Online ISSN: 2515-8260

Keywords : Baska mask

Comparison of Efficacy of i-gel and Baska Mask as Ventilatory Device in Anaesthetised Patients

Kaushal Pandey, Aditya Kumar Chauhan, Pooja Hatwal

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 3, Pages 2385-2392

Background:Supraglottic-airway devices (SAD) are divided into first-generation and second-generation devices. Baska Mask and i-gel device are the two commonly used second-generation SADs in anaesthetic practice. This study compares the i-gel and Baska Mask in terms of efficacy and safety as a ventilatory device in anaesthetized patients undergoing elective surgeries.
Materials and Methods: The study was carried out in Department of Anaesthesiology, Government Medical College and Dr.Sushila Tiwari Hospital, Haldwani. Patients were allocated into 2 groups: Group A (i-gel, n=35) and Group B (Baska Mask, n=35). All patients were pre-oxygenated for 3-minutes and anaesthesia was induced. Successful insertion of the device was confirmed by chest wall movement, auscultation of breath sounds and square wave capnographic tracing. At the end of the surgical procedure, anaesthesia was discontinued and patients were reversed with the standard dose of neostigmine and glycopyrrolate after proper suctioning. Complications, if any were noted after 2 hours and 24 hours period.
Results: The mean age of the study population was 35.83±9.50 years. Among i-gel group, there were 24 (68.6%) males and 11 (31.4%) females. Among Baska Mask group, there were 20 (57.1%) males and 15 (42.9%) females. The percentage of patients with easy insertion was 80% and 68.6% for i-gel and Baska Mask respectively. The mean time taken for SAD was significantly more among Baska Mask (24.49±4.39) in comparison to i-gel (16.19±2.38). Sore throat at 2 hours was seen in 3 (8.6%) and 2 (5.7%) patients of i-gel and Baska Mask group respectively. Dysphagia at 2 hours was seen in 2 (5.7%) and 1 (2.9%) patient of i-gel and Baska Mask group respectively, while dysphagia at 24 hours was seen in 1(2.9%) patient of i-gel group only, also hoarseness at 2 hours was seen in 1(2.9%) patient of i-gel group. Incidence of all the complications reported with i-gel and Baska Mask group were comparable.
Conclusion: This study demonstrated that both Baska Mask and i-gel provided a similar performance in airway management. In terms of the total time taken for insertion, i-gel has a lesser time of insertion than the Baska mask. The success rate of insertion of Baska Mask and i-gel was comparable and ease of insertion was also comparable. Complications observed in both devices were minimal.

A comparison of clinical performance between the I-Gel and the Baska mask in spontaneously ventilating anaesthetised patients: A prospective randomized study

Dr. Faraz Ahmed, Dr. Jayashree B Patil, Dr. Sneha Rajur, Dr. Bhagyashri V Kumbar

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 2, Pages 1638-1644

Supraglottic Airway devices (SAD) have now become a fundamental tool for ventilation, oxygenation and delivery of anaesthetic gases in modern anaesthesiology. The advent of newer generation of SADs has resulted in their extended use. Baska mask and I Gel being newer generation SADs are vastly being used due to their specific designs for ease of securing the airway, better ventilation and higher patient safety. After institutional ethical committee clearance, a prospective randomized comparative study was conducted. 60 patients of age group 18-60 years of ASA grade I and II undergoing elective surgeries under GA were included. Patients were randomized into 2 groups, Group B (Baska mask group) and Group I (I Gel group) with 30 patients in each group. The ease of insertion (p value 0.035), insertion attempts (p value 0.04) and the time taken for insertion (p value <0.001) were significantly better with I Gel compared to Baska mask. Both the groups were comparable in terms of postoperative pharyngolaryngeal morbidities.

Baska mask, I-Gel supraglottic airway device and LMAproseal in spontaneously breathing, anaesthetised children during elective surgeries: Ease of insertion of the three devices

Dr. Paramanand Reddy, Dr. Shivakumara KC, Dr. Madhu M, Dr. Minna Osheen J

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 1, Pages 831-835

Laryngeal mask airways are supraglottic airway devices designed to provide and maintain a
seal around the laryngeal inlet and are effective alternatives to endotracheal tubes. The
relatively newer second generation supraglottic airway devices, LMA-ProSeal, I-Gel & Baska
mask have been safely used in children during spontaneous or controlled ventilation without
complications. A total number of 90 paediatric patients of ASA grade I and II, weighing 10-
25 kg, of either sex, posted for elective surgeries under general anaesthesia and satisfying the
inclusion criteria were enrolled in the study after obtaining informed, written, valid consent
from their parents/guardian. According to our observations, mean insertion time taken for
group B was 15.8 seconds with a standard deviation of 0.9, 10.6 seconds with a standard
deviation of 1.1 for group I and 13.5 seconds with a standard deviation of 0.9 for group P. On
analysis by ANOVA test, p value obtained is 0.001 (significant, <0.05) which implies that
insertion time taken for group B is significantly greater than that of group P and group I.

A study to compare the occurrence of immediate postoperative airway complications and morbidityamong the three devices: Baska mask, I-Gel supraglottic airway device and LMA-Proseal

Dr. Minna Osheen J, Dr. Madhu M, Dr. Shivakumara KC,Dr. Paramanand Reddy

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 1, Pages 841-845

The novel features of the Baska mask are its integrated bite-block, which prevents airway
block due to patients biting the device and an extended hand-tab attached to the cuff which
helps the operator to manipulate its degree of flexion while inserting the device. Last but not
the least, the device can be inserted in neutral head position. The Baska mask is available in
four sizes, paediatric and adult, in single use and reusable types. Pre-anaesthetic evaluation of
all patients were done on the previous day of surgery by an anaesthesiologist. All patients
under the above-said inclusion criteria, were randomly allocated into following groups after
taking informed, written and valid consent from their parents/guardian:Group B(n=30):
patients receiving Baska mask Group I (n=30): patients receiving I-Gel,Group P (n=30):
patients receiving LMA-ProSeal.Post-operative blood-staining of device on removal was seen
in only one patient (3.3%) in group P and cough in one patient in group B (3.3%) which were
insignificant with a p value of 0.36. Other complications (desaturation, laryngospasm,
aspiration, mucosal/lip trauma, dysphagia, hoarseness) were not observed in any patient.