A comparative study of supraglottic airway devices Baska mask and ProSeal-laryngeal mask airway in short gynaecological procedures

Authors

  • Ranjith Kumar Kachakayala Department of Anaesthesiology and Critical Care, Command Hospital (Western Command), Chandigarh, India
  • Parmeet Bhatia Department of Anaesthesiology and Critical Care, Command Hospital (Southern Command), Chandigarh, India
  • Shalendra Singh Department of Anaesthesia and Critical Care, Armed Forces Medical College, Pune, Maharashtra, India
  • Deepak Dwivedi Department of Anaesthesiology and Critical Care, Command Hospital (Southern Command), Chandigarh, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20195924

Keywords:

Airway, Baska mask, Pharyngolaryngeal complications, ProSeal laryngeal mask airway

Abstract

Background: Baska Mask® (BM) a newer Supraglottic Airway Device (SAD) considered to cause low incidence of Postoperative Pharyngolaryngeal Complications (POPC). This study was designed to assess efficacy, safety and early and late POPC between BM and commonly use ProSeal LMA (PMLA).

Methods: Patients between 18 to 60 years of age undergoing elective short gynecological procedures were randomized into two groups, to receive ventilation with either BM (group 1, n=50) or an PMLA (group 2, n=50).

Results: There was no significant difference in the ease of insertion for both the devices (p<0.24). There was no significant difference in the number of attempts for both the devices (p<0.69). When compared to PLMA, the time (in seconds) required for insertion of BM was significantly less in duration (20.9 vs. 16) (p<0.0001). Between the two groups significant hemodynamic changes noticed after removal of SGA. The blood staining of device was similar in both groups. Failure to place device, postoperative complication like laryngospasm and bronchospasm did not occur in both BM and PLMA groups.

Conclusions: In conclusion, findings of this study support that BM takes significantly shorter placement time and provides a better seal as compared to PLMA but without any reduction in laryngopharyngeal complications.

References

Dhanda A, Singh S, Bhalotra AR, Chavali S. Clinical comparison of I-gel supraglottic airway device and cuffed endotracheal tube for pressure-controlled ventilation during routine surgical procedures. Turkish J Anaesthesiol Reanimation. 2017 Oct;45(5):270.

Cork RC, Depa RM, Standen JR. Prospective comparison of use of the laryngeal mask and endotracheal tube for ambulatory surgery. Anesthesia Analgesia. 1994 Oct;79(4):719-27.

Sachidananda R, Shaikh SI, Mitragotri MV, Joshi V, Ladhad DA, Mallappa M, et al. Comparison between the Baska Mask® and I-Gel for Minor Surgical Procedures Under General Anaesthesia. Turkish J Anesthesia Reanima. 2019 Jan 1;47(1).

Shanmugavelu G, Kanagarajan T. Comparing the functional analysis of I-gel with Baska mask in laparascopic surgeries: An observational study. Int J Res Med Sci. 2018;6:1440-3.

Mahajan SR, Mahajan M, Chaudhary U, Kumar S. Evaluation of baska mask performance in laparoscopic cholecystectomy. IOSR J Dent Med Sci. 2018;17:74-8.

Ebenezer Joel Kumar E, Anand GV, Aldona Shaji R. A comparative study of Baska mask vs. Proseal LMA in elective sterilization surgeries. IAIM. 2019;6(2):108-13.

Al-Rawahi SA, Aziz H, Malik AM, Khan RM, Kaul N. A comparative analysis of the Baska mask vs Proseal laryngeal mask for general anesthesia with IPPV. Anaesth Pain Int Care. 2013 Sep 1;17(3):233-6.

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 Obstetr Anaesth Crit Care. 2012 Jan 1;2(1):23.

Cook TM, Lee G, Nolan JP. The ProSeal™ laryngeal mask airway: a review of the literature. Canadian J Anesth. 2005 Aug 1;52(7):739.

Alexiev V, Salim A, Kevin LG, Laffey JG. An observational study of the Baska® mask: a novel supraglottic airway. Anaesthesia. 2012 Jun;67(6):640-5.

Figueredo E, Vivar-Diago M, Muñoz-Blanco F. Laryngo-pharyngeal complaints after use of the laryngeal mask airway. Canadian J Anesth. 1999 Mar 1;46(3):220-5.

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Published

2019-12-25

How to Cite

Kachakayala, R. K., Bhatia, P., Singh, S., & Dwivedi, D. (2019). A comparative study of supraglottic airway devices Baska mask and ProSeal-laryngeal mask airway in short gynaecological procedures. International Journal of Research in Medical Sciences, 8(1), 285–289. https://doi.org/10.18203/2320-6012.ijrms20195924

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Original Research Articles