Article Per Year (5 Year)
p-Index From 2021 - 2026
0.817
P-Index
This Author published in this journals
All Journal Jurnal Anestesiologi Indonesia Bali Journal of Anesthesiology Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia Majalah Anestesia & Critical Care (MACC)
Auerkari, Aino Nindya
Departemen Anestesiologi Dan Terapi Intensif, Fakultas Kedokteran Universitas Indonesia-RS Cipto Mangunkusumo
Biochemistry, Genetics & Molecular Biology Education Health Professions Medicine & Pharmacology Public Health Other

Published : 6 Documents Claim Missing Document
Claim Missing Document
Check
Articles

Found 6 Documents
Search

 1 
Estimation of surgical blood loss and transfusion requirements in orthopaedic soft tissue tumor surgery: associated factors Auerkari, Aino Nindya; Tantri, Aida Rosita; Alatas, Anas
Bali Journal of Anesthesiology Vol 3, No 2 (2019)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (306.902 KB) | DOI: 10.15562/bjoa.v3i2.156

Abstract

Over half of soft tissue tumor surgeries require intraoperative Packed Red Cell (PRC) transfusion. Transfusion should be sufficient, as inadequacy will increase risk of tissue ischemia, morbidity and mortality. On the other hand, liberal transfusion is related to infection, tumor recurrence, and immunosuppression. Therefore, good PRC planning measures in preoperative period are essential. Several factors that can be identified in the preoperative period, have been associated with surgical bleeding and transfusion in soft tissue tumor surgery. These factors are ASA score, preoperative hemoglobin (Hb) value, malignancy, size, and location of tumor. By acknowledging influencing factors, a system for predicting blood requirement can be established to promote patient safety and avoid waste. This study aimed to determine factors associated with surgical blood loss and intraoperative PRC transfusion.A retrospective cohort was analyzed on 84 records of orthopaedic soft tissue tumor surgery during 2014-2018. In all subjects, the aforementioned factors, amount of intraoperative bleeding and intraoperative PRC transfusion was recorded. Data was analyzed by linear regression to see the relationship of factors to the amount of bleeding and by logistic regression to assess the probability of receiving intraoperative PRC transfusions. A multivariate analysis identified tumor size as an independent determining factor of bleeding. In further analysis, it was found that tumor size and preoperative Hb value were predictors of the probability of requiring intraoperative PRC transfusion. 
Manajemen Anestesia pada Sindrom Hunter Nindya Auerkari, Aino; Ramlan, Andi Ade Wijaya
Majalah Kedokteran Indonesia Vol 69 No 10 (2019): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, V
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.69.10-2020-182

Abstract

Background: Hunter’s syndrome is characterized by congenital metabolic defect due to lysosomal enzyme deficiency. In this syndrome, glycosaminoglycans, a type of mucopolysaccharide cannot be metabolized, and therefore its deposit accumulates in tissue. This substrate deposits progressively over time and eventually interfere with organ function and causes symptoms. Multiple surgeries would be needed to counter its effect throughout patients’ life. Anesthesiologists are expected to prepare the patient for anesthesia, manage intraoperative, and provide postoperative care. The substrate accumulation on airway presents a special challenge for airway management. We describe a case of difficult airway management in a patient with Hunter’s Syndrome who was under enzyme therapy. The main airway challenge are short neck and limited neck extention. Glycosaminoglycans in joints, spine, and heart also require anesthetist’s attention. Drug metabolism in Hunter Syndrome may be different from normal. As this is a rare disease, patients with Hunter’s syndrome is recommended to undergo anesthesia with experienced anesthesiologist in health care facilities with experience in provide care for Hunter’s syndrome.
Faktor Prediktor Nyeri Pascabedah Sedang dan Berat di RSUPN Dr. Cipto Mangunkusumo Alfan Mahdi Nugroho; Aino Nindya Auerkari; Rizky Loviana Roza
Majalah Anestesia & Critical Care Vol 44 No 1 (2026): Februari
Publisher : Perhimpunan Dokter Spesialis Anestesiologi dan Terapi Intensif (PERDATIN) / The Indonesian Society of Anesthesiology and Intensive Care (INSAIC)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55497/majanestcricar.v44i1.494

Abstract

Pendahuluan: Prevalensi nyeri pascabedah di RSUPN Dr. Cipto Mangunkusumo tahun 2017 menunjukkan intensitas nyeri sedang (57,4%) dan nyeri berat (20,4%). Penelitian ini bertujuan untuk menentukan faktor prediktor nyeri pascabedah sedang dan berat, menganalisis hubungan, dan mengembangkan model prediksi nyeri pascabedah sedang dan berat. Metode: Penelitian ini menggunakan desain kohort prospektif pada 135 pasien yang menjalani pembedahan di RSUPN Dr. Cipto Mangunkusumo yang memenuhi kriteria inklusi. Setiap faktor prediktor dianalisis menggunakan analisis bivariat dan dilanjutkan dengan analisis multivariat menggunakan regresi logistik. Sistem skor prediksi dirangkum dari hasil analisis multivariat. Hasil: Risiko kejadian (RR) untuk setiap faktor prediktor yang diidentifikasi berdasarkan analisis bivariat yaitu tingkat kecemasan prabedah (RR: 3,32, 95% CI: 1,28 – 8,56), durasi pembedahan lebih dari 90 menit (RR: 7,23, 95% CI: 1,85 – 28,29), jenis pembedahan mayor (RR: 2,69, 95% CI: 1,58 – 4,57), konsumsi opioid intraoperatif (RR: 2,67, 95% CI: 1,68 – 4,25), dan jenis anestesi (RR: 2,37, 95% CI: 1,06 – 5,33). Analisis multivariat menunjukkan bahwa prediktor signifikan untuk nyeri pascabedah sedang hingga berat adalah tingkat kecemasan prabedah (p = 0,085, RR: 2,23, 95% CI: 0,87 – 5,54), durasi pembedahan (p = 0,056, RR: 3,92, 95% CI: 0,96 – 15,96), jenis pembedahan mayor (p = 0,061, RR: 1,63, 95% CI: 0,97 – 2,72), dan konsumsi opioid intraoperatif (p = 0,011, RR: 1,78, 95% CI: 1,14 – 2,78). Simpulan: Faktor prediktor nyeri pascabedah pada penelitian ini adalah tingkat kecemasan prabedah, jenis pembedahan, durasi pembedahan, dan konsumsi opioid intraoperatif. Persamaan regresi disusun berdasarkan empat faktor prediktor tersebut.
Rapid Response Systems as Secondary Responders to In-Hospital Clinical Deterioration: A Four-Year Observational Study Sidharta Kusuma Manggala; Andi Ade Wijaya Ramlan; Dita Aditianingsih; Riyadh Firdaus; Arief Cahyadi; Aino Nindya Auerkari; Noor Hafidz; Luther Holan Parasian; Adhrie Sugiarto; Yoan Devina; Aivi Mujono; Avisa Cetta Cresma
JAI (Jurnal Anestesiologi Indonesia) Vol 18, No 1 (2026): JAI (Jurnal Anestesiologi Indonesia)
Publisher : Perhimpunan Dokter Spesialis Anestesiologi dan Terapi Intensif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jai.v0i0.80762

Abstract

Background: In-hospital cardiac arrest (IHCA) is a major cause of preventable inpatient mortality, especially in low- and middle-income countries (LMICs) where rapid response systems (RRS) are still developing. Evidence regarding RRS performance in Indonesia is limited. This study evaluated the performance and operational challenges of an institutional RRS over four years at a large tertiary referral hospital in Jakarta.Objective: This study aimed to determine the proportion of immediate survival following RRS activation and to investigate secondary outcomes, including the association between activation indications and mortality, and system-level barriers.Methods: This retrospective observational cohort study included all inpatient RRS activations at Cipto Mangunkusumo National General Hospital (RSCM), Jakarta, Indonesia, from January 1, 2021, to December 31, 2024. Data from the hospital’s RRS registry were analyzed for activation triggers, interventions, immediate outcomes, and operational issues.Results: Among 246,367 inpatient admissions, there were 5,900 eligible inpatient RRS activations, yielding an activation rate of 23.9 per 1,000 admissions. Immediate survival occurred in 4,763 (80.7%) events, while 1,137 (19.3%) patients did not survive. Cardiac arrest (8.0%) and respiratory arrest (6.5%) were the strongest predictors of non-survival odds ratio (OR) 48.17 and 27.13 vs. red early warning score (EWS) reference, both p<0.001). Most activations occurred out of hours (63.0%), and mortality was significantly higher (71.3% vs. 61.1%; p < 0.001). The most frequent single-parameter triggers were oxygen saturation ≤90% (38.5%) and sudden deterioration of consciousness (15.8%). Mismatched activations, where the patient’s condition upon team arrival differed from the activation indicationwere strongly associated with higher mortality (OR 17.3, 95% confidence interval (CI) 14.3–20.2, p<0.001).Conclusion: The institutional RRS demonstrated a moderate activation rate and favorable immediate survival compared with similar LMIC settings. However, outcomes were influenced by delayed recognition, out-of-hours activation, and limited critical-care capacity. Strengthening early-escalation culture, monitoring afferent-limb failure (ALF), expanding nighttime coverage, and increasing intensive care unit (ICU) capacity are essential to enhance RRS effectiveness and reduce preventable in-hospital mortality in resource-limited settings.
Pengukuran Kadar Oksigenasi Otak: Teknik mana yang terbaik? Aino Nindya Auerkari
Majalah Anestesia & Critical Care Vol 41 No 2 (2023): Juni
Publisher : Perhimpunan Dokter Spesialis Anestesiologi dan Terapi Intensif (PERDATIN) / The Indonesian Society of Anesthesiology and Intensive Care (INSAIC)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55497/majanestcricar.v41i2.331

Abstract

Oksigen merupakan prasyarat respirasi sel manusia, dan kemampuan sel menggunakan oksigen adalah penanda utama vitalitas sel. Dengan prinsip ini, berbagai teknik telah dikembangkan untuk memantau kadar oksigen dalam sel atau jaringan. Bila dapat dikuantifikasi, perubahan kadar oksigen dapat dideteksi dan ditindaklanjuti dengan cepat untuk mencegah kerusakan jaringan. Bagi pasien sakit kritis dengan penurunan kesadaran, pencegahan kerusakan jaringan otak sekunder sangat penting karena berhubungan dengan prognosis fungsional. Selain itu, di kamar operasi, pemantauan oksigenasi otak dapat mengarahkan anestesiologis dalam menentukan teknik pembiusan.
Anestesia Bedah Oftalmologi: Peran Anestesia Regional Aino Nindya Auerkari
Majalah Anestesia & Critical Care Vol 43 No 1 (2025): Februari
Publisher : Perhimpunan Dokter Spesialis Anestesiologi dan Terapi Intensif (PERDATIN) / The Indonesian Society of Anesthesiology and Intensive Care (INSAIC)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55497/majanestcricar.v43i1.438

Abstract

Kemajuan teknologi bedah oftalmologi memungkinkan banyak prosedur dilakukan secara one-day care. Seiring dengan meningkatnya populasi lanjut usia dan bayi prematur, permintaan akan teknik anestesia yang lebih aman dan minim efek sistemik terus bertambah. Hal ini menuntut spesialis anestesiologi untuk terus menyempurnakan teknik anestesia, dengan mempertimbangkan kebutuhan pasien, kondisi pembedahan, dan preferensi operator. Pilihan anestesia untuk bedah mata mencakup anestesia topikal, regional, sedasi, umum, atau kombinasi. Anestesia lokoregional banyak digunakan karena prosedur oftalmologi umumnya singkat dan bersifat ambulatori, memungkinkan pemulihan cepat. Teknik ini juga bermanfaat bagi pasien berisiko tinggi dan tidak memerlukan puasa. Beberapa teknik lokoregional yang digunakan antara lain blok retrobulbar, peribulbar, dan subtenon. Blok retrobulbar mulai ditinggalkan karena risiko komplikasi yang lebih tinggi, sementara blok peribulbar dan subtenon lebih disukai karena efektivitas dan keamanannya. Blok subtenon menggunakan kanula tumpul, mengurangi risiko perforasi bola mata dan toksisitas obat. Teknik ini lebih aman bagi pasien dengan terapi antikoagulan, meskipun dapat menyebabkan perdarahan subkonjungtiva atau kemosis. Studi terbaru menunjukkan superioritas blok subtenon dibandingkan peribulbar dalam pembedahan vitreoretina, meskipun adopsi teknik ini masih menghadapi tantangan. Kurangnya familiaritas, hambatan operasional, dan biaya alat menjadi kendala utama. Di Indonesia, perkembangan anestesia oftalmik semakin pesat, didukung oleh PERDATIN dan peningkatan pelatihan serta penelitian. Pemahaman mendalam mengenai berbagai teknik anestesia sangat penting agar anestesiolog dapat memilih metode yang optimal bagi setiap pasien, meningkatkan efisiensi layanan, dan menjamin keselamatan pasien bedah mata.
Co-Authors Aivi Mujono Alatas, Anas Alfan Mahdi Nugroho Andi Ade Wijaya Ramlan Arief Cahyadi Avisa Cetta Cresma Dita Aditianingsih Luther Holan Parasian Manggala, Sidharta Kusuma Noor Hafidz Riyadh Firdaus Rizky Loviana Roza Sugiarto, Adhrie Tantri, Aida Rosita Yoan Devina