Funduplicatura de Nissen Laparoscópica con mascarilla laríngea Baska Mask®

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.

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“…This helps in case selection and also expands the indication of Baska ® mask in other laparoscopic procedures. [12]…”

Section: Discussionmentioning

confidence: 99%

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

Garg

Lamba

Chandra

et al. 2019

J Family Med Prim Care

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“…Therefore, the Baska ® Mask has no benefits over the LMA-S, but it is a good device for patients undergoing laparoscopic cholecystectomy under general anesthesia, it provided an enough seal pressure to perform a laparoscopy in a safe condition, but it is a more difficult device to insert when compared to LMA Supreme. most of them are observational and a case report (13). This is the first study comparing the use of BM and LMA-S in patients undergoing laparoscopic surgery.…”

Section: Tablementioning

confidence: 99%

A prospective randomized controlled trial of the Baska® mask and the LMA Supreme® in patients undergoing laparoscopic cholecystectomy

Beleña,

Núñez,

Alvarez-Manzanedo

et al. 2020

Acta Anaest Belg

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Objectives : LMA Supreme® (LMA-S) mask is one of the most used and proved supraglottic airway devices (SADs) for laparoscopy. The Baska® mask is a relatively new SAD with an inbuilt drain channel and just a limited experience has been reported with this device. We compared these two SADs with regard to safety, efficacy, ease of use and incidence of adverse events for laparoscopic cholecystectomy. Methods : Prospective, randomized, controlled study of two groups of 40 patients each, undergoing elective laparoscopic cholecystectomy. After induction of general anesthesia (maintained with 5% desflurane in 50% oxygen and air, remifentanil 0.2-0.5 μg kg-1 min-1 and rocuronium 0.6 mg kg-1), we evaluated, success rates, speed of insertion, ease of insertion of the drain tube, leak pressure, tidal volume and airway pressures (peak pressure and plateau pressure). We also recorded intraoperative adverse events and postoperative oropharyngeal discomfort. Results : Success rate on first attempt insertion was higher for the LMA-S group than the Baska® mask group (97.5% and 60% respectively; p < 0.001). There was no difference in the median time taken for the insertion between groups (p = 0.93). Ease of insertion of the drain tube differed significantly and it was slightly easy inserted in the LMA-S group (p = 0.04). Leak pressure was similar between the groups (p = 0.61) and it was consistent with a similar tidal volume achieved (p = 0.10). Both devices showed equal sore throat scoring at 2h postoperatively (p = 0.24). Conclusions : We found that LMA-S was an easier device to insert than the Baska® mask, showing a better success rate on first attempt insertion. Insertion of the drain tube was also easier for the LMA-S group. Seal pressure and tidal volume achieved were similar between groups. Complication rates and postoperative OPD scoring are comparable for both devices.

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Funduplicatura de Nissen Laparoscópica con mascarilla laríngea Baska Mask®

Cited by 2 publications

References 14 publications

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

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

A prospective randomized controlled trial of the Baska® mask and the LMA Supreme® in patients undergoing laparoscopic cholecystectomy

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Funduplicatura de Nissen Laparoscópica con mascarilla laríngea Baska Mask®

Cited by 2 publications

References 14 publications

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

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

A prospective randomized controlled trial of the Baska® mask and the LMA Supreme® in patients undergoing laparoscopic cholecystectomy

Contact Info

Product

Resources

About

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

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