 282), (1303, 345)); }; }; }; node TITLE1 { kind = CONSTANT; discrete = FALSE; parents = (); title = "A Logical Alarm Reduction Mechanism [Alarm]"; whenchanged = 1084560178; visual V1 { center = (1218, 552); font = font {shape= "Times New Roman"; size= 18;}; height = 23; }; }; node TITLE2 { kind = CONSTANT; discrete = FALSE; parents = (); title = "Edited for style and distributed by Norsys Software Corp."; whenchanged = 1084571436; visual V1 { center = (1152, 576); font = font {shape= "Times New Roman"; size= 11;}; height = 38; }; }; ElimOrder = (History, Anaphylaxis, PAP, CVP, PCWP, LVEDVolume, Hypovolemia, LVFailure, PulmEmbolus, MinVolSet, HREKG, ErrCauter, HRSat, ErrLowOutput, HRBP, FiO2, StrokeVolume, HR, BP, CO, VentMach, Disconnect, ExpCO2, MinVol, Shunt, Press, KinkedTube, VentTube, InsuffAnesth, TPR, Catechol, SaO2, PVSat, Intubation, VentLung, VentAlv, ArtCO2); };