Baska mask versus endotracheal tube in laparoscopic cholecystectomy surgery: a prospective randomized trial

Ng, Ching Choe; Shah, Mohammad Hafizshah Bin Sybil; Chaw, Sook Hui; Mansor, Marzida; Tan, Wei; Koong, Jun Kit; Wang, Chew Yin

doi:10.1080/17434440.2021.1865796

Cited by 7 publications

(9 citation statements)

References 30 publications

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“…Our results indicated that the insertion time for the Baska mask was shorter than with ET, and the mean device insertion time decreased by 18 s (39%). This result is consistent with that reported in a previous study [ 11 ], in which the mean of device insertion time decreased by 20 s (44%). Thus, the apnea period and hypoxic risk may be reduced during airway device insertion using the Baska mask.…”

Section: Discussionsupporting

confidence: 93%

“…However, a meta-analysis reported that SADs showed similar efficacy and fewer pharyngolaryngeal complications than ET, and concluded that SADs were clinically useful as effective airways in laparoscopic surgery [ 26 ]. Several studies using the Baska mask have also shown that airway pressure and ventilation were well maintained during laparoscopic cholecystectomy [ 10 , 11 , 27 ].…”

Section: Discussionmentioning

confidence: 99%

“…The sample size was calculated according to results of a previous study [ 11 ] in which the standard deviation of the intubation time was an estimated 11.8 s. An intergroup difference of 10 s in the intubation time was assumed to be clinically significant. With an α-error of 0.05, and a power of 0.9, 31 patients were required in each group.…”

Section: Methodsmentioning

confidence: 99%

“…Previous studies have shown that the Baska mask is a more suitable alternative airway device than ET for laparoscopic cholecystectomy under positive-pressure ventilation [ 11 , 12 ]. In addition, a recent study reported the Baska mask had comparable ventilatory performance during short-term laparoscopic gynecological surgery [ 13 ].…”

Section: Introductionmentioning

confidence: 99%

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Safety and Efficacy of the Baska Mask Versus Endotracheal Intubation in 64 Women Undergoing Elective Laparoscopic Gynecological Surgery Under General Anesthesia: A Prospective Single-Center Study

et al. 2022

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Background The Baska mask is a supraglottic airway device that has a continuous non-inflatable flexible cuff that mimics an airway, reducing the risk of overinflation and aspiration of gastric contents. This prospective study from a single center aimed to compare the safety and efficacy of the Baska mask vs endotracheal intubation (ET) in 64 women undergoing elective laparoscopic gynecological surgery in Trendelenburg position under general anesthesia. Material/Methods This was a prospective randomized study conducted on 64 adult female patients, 32 in each group, undergoing gynecologic surgery under general anesthesia. The study population was divided into 2 groups: the Baska group and the ET group. The respiratory and haemodynamic variables, the degree of gastric distension, and postoperative pharyngolaryngeal symptoms were compared between groups. Results After 2 patients dropped out of the study, data from 62 patients were analyzed. The Baska group showed significantly shorter device insertion time (28.4±10.7 vs 46.6±19.8, P =0.001), a significantly lower oropharyngeal leak pressure at all studied time points, and a higher leak fraction at 1 min after the completion of pneumoperitoneum (5.6% vs 2.1%, P =0.031) compared to the ET group. Respiratory and haemodynamic variables, the gastric antrum size, and postoperative pharyngolaryngeal symptoms showed no significant difference. Conclusions This study supports the findings from previous studies in patients undergoing general surgery. The Baska mask was as effective as ET in ventilation during general anesthesia in women undergoing elective laparoscopic gynecological surgery. Respiratory and hemodynamic responses were similar to ET, and no complications were associated with the Baska mask in this study.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Safety and Efficacy of the Baska Mask Versus Endotracheal Intubation in 64 Women Undergoing Elective Laparoscopic Gynecological Surgery Under General Anesthesia: A Prospective Single-Center Study

et al. 2022

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“…Though study by Ng CC[ 22 ] has shown that Baska mask can be used as an alternative to endotracheal intubation during laparoscopic cholecystectomy, with shorter insertion times, fewer perioperative complications and better hemodynamic responses, they have not looked into risks of aspiration in an evidence based way. The strength of our study was that we tried to identify evidence of regurgitation of gastric contents and pulmonary aspiration using introduction of methylene blue to the stomach which yielded very reliable and accurate results.…”

Section: Discussionmentioning

confidence: 99%

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

Tosh

Kumar

Sahay

et al. 2021

Journal of Anaesthesiology Clinical Pharmacology

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Background and Aims: Newer supraglottic devices with an additional gastric channel offer greater protection from aspiration and avoidance of laryngoscopy for their insertion would result in attenuated hemodynamic responses.The primary objective was to assess hemodynamic responses to insertion of Baska mask as compared to tracheal intubation. The time and attempts taken to secure airway and evidence of regurgitation and pulmonary aspiration of gastric contents were also assessed. Material and Methods: This prospective, randomized study was conducted in 80 patients undergoing laparoscopic cholecystectomy. All patients received standardized anaesthesia protocol. Baska mask was used to secure airway in Group B, while tracheal intubation was done in group T. Methylene blue was injected through Ryle's tube into stomach in both groups. At end of surgery, fibreoptic bronchoscopy was performed to detect bluish staining of trachea and/or main bronchi as evidence of aspiration of gastric contents and bluish staining in oropharynx as evidence of regurgitation. Chi-square test and Independent sample t-test were applied. Results: The time taken to secure airway was significantly longer in Group B as compared to Group T (45.3 ± 12.6 vs. 24.3 ± 9.1 sec) Percentage of patients who had oropharyngeal blue stain was comparable in both groups. No patient in both groups had tracheal blue stain. Group T had significantly higher HR and MAP after intubation till 10 min later. Conclusion: Baska mask insertion was associated with attenuated hemodynamic responses, though more time and attempts were required for securing the airway. It could be considered as an alternative to tracheal intubation during laparoscopic surgeries.

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Pressure versus volume-controlled ventilation with BASKA mask airway in laparoscopic cholecystectomy: A randomized clinical study

Abdel‐Wahab

Torky

2023

Egyptian Journal of Anaesthesia

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Baska mask versus endotracheal tube in laparoscopic cholecystectomy surgery: a prospective randomized trial

Cited by 7 publications

References 30 publications

Safety and Efficacy of the Baska Mask Versus Endotracheal Intubation in 64 Women Undergoing Elective Laparoscopic Gynecological Surgery Under General Anesthesia: A Prospective Single-Center Study

Safety and Efficacy of the Baska Mask Versus Endotracheal Intubation in 64 Women Undergoing Elective Laparoscopic Gynecological Surgery Under General Anesthesia: A Prospective Single-Center Study

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

Pressure versus volume-controlled ventilation with BASKA mask airway in laparoscopic cholecystectomy: A randomized clinical study

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