{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T16:56:05Z","timestamp":1770742565490,"version":"3.49.0"},"reference-count":10,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,3,19]],"date-time":"2024-03-19T00:00:00Z","timestamp":1710806400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,3,19]],"date-time":"2024-03-19T00:00:00Z","timestamp":1710806400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Med Case Reports"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Most of critically ventilated patients with severe hemorrhagic shock experience metabolic acidosis, hypoalbuminemia, electrolyte imbalance, and increased production of free radical. <jats:italic>Channa striata<\/jats:italic> has a high content of albumin, an essential binding protein that contributes to homeostasis, and when combined with <jats:italic>Moringa oleifera<\/jats:italic> and <jats:italic>Curcuma xanthorrhiza<\/jats:italic>, they act as powerful antioxidants. Administration of <jats:italic>C. striata<\/jats:italic>, <jats:italic>M. oleifera<\/jats:italic>, and <jats:italic>C. xanthorrhiza<\/jats:italic> extract orally may benefit patient with hemodynamic issues, including significant blood loss.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case report<\/jats:title>\n                <jats:p>A 40-year-old Indonesian woman came to emergency department with decreased consciousness resulting from hemorrhagic shock grade 3 due to prolonged placenta retention for 10\u00a0days after delivery of her third child. She had an emergency hysterectomy and was sent to the intensive care unit with a hemoglobin level of 4.2\u00a0gr\/dL, despite already receiving two bags of packed red blood cells during operation, and she continued with four more bags within her first day in the intensive care unit. The patient was ventilated, was supported by vasopressors, and had a low albumin level of 2.1\u00a0gr\/dL. Her hemodynamic profile was difficult to stabilize, with persistent gastric residue and periodic urine output less than 1\u00a0cc\/kg\/hour, thereby slowing the ventilator and vasopressor weaning process. Oral supplementation of <jats:italic>C. striata<\/jats:italic>, <jats:italic>M. oleifera<\/jats:italic>, and <jats:italic>C. xanthorrhiza<\/jats:italic> was given in the second day divided in three doses every 6\u00a0hours. After the second dose, gastric residue started to subside and disappeared after the third dose. The patient\u2019s condition improved in the next 24\u00a0hours; she was extubated and discharged from the hospital in the fourth day.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>This is the first case report describing the effect of <jats:italic>C. striata<\/jats:italic>, <jats:italic>M. oleifera<\/jats:italic>, and <jats:italic>C. xanthorrhiza<\/jats:italic> extract in a patient with severe hemorrhagic shock due to a prolonged placenta. Accelerated recovery showed the possibility benefit of <jats:italic>C. striata<\/jats:italic>, <jats:italic>M. oleifera<\/jats:italic>, and <jats:italic>C. xanthorrhiza<\/jats:italic> extract in stabilizing oncotic pressure, neutralizing free radicals, and preventing further damage in hypoxic cells.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s13256-024-04360-2","type":"journal-article","created":{"date-parts":[[2024,3,19]],"date-time":"2024-03-19T01:02:20Z","timestamp":1710810140000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["The effect of Channa striata, Moringa oleifera, and Curcuma xanthorrhiza extract on accelerating recovery in a ventilated patient with hemorrhagic shock grade 3 due to prolonged retained placenta: a case report"],"prefix":"10.1186","volume":"18","author":[{"given":"Theresia Monica","family":"Rahardjo","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aloysius","family":"Suryawan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nadya Rosa Amelia","family":"Rumouw","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hizkia","family":"Santoso","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amadea Jovita Miko","family":"Faustin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,3,19]]},"reference":[{"key":"4360_CR1","doi-asserted-by":"publisher","first-page":"527","DOI":"10.2147\/IJWH.S218933","volume":"11","author":"NC Perlman","year":"2019","unstructured":"Perlman NC, Carusi DA. 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The patient gave written consent to participate in this case report.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Written informed consent was obtained from the patient for publication of this case report and any accompanying images. A copy of written consent is available for review by the Editor-in-Chief of this journal.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"We declare that this case report has no conflicts of interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"120"}}