Supraglottic airway devices in short gynecological procedures: A randomized, clinical study comparing the Baska^® mask and I-Gel^® device

Abstract

Background: Supraglottic airway devices are used for anesthesia in elective surgical procedures circumventing the need for intubation. We investigated the efficacy and safety of Baska ® mask in comparison to an I-Gel ® device. Methods: In this cross-sectional, observational study, we randomized 100 female patients (age 18–45 years, American Society of Anaesthesiologists grade I or II) undergoing elective short gynecological procedures into two groups, to receive ventilation with either Baska mask ® (group 1, n = 50) or an I-Gel ® device (group 2, n = 50). We excluded patients with obesity, short neck, and known systemic and upper airway disorders. The primary outcome was the oropharyngeal airway seal pressure, and the secondary outcomes were the ease of insertion and the complication rate. The results were analyzed using Mann–Whitney U -test and Fisher's exact test, and correlation analysis was done by Spearman's correlation test. Results: A total of 56 patients underwent dilatation and curettage, whereas the remaining had hysteroscopy in the study. The airway seal pressure achieved was higher with Baska ® mask than I-Gel ® device (35.8 ± 10.3 and 26.9 ± 7.5 of cm H 2 O, respectively; P < 0.0001). The ease of insertion ( P < 0.0001) was better in group 1 and the complication rates were similar in both the groups ( P > 0.05). Conclusion: Baska ® mask offers a superior airway seal pressure with minimum complications in comparison to an I-Gel ® device. Further studies with a large number of patients in different surgical settings are required to confirm our findings.

Comparison of the LMA Protector and the Baska Mask in Retrograde Ureteroscopic Surgery: A Prospective Randomized Clinical Study

“…A study found the insertion time to be 7 s, however, they did not confirm ventilation in females. 4 Insertion time of the Baska mask took 14 s in our study which was identical to previous literature that found 14-16 s insertion times for the Baska mask. 1,[5][6][7][8] Some other studies showed 21-24 s insertion times for the Baska mask.…”

Efficacy of Baska mask as an alternative airway device to endotracheal tube in patients undergoing laparoscopic surgeries under controlled ventilation

“…Baska ® mask was found to offer a superior airway seal pressure with minimum complications in comparison to an I-Gel ® device. [ 14 15 16 ] In another study it was found that though first attempt insertion success rate with Baska mask was 88% additional manoeuvres were necessary in 44% of the cases. Baska mask size 3 needed significantly less adjustments, and achieved a higher seal pressure than larger sizes.…”

Comparison of the Baska mask and the i-gel supraglottic airway devices in patients undergoing elective surgery

“…Kara et al conducted a comparison study between the Baska mask and i-gel in 200 patients undergoing urologic surgery. The i-gel showed significantly shorter median insertion time than the Baska mask (7 s [5][6][7][8][9][10][11][12] and 14 s [6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25], respectively). However, there were no significant differences in the other parameters (the number of device placement attempts, sealed pressure and the number of post-operative complications) [11].…”