Clinical evaluation of the Baska Mask® laryngeal mask in adult patients in ambulatory surgery

Muñoz-Rojas, G.; Fontanals, Montserrat; José, I. de San; Hermoso, A.; Valero, Ricard

doi:10.1016/j.redare.2015.07.002

Cited by 13 publications

(21 citation statements)

References 11 publications

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“…They found it to provide effective ventilation along with quick access to gastric contents for drainage. [ 15 ] The mean sealing pressure in our study in the Baska mask groupwas 36.6 ± 2.1 cm of H 2 O. In previous studies it varied between 33 ± 7 cm H 2 O to 35.7 ± 13.3 cm H 2 O.…”

Section: Discussionsupporting

confidence: 42%

“…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.…”

Section: Discussionmentioning

confidence: 99%

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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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Section: Discussionsupporting

confidence: 42%

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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“…8,9 Shi YB et al, noticed that the insertion time, sealing pressure and incidence of sore throat was lower with I-gel than with proseal LMA and LMA supreme. 10 Abdel aziz et al, found that the insertion time was significantly shorter in the I-gel group, but oropharyngeal seal was better with Baskamask.…”

Section: Discussionmentioning

confidence: 97%

Comparing the functional analysis of I-gel with Baska mask in laparascopic surgeries: an observational study

Shanmugavelu

Kanagarajan

2018

Int J Res Med Sci

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Background: More than 40% of general anaesthetics are managed with supraglottic airway devices. First generation SADs act as airway conduits whereas second generation devices have safety designs like integrated bite block, gastric drainage channel and act as airway conduit for endotracheal intubation. Supraglottic airway devices are getting accepted by many anaesthetists during laparascopic surgeries.Methods: Authors did a study, comparing the functional analysis of I- gel with Baska mask during laparascopic surgeries with controlled ventilation. The study was conducted on sixty patients of either sex scheduled for short duration laparascopic surgeries (<2 hs). The study conducted on ASA I and II patients with a BMI of <30kg/m2. Patients with restricted mouth opening(<2.5cm), difficult airway, known GERD patients, obese patients (>30kg/m2), and ASA physical status III and IV patients were excluded from the study. patients were induced with fentanyl 2µg/ kg, propofol 2-2.5mg/kg and neuromuscular paralysis facilitated with atracurium 0.5mg/kg. Anaesthesia was maintained with oxygen, air (fio2 40%) with isoflurane1.5-2%. Ease of insertion was evaluated using 4-points scale. Score 1 means easy insertion to score 4 denotes impossible to insert. Oropharyngeal seal pressure was measured after five minutes of placement. FGF 5L/min was used after closing the APL valve at 70cm h2o, recording the pressure at which pressue is plateaued. Presence of sore throat, dysphagia and dysphonia were examined 2hrs and 24hrs post operatively.Results: The insertion time was shorter for I-gel (12.3±3.8secs) than Baska mask (20.1±8.1secs). Oropharyngeal leak pressure was significantly higher for Baska mask (24-32cmh20). Oropharyngeal airway morbidity was not significantly different between two groups. So, it has been decided that both airways are suitable for laparascopic surgeries, but I-gel was quicker to insert, but Baska mask gave good airway seal.Conclusions: In this study, authors have noticed that Baska mask will give good airway seal when compared with I-gel. But I-gel was quicker to insert than Baskamask. The main problem of the study was that it was not blinded.

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“…Similar sealing pressures with BM have been described earlier. [ 5 25 26 27 ] Total airway manipulation took 2 min longer in Group ETT due to the additional time taken for throat pack insertion and fixation of the ETT to the left angle of the mouth. Although statistically significant, a 2 min longer time taken in handling the airway for throat pack cannot be considered clinically relevant.…”

Section: Discussionmentioning

confidence: 99%

Baska Mask is non-inferior to tracheal tube in preventing airway contamination during controlled ventilation in elective nasal surgeries

Sripriya

Ravishankar

et al. 2021

Indian Journal of Anaesthesia

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Background and Aims: Baska Mask, a newly designed third-generation supraglottic device, has a sump where the pharyngeal secretions can collect and be suctioned out continuously. We aimed to study the effectiveness of Baska Mask in preventing airway contamination during nasal surgeries. Our primary objective was to assess airway soiling using fibreoptic bronchoscopy. Total airway manipulation time, haemodynamic parameters during device insertion and post-operative oro-pharyngeal morbidities were the secondary objectives. Methods: Eighty-four participants undergoing nasal surgeries were randomised to either have their airway maintained with Baska Mask (Group-BM) or Endotracheal tube (Group-TT). Fibreoptic bronchoscopy was performed at the end of the surgery and the airway was inspected for signs of contamination. Total airway manipulation time, haemodynamic parameters during device insertion and post-operative oro-pharyngeal morbidities were also assessed. Unpaired Student's t test was used for parametric data and Chi-square test for nonparametric data. One-way analysis of variance (ANOVA) was used for the intra-group analysis of haemodynamic data. Results: Tracheal contamination was not observed in any patient in either group. Time taken for device insertion (Group TT: 24.24 ± 6.86 s vs. Group BM: 24.22 ± 7.3 s; P = 0.97) was similar in both the groups. The total airway manipulation time was 2 min longer in Group-TT ( P = 0.000) due to additional time taken for insertion of throat pack. Haemodynamic parameters during device insertion were stable and post-operative oro-pharyngeal morbidities were fewer with Baska Mask when compared to Tracheal tube. Conclusions: Baska Mask is non-inferior to tracheal tube in preventing tracheal contamination in patients undergoing nasal surgeries.

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Clinical evaluation of the Baska Mask® laryngeal mask in adult patients in ambulatory surgery

Cited by 13 publications

References 11 publications

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

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

Comparing the functional analysis of I-gel with Baska mask in laparascopic surgeries: an observational study

Baska Mask is non-inferior to tracheal tube in preventing airway contamination during controlled ventilation in elective nasal surgeries

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