Baska Mask versus I-gel in Spontaneously Breathing Anaesthetised Patients: A Randomised Clinical Study
Introduction: Supraglottic Airway Devices (SGAD) are effective substitutes for general anaesthesia with endotracheal intubation. Compared to endotracheal intubation, these SGADs provide haemodynamic stability and lesser airway morbidity. Now-a-days, second and third generation SGADs, differing in th...
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| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Private Limited
2025-01-01
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| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://www.jcdr.net/articles/PDF/20539/73936_CE[Ra1]_QC(AnK)_F(SHU)_PF1(VD_SS_OM)_redo_PFA(IS)_PB(VD_IS)_PN(IS).pdf |
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| Summary: | Introduction: Supraglottic Airway Devices (SGAD) are effective substitutes for general anaesthesia with endotracheal intubation. Compared to endotracheal intubation, these SGADs provide haemodynamic stability and lesser airway morbidity. Now-a-days, second and third generation SGADs, differing in their design, have been used in clinical practice due to their better clinical performance. The Baska mask, which belongs to the third generation of SGADs, has features that assist in the aspiration of gastric content and provide higher oropharyngeal leak pressure. Its unique design claims suitability for use in spontaneously breathing anaesthetised patients. Hence, the present study was conducted to compare the performance of the Baska mask and the I-gel.
Aim: To compare the Baska mask and I-gel in terms of ease of insertion, haemodynamic stability, oropharyngeal sealing pressure at five minutes and 30 minutes post-placement, and post-extubation complications.
Materials and Methods: A prospective randomised single-blinded study was conducted in the Department of Anaesthesiology, Sree Balaji Medical College and Hospital, Chennai, Tamil Nadu, India from October 2019 to October 2020 on 60 American Soceity of Anaesthesiology (ASA) physical status I and II patients, aged between 18-65 years, who were scheduled for minor surgical procedures while spontaneously breathing under general anaesthesia. These patients were randomly assigned to either the Baska group (Group B) or the I-gel group (Group I) using computer-generated random numbers. Both groups were compared with respect to airway pressure, sealing pressure, ease of insertion of the device, number of attempts to insert, haemodynamic changes during and after insertion, and any complications. The outcomes were analysed using statistical software Statistical Package for Social Sciences (SPSS) version 23.0 and repeated measures Analysis of Variance (ANOVA) was applied to find the relationship between the two groups.
Results: It was observed that the I-gel mask was easier to insert compared to the Baska mask (p=0.03). The first-attempt success rate for the Baska mask was lower compared to the I-gel group (p=0.03). However, the Baska mask provided higher airway sealing pressure (p=0.04) and a good seal in spontaneously breathing anaesthetised patients.
Conclusion: Based on the results of present study, it can be concluded that the Baska mask provided better sealing pressure, which was beneficial in spontaneously breathing anaesthetised patients. However, the I-gel mask was superior to the Baska mask in terms of ease of insertion, shorter insertion time, and negligible postoperative complications. |
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| ISSN: | 2249-782X 0973-709X |