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

Tosh, Pulak; Kumar, Ravi; Sahay, Nishant; Saurabh, Suman; Bhadani, Umesh Kumar

doi:10.4103/joacp.joacp_339_19

Cited by 6 publications

(6 citation statements)

References 22 publications

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“…Also, Abdel-Ghaffar et al (7) aimed to assess how the blood flow changed when a Baska mask was put on versus when a tracheal tube was put in. The time and number of attempts to open the airway, as well as any signs of regurgitation or pulmonary aspiration of stomach contents, were also taken into considerations.…”

Section: Discussionmentioning

confidence: 99%

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A Comparison between Baska Mask and Endotracheal Tube in Patients Undergoing Gynecological Laparoscopic Surgery

2023

The Egyptian Journal of Hospital Medicine

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Background: Gynecological laparoscopy is a popular day-case or short-stay surgery. Laryngeal mask airway (LMA) provides various advantages over tracheal intubation (TI), including less postoperative adverse effects like sore throat, dysphagia, and dysphonia, faster and easier airway device placement, and less neuromuscular blockade. Correctly positioned new-generation LMAs prevent stomach insufflation and regurgitation. Laparoscopy, which has high peak airway pressure, can be anaesthetized with these devices.Objective: This study aimed to compare the effects of the Baska Mask and endotracheal tube on hemodynamic parameters (heart rate, mean arterial pressure), airway pressure and EtCO 2 values Patients and methods: This prospective randomized study was conducted on 60 patients through the period from January 2021 to September 2022 at Al-Azhar University Hospitals (Assiut). They were ASA class I or II, scheduled for elective gynecological laparoscopic surgery and had mean age of 45.42 ± 8.53 years. Results: HR was significantly higher in B group regarding measurements at 60 and 90 min. BIS was significantly higher in B group compared to E group regarding measurements at baseline, after induction/before laryngoscopy, after laryngoscopy, during intubation/insertion and at 1, 3,5,10,20,30, 40, 50, 60, 90 and 120 min. Peak airway pressure was significantly higher in E group regarding measurements at baseline after induction/before laryngoscopy, after laryngoscopy, during intubation/insertion and at 1, 3,5,10,20,30, 40, 50, 60, 90 and 120 min. Also, leak pressure was significantly higher in E group compared to B group at all times of measurements. Between the groups, there was a considerable difference in insertion time. Conclusion:The current investigation corroborated the findings of previous studies conducted on individuals having general surgery. The efficacy of the Baska mask was shown to be comparable to that of endotracheal intubation for female patients receiving elective laparoscopic gynaecological surgery who were ventilated during general anaesthesia.

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Section: Discussionmentioning

confidence: 99%

“…These traits may make it less likely that secretions or stomach contents will get into the lungs if they build up in the supraglottic area (6) . Due to these modifications, the BASKA mask airway is now a desirable, safe, and efficient airway equipment for low-risk patients undergoing gynecologic laparoscopic surgery (7) .…”

Section: Introductionmentioning

confidence: 99%

A Comparison between Baska Mask and Endotracheal Tube in Patients Undergoing Gynecological Laparoscopic Surgery

2023

The Egyptian Journal of Hospital Medicine

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“…The measurement of OLP, analyzed in previous studies, showed that the OLP of the Baska mask was higher than that of other SADs, such as laryngeal mask Supreme™ (Teleflex, Inc., Wayne, PA, USA), and slightly lower than that of ET ventilation [ 7 , 9 , 12 , 15 , 28 ]. According to a previous study, the reported OLP of the Baska mask ranged from 33.3 to 36.6 cmH 2 O [ 12 , 22 ]. In our study, the mean OLP of the Baska mask was maintained at over 30 cmH 2 O throughout the operation.…”

Section: Discussionmentioning

confidence: 99%

“…This may be due to the unique feature of the Baska mask, in which a cylindrical tube with a high-pressure and flow-suction system is available to remove oropharyngeal and gastric secretions and fluids. Tosh et al [ 12 ] also reported no difference in the regurgitation and aspiration of gastric contents between the Baska mask and ET in laparoscopic cholecystectomy, which was evaluated by bronchoscopic detection of methylene blue in the trachea and bronchus at the end of the operation.…”

Section: Discussionmentioning

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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Second-Generation Supraglottic Airway Devices Versus Endotracheal Intubation in Adults Undergoing Abdominopelvic Surgery: A Systematic Review and Meta-Analysis

de Carvalho,

Kapsokalyvas,

El-Boghdadly

2024

Anesthesia &Amp; Analgesia

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BACKGROUND: Second-generation supraglottic airway (SGA) devices are widely used, but thought to have inferior safety performance to endotracheal tubes (ETTs), but might be equally efficacious while improving patient-centered outcomes. We compared second-generation SGAs with ETTs for perioperative safety, efficacy, and quality of recovery in adults undergoing abdominopelvic surgery under general anesthesia. Our primary objective was to assess safety in the form of major airway complications. Secondary objectives were other safety, efficacy, and quality of recovery outcomes. METHODS: We searched 4 databases for randomized controlled trials of adult patients having abdominopelvic surgery comparing second-generation SGAs and ETTs. After 2-person screening and data extraction, pairwise meta-analysis was conducted and the grading of recommendations, assessment, development, and evaluation (GRADE) approach was applied to assess the certainty of evidence. RESULTS: A total of 51 studies, randomizing 5110 patients, were included. Second-generation SGAs significantly reduced the risk of major perioperative airway complications (risk ratio [RR], 0.41; 95% confidence interval [CI], 0.23–0.71; P = .007; low certainty), with no clear clinically relevant difference in regurgitation or pulmonary aspiration (low certainty). SGAs significantly increased the risk of inadequate ventilation (RR, 3.36; 95% CI, 1.43–7.89; P = .011; very low certainty); however, postoperative sore throat (RR, 0.52; 95% CI, 0.38–0.70; P < .001; moderate certainty), hoarseness (RR, 0.32; 95% CI, 0.231–0.48; P < .001; low certainty), coughing at the emergence of anesthesia (RR, 0.17; 95% CI, 0.08–0.36; P < .001; low certainty), and postoperative nausea and vomiting (RR, 0.64; 95% CI, 0.42–0.98; P = .042; very low certainty) were all less frequent with SGAs. No other clinically relevant differences were observed for other remaining outcomes. CONCLUSIONS: Second-generation SGAs reduce the risk of major airway complications compared with ETTs in adults undergoing abdominopelvic procedures under general anesthesia, with no reported clinically relevant differences in the risk of regurgitation or pulmonary aspiration. Additionally, they improve the quality of postoperative recovery with lower risk of sore throat, hoarseness, and postoperative nausea and vomiting. These data provide an opportunity for clinicians to reassess the implications of conservative airway management, and potentially expand the role of second-generation SGAs in routine clinical practice.

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

Cited by 6 publications

References 22 publications

A Comparison between Baska Mask and Endotracheal Tube in Patients Undergoing Gynecological Laparoscopic Surgery

A Comparison between Baska Mask and Endotracheal Tube in Patients Undergoing Gynecological Laparoscopic Surgery

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

Second-Generation Supraglottic Airway Devices Versus Endotracheal Intubation in Adults Undergoing Abdominopelvic Surgery: A Systematic Review and Meta-Analysis

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