ISSN : 2663-2187

Oropharyngeal Airway Seal Pressure Using Baska Mask Versus I-Gel Laparoscopic Abdominal Surgeries- A Randomized Controlled Trial

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Dr. Akanksha N. Upase, Dr. Anjali R. Bhure, Dr. Siddhi R. Rathod, Dr. Ketaki S. Marodkar, Dr. Aishwarya S. Pingley, Dr. Sumita V. Bhargava, Dr. Rucha P. Patil.
» doi: 10.33472/AFJBS.6.6.2024.1808-1813

Abstract

Background-The supraglottic airway device is an appropriate alternative to tracheal intubation in laparoscopic surgery. In present study, we evaluated the oropharyngeal airway seal pressure using Baska mask versus i-gel in laparoscopic abdominal surgeries. Material & Methods-Present study was a hospital based randomized controlled study conducted in the Department of Anaesthesiology at NKPSIMS & LMH, Hingna, Nagpur, M.S., India from January 2021 to December 2022, among 100 patients who underwent laparoscopic abdominal surgeries. Results- In present study, out of 100 cases, airway sealing pressure at 5 minutes in Group A was 29.02± 1.921 and Group B was 25.72 ± 1.050. At 30 minutes in Group A, it was 29.94 ± 1.910 and in Group B, it was 27.12 ± 1.042. At the end of surgery in Group A, it was 31.66 ± 1.985 and in Group B, it was 28.32 ± 1.058. First attempt success rate was higher in i-gel group compared to Baska mask but was not statistically significant. The insertion time was lower in i-gel group compared with Baska mask group. i-gel group had better ease of insertion than Baska mask group. The mean oropharyngeal seal pressure among Baska mask group was statistically higher when compared with Group i-gel. Post-operative complications in group i-gel- 4 cases of audible air leak, 2 cases of blood stain on device and 7 cases of PONV were observed when compared to Baska mask group which had 3 cases of audible air leak, 3 cases of blood stain on device and 2 cases of PONV. These differences were statistically not significant. Conclusion-Both the devices were comparable in many terms. Baska mask can be preferred over i-gel because of its superior airway sealing pressure in case of laparoscopic surgeries.

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