Comparison of clinical performance of i-gelⓇ and Baska MaskⓇ during laparoscopic cholecystectomy

Abstract

The supraglottic airway device (SAD) is an appropriate alternative to tracheal intubation because of its advantages such as stable hemodynamics and decreased airway morbidity. It also helps to maintain adequate ventilation in laparoscopic surgery, with increased peak airway pressure (PAP) under general anesthesia [1,2]. The i-gel Ⓡ (Intersurgical Ltd., UK) is widely used for laparoscopic surgeries [1,3-5]. However, the Baska Mask Ⓡ (Logikal Health Products PTY Ltd., Australia), first introduced in 2012, provides more efficient ventilation by automatically inflating the cuff during positive pressure ventilation. The cuff differs from other non-inflatable cuffs in that it is continuous with the cen-Clinical Research Article Background: The supraglottic airway device is an appropriate alternative to tracheal intubation in laparoscopic surgery. We compared the Baska Mask Ⓡ with i-gel Ⓡ by measuring the oropharyngeal leak pressure (OLP) and hemodynamic and respiratory parameters during laparoscopic cholecystectomy. Methods: A total of 97 patients were randomly allocated to either i-gel group (n = 49) or Baska Mask group (n = 48). Insertion time, number of insertion attempts, fiber-optic view of the glottis, and OLP were recorded. Heart rate, mean arterial pressure, peak airway pressure (PAP), lung compliance, and perioperative complications were assessed before, during, and after pneumoperitoneum. Results: There were no significant differences between the two groups regarding demographic data, insertion time, fiber-optic view of the glottis, and the use of airway manipulation. The OLP was higher in the Baska Mask group than in the i-gel group (29.6 ± 6.8 cmH 2 O and 26.7 ± 4.5 cmH 2 O, respectively; P = 0.014). Heart rate, mean arterial pressure, PAP, and lung compliance were not significantly different between the groups. The incidence of perioperative complications was small and not statistically significant. Conclusions: Both the i-gel and Baska Mask provided a satisfactory airway during laparoscopic cholecystectomy. Compared with the i-gel, the Baska Mask demonstrated a higher OLP.

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

“…A few studies have highlighted the superiority of certain parameters of the Baska mask over the . However, other parameters, such as insertion time, fibre-optic view of the glottis, the use of airway manipulation, heart rate, mean arterial pressure, PAP, lung compliance, and perioperative complications, were comparable [14]. A study by Kara et al showed that the Baska mask provided a significantly higher PAP than the i-gel (15.8 cm H 2 O ± 0.9 cm H 2 O and 14.9 cm H 2 O ± 1.7 cm H 2 O, respectively) [11], which was supported by our study.…”

“…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].…”

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

“…Both BM and LMA-P are supraglottic airway devices with an in-situ gastric channel. It is well-known that LMA-P has higher seal pressures than i-gel, and BM also has higher seal pressure than i-gel [ 12 , 13 ]. The higher seal pressure of LMA-P may be due to the additional posterior cuff; however, BM lacks any such cuff.…”

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

“…The efficiency of this device during positive pressure ventilation has been shown. [ 5 6 ] However its effectiveness in protecting the lower airway from contamination during nasal surgeries has not yet been investigated. We hypothesised that the BM is non-inferior to the Tracheal tube in preventing tracheal contamination during nasal surgeries and aimed to study the effectiveness of BM for nasal surgeries.…”