Comparing the Functional Analysis of Baska® Mask with I-gel in Short Surgeries – A Prospective Randomized Trial
Annals of African Medicine · Volume 24, Issue 1 (2024) · pp. 51–56
Abstract
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<jats:title>Aims:</jats:title>
<jats:p>We have compared sealing pressure, usability, and complications of two second-generation supraglottic airway devices-Baska<jats:sup>®</jats:sup> mask and I-gel.</jats:p>
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<jats:title>Settings and Designs:</jats:title>
<jats:p>The study design involves prospective randomized controlled trial.</jats:p>
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<jats:title>Materials and Methods:</jats:title>
<jats:p>The study was undertaken involving 44 patients of the American Society of Anesthesiologists physical status I and II, aged 20–70 years, who underwent surgical procedures of short duration under general anesthesia. Patients were randomly categorized into two groups of 22 each: Group B (Baska<jats:sup>®</jats:sup> mask) and Group I (I-gel). The main objective was to compare oropharyngeal leak pressure (OLP).</jats:p>
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<jats:title>Statistical Analysis:</jats:title>
<jats:p>Continuous variables were compared between the two groups using an unpaired <jats:italic toggle="yes">t</jats:italic>-test. Categorical variables were compared using the Chi-square test and insertion attempts using Fisher’s exact test.</jats:p>
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<jats:title>Results:</jats:title>
<jats:p>Group B had significantly higher mean OLP (32.22 ± 2.52 cmH<jats:sub>2</jats:sub>O vs. 26.18 ± 2.42 cmH<jats:sub>2</jats:sub>O, <jats:italic toggle="yes">P</jats:italic> < 0.001). In Group I, 97.1% of patients had very easy insertion (Grade 1), 2.9% had easy insertion (Grade 2) and Group B had very easy insertion in 50% of patients, easy in 36.4%, and difficult in 13.6% of patients (<jats:italic toggle="yes">P</jats:italic> = 0.009). Group B took a longer time for successful insertion than Group I (39.89 ± 7.15 s vs. 28.19 ± 3.29 s, <jats:italic toggle="yes">P</jats:italic> < 0.001).</jats:p>
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<jats:title>Conclusion:</jats:title>
<jats:p>For positive pressure ventilation, both I-gel and Baska<jats:sup>®</jats:sup> masks proved to be successful, with I-gel being easier and quicker to insert. It is possible to employ the Baska<jats:sup>®</jats:sup> mask with superior seal pressures as an alternative to endotracheal intubation in elective surgeries if there are no patient contraindications.</jats:p>
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