A comparative study of supraglottic airway devices Baska mask and ProSeal-laryngeal mask airway in short gynaecological procedures

Abstract

Background: Baska Mask® (BM) a newer Supraglottic Airway Device (SAD) considered to cause low incidence of Postoperative Pharyngolaryngeal Complications (POPC). This study was designed to assess efficacy, safety and early and late POPC between BM and commonly use ProSeal LMA (PMLA).Methods: Patients between 18 to 60 years of age undergoing elective short gynecological procedures were randomized into two groups, to receive ventilation with either BM (group 1, n=50) or an PMLA (group 2, n=50).Results: There was no significant difference in the ease of insertion for both the devices (p<0.24). There was no significant difference in the number of attempts for both the devices (p<0.69). When compared to PLMA, the time (in seconds) required for insertion of BM was significantly less in duration (20.9 vs. 16) (p<0.0001). Between the two groups significant hemodynamic changes noticed after removal of SGA. The blood staining of device was similar in both groups. Failure to place device, postoperative complication like laryngospasm and bronchospasm did not occur in both BM and PLMA groups.Conclusions: In conclusion, findings of this study support that BM takes significantly shorter placement time and provides a better seal as compared to PLMA but without any reduction in laryngopharyngeal complications.

An Analysis of the Comparative Efficacy Between a Third-Generation and a Second-Generation Supraglottic Airway Device in Patients Undergoing Laparoscopic Cholecystectomy

“…The ease of insertion between the two groups was comparable with a p-value of 0.284. Our results were similar to the findings of Kachakayala et al They also found the ease of insertion comparable between these two devices [ 6 ]. In the BM group, 23.33% of patients required manipulation, while 10% of patients required manipulation in the LMA-P group.…”

“…Our results suggested that the mean time for insertion in the BM group (25.33 ±3.62 seconds) was comparatively shorter than that in the LMA-P group (28.77 ±6.6 seconds) (p=0.004), which is very similar to the findings in other studies [5][6][7][8][9][10]. The reason behind the quick and easy insertion of BM may be attributed to its manufacturing design, which includes a cuffless membrane and a tab to increase the palatopharyngeal curve to assist insertion.…”

Comparison of Baska Mask Versus Proseal Laryngeal Mask Airway in Elective Surgeries Under General Anaesthesia: A Randomized Clinical Trial

“…A cuffless membrane of BM with an additional tap can be pulled to increase the curvature, aiding its insertion fast and efficiently into the oropharyngeal cavity [9]. Several studies over the years have favored our findings [10,11]. A study by Balwinderjit et al found that, in terms of mean insertion time, the BM (14.25±3.82 seconds) took less time to insert than PLMA (22.01±2.64 seconds) [3].…”

Laryngeal mask versus intubation on adverse reactions in pediatric retinoblastoma patients

“…The laryngeal mask airway and endotracheal tube are the classic tools to management the airway of children receiving general anesthesia. In a systematic review and meta-analysis covering 1,433 patients undergoing laparoscopic surgery, LMA was found to permit more stable perioperative haemodynamic parameters and less stress than endotracheal intubation [11]. For ophthalmic surgery in pediatric patients, the use of an LMA is also bene cial for less uctuation in intraocular pressure [12].…”