COMPARISON BETWEEN BASKA MASK AND I-Gel INSERTION IN MINOR SURGERIESUNDER GENERAL ANAESTHESIA IN PATIENT AGED 18-50 Y:-A RANDOMIZEDINTERVENTIONAL STUDY

SUNITA MEENA; NANDANI SHARMA; JEETAM SINGH MEENA; KAMALESH KUMAR MALAV

doi:10.22159/ijcpr.2023v15i4.3025

Authors

SUNITA MEENA Department of Anaesthesia, SMS Medical College and Hospital, Jaipur, India
NANDANI SHARMA Department of Anaesthesia, SMS Medical College and Hospital, Jaipur, India
JEETAM SINGH MEENA Department of Anaesthesia, SMS Medical College and Hospital, Jaipur, India
KAMALESH KUMAR MALAV Department of Anaesthesia, SMS Medical College and Hospital, Jaipur, India

DOI:

https://doi.org/10.22159/ijcpr.2023v15i4.3025

Keywords:

Supraglottic airway device, Endotracheal intubation, Difficult airway algorithms

Abstract

Objective: The supraglottic airway (SAD) is considered a viable alternative to endotracheal intubation, particularly in cases where SAD is not contraindicated. SAD plays a crucial role in difficult airway algorithms, offering unobstructed oxygenation and ventilation, as well as providing hemodynamic stability with minimal laryngopharyngeal morbidity. The LMA-classic, introduced by Archie Brain in 1983, was the first second-generation SAD used in clinical practice. Over time, numerous advancements have led to the development of improved second-generation SADs.

Methods: This study aims to compare the efficacy and advantages of different supraglottic airway devices. Two types of second-generation SADs were evaluated:I-gel (Intersurgical, Wokingham, UK) and a novel device called Baska Mask, which belongs to the third generation of SADs. The evaluation criteria included ease of insertion, oropharyngeal sealing pressure, ability to drain gastric fluid, prevention of malposition, sealing pressure during controlled ventilation and spontaneous breathing, and reduction of respiratory complications.

Results: The second-generation SADs, including the I-gel, are easy to insert and offer high oropharyngeal sealing pressure. They have a gastric channel to drain gastric fluid, reducing aspiration risk. The I-gel, a new latex-free SAD with a noninflatable cuff made of medical-grade thermoplastic elastomer, provides a superior seal, resulting in lower respiratory complications compared to earlier SADs. It ensures effective sealing during controlled ventilation and spontaneous breathing. The third-generation Baska Mask combines the advantages of second-generation LMAs and provides higher seal pressure during IPPV by apposing to the glottis, distinguishing it from non-inflatable cuff devices like the I-gel.

Conclusion: Supraglottic airway devices, particularly second-generation SADs like I-gel, offer effective airway management alternatives to endotracheal intubation. These devices provide ease of insertion, high oropharyngeal sealing pressure, and the ability to drain gastric fluid, reducing the risk of complications. The third-generation device, Baska Mask, exhibits enhanced seal pressure during IPPV, making it a promising advancement in airway management.

Downloads

Download data is not yet available.

References

Brain AI. The laryngeal mask-a new concept in airway management. Br J Anaesth. 1983 Aug;55(8):801-5. doi: 10.1093/bja/55.8.801, PMID 6349667.

Van Zundert TC, Brimacombe JR, Ferson DZ, Bacon DR, Wilkinson DJ. Archie Brain: celebrating 30 years of development in laryngeal mask airways. Anaesthesia. 2012;67(12):1375-85. doi: 10.1111/anae.12003.x. PMID 23130725.

Cook TM, Kelly FE. Time to abandon the ‘vintage’ laryngeal mask airway and adopt second-generation supraglottic airway devices as first choice. Br J Anaesth. 2015;115(4):497-9. doi: 10.1093/bja/aev156, PMID 25995266.

Asai T, Liu EH. [The i-gel, a new supraglottic airway]. Masui. 2010 Jun;59(6):794-7. PMID 20560393.

Levitan RM, Kinkle WC. Initial anatomic investigations of the I-gel airway: a novel supraglottic airway without inflatable cuff. Anaesthesia. 2005;60(10):1022-6. doi: 10.1111/j.1365-2044.2005.04258.x. PMID 16179048.

Van Zundert T, Gatt S. The baska mask–a new concept in self sealing membrane cuff extraglottic airway devices, using a sump and two gastric drains:a critical evaluation. J Obstet Anaesth Crit Care. 2012;2(1):23-30.

Choudhary Uk MSR, Mahajan M, Sharma C, Sharma MA. Comparative analysis of the baska mask versus I gel for general anesthesia in surgical patients undergoing laparoscopic cholecystectomy. Actamedica Int. 2018;5(2):69-73.

Sachidananda R, Shaikh SI, Mitragotri MV, Joshi V, Ladhad DA, Mallappa M. Comparison between the Baska Mask® and I-gel for minor surgical procedures under general anaesthesia. Turk J Anaesthesiol Reanim. 2019;47(1):24-30. doi: 10.5152/TJAR.2018.86729. PMID 31276107.

Garg A, Lamba NS, Ajai Chandra NS, Singhal RK, Chaudhary V. Supraglottic airway devices in short gynecological procedures: a randomized, clinical study comparing the Baska® mask and I-Gel® device. J Family Med Prim Care. 2019 Mar;8(3):1134-7. doi: 10.4103/jfmpc.jfmpc_359_18, PMID 31041263.

Garg A, Lamba NS, Ajai Chandra NS, Singhal RK, Chaudhary V. Supraglottic airway devices in short gynecological procedures: a randomized, clinical study comparing the Baska® mask and I-Gel® device. J Family Med Prim Care. 2019 Mar;8(3):1134-7. doi: 10.4103/jfmpc.jfmpc_359_18. PMID 31041263, PMCID PMC6482730.