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The Role of Transdermal Carbon Dioxide in Malondialdehyde Level as Predictor of Ischemia Reperfusion Injury in Patients Underwent Abdominal Aortic Temporary Cross Clamp
Abdominal aortic temporary cross clamping procedures in patients with placenta accreta undergoing hysterectomy have been performed at Dr. Soetomo Hospital Surabaya for a period of 4 years. In the aortic cross-clamping procedure, an ischemic condition occurs, after the cross-clamp is released the distal tissue from the occlusion which was initially in an ischemic state gets blood flow suddenly (reperfusion) causing Ischemia Reperfusion Injury. This study aims to determine the effect of transdermal administration of carbon dioxide (CO2) as a protective factor for ischemia reperfusion injury in patients undergoing Abdominal Aorta Temporary Cross Clamp. The design of this study is experimental in patients who underwent Abdominal Aorta Temporary Cross Clamp. Subjects were divided into two groups. The first group was treated with CO2 transdermal administration and the second group was the control group.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Treatment group | Experimental | Subjects will be treated with liquid carbon dioxide (D'oxyva) administered transdermally on the thumb after the Aortic Cross Clamp is removed |
|
| Control group | No Intervention | Subject will not be treated with liquid carbon dioxide (D'oxyva) |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| D'Oxyva | Drug | The transdermal CO2 was administered via non-invasive vaporization technique accommodated by deoxyhemoglobin vasodilator (D'Oxyva) |
|
| Measure | Description | Time Frame |
|---|---|---|
| Malondyaldehyde | The malondyaldehyde concentration of the patient's serum measured by ELISA test method | Basal, 1 hour after aortic cross clamp off |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hari Daswin Pagehgiri | Recruiting | Surabaya | Bali | 80116 | Indonesia |
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| ID | Term |
|---|---|
| D010921 | Placenta Accreta |
| ID | Term |
|---|---|
| D007744 | Obstetric Labor Complications |
| D011248 | Pregnancy Complications |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
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Subjects will be divided into two groups. The first group is treated with CO2 transdermal administration and the second group is the control group.
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| D010922 | Placenta Diseases |