Online ISSN: 2515-8260

Keywords : I-Gel supraglottic airway device


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.