Comparing the Functional Analysis of Baska® Mask with I-gel in Short Surgeries - A Prospective Randomized Trial.

IF 0.6 Q3 MEDICINE, GENERAL & INTERNAL

Annals of African Medicine Pub Date : 2024-10-23 DOI:10.4103/aam.aam_203_23

Darshan Devaraj Seegur, Laxmi Shenoy, U Keerthan Ranga Nayak, Megha Thalepaddy

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引用次数: 0

Abstract

Aims: We have compared sealing pressure, usability, and complications of two second-generation supraglottic airway devices-Baska® mask and I-gel.

Settings and designs: The study design involves prospective randomized controlled trial.

Materials and methods: 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® mask) and Group I (I-gel). The main objective was to compare oropharyngeal leak pressure (OLP).

Statistical analysis: Continuous variables were compared between the two groups using an unpaired t-test. Categorical variables were compared using the Chi-square test and insertion attempts using Fisher's exact test.

Results: Group B had significantly higher mean OLP (32.22 ± 2.52 cmH2O vs. 26.18 ± 2.42 cmH2O, P < 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 (P = 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, P < 0.001).

Conclusion: For positive pressure ventilation, both I-gel and Baska® masks proved to be successful, with I-gel being easier and quicker to insert. It is possible to employ the Baska® mask with superior seal pressures as an alternative to endotracheal intubation in elective surgeries if there are no patient contraindications.

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Baska® 面罩与 I-gel 在短小手术中的功能分析比较 - 一项前瞻性随机试验。

目的：我们比较了两种第二代声门上气道装置--Baska® 喉罩和 I-gel 的密封压力、可用性和并发症：研究设计包括前瞻性随机对照试验：研究涉及 44 名美国麻醉医师协会体能状态 I 级和 II 级的患者，年龄在 20-70 岁之间，他们都是在全身麻醉下接受短期外科手术的患者。患者被随机分为两组，每组 22 人：B 组（Baska® 喉罩）和 I 组（I-凝胶）。主要目的是比较口咽漏压（OLP）：两组间连续变量的比较采用非配对 t 检验。分类变量的比较采用卡方检验，插入尝试的比较采用费雪精确检验：结果：B 组的平均 OLP 明显更高（32.22 ± 2.52 cmH2O vs. 26.18 ± 2.42 cmH2O，P < 0.001）。在 I 组中，97.1% 的患者插入非常容易（1 级），2.9% 的患者插入容易（2 级），而在 B 组中，50% 的患者插入非常容易，36.4% 的患者插入容易，13.6% 的患者插入困难（P = 0.009）。与 I 组相比，B 组成功插入所需的时间更长（39.89 ± 7.15 秒 vs 28.19 ± 3.29 秒，P < 0.001）：在正压通气中，I-凝胶和 Baska® 喉罩都被证明是成功的，其中 I-凝胶更容易快速插入。在择期手术中，如果患者没有禁忌症，可以使用密封压力更高的巴斯卡® 喉罩替代气管插管。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Annals of African Medicine MEDICINE, GENERAL & INTERNAL-

CiteScore

0.90

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0.00%

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期刊介绍： The Annals of African Medicine is published by the Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria and the Annals of African Medicine Society. The Journal is intended to serve as a medium for the publication of research findings in the broad field of Medicine in Africa and other developing countries, and elsewhere which have relevance to Africa. It will serve as a source of information on the state of the art of Medicine in Africa, for continuing education for doctors in Africa and other developing countries, and also for the publication of meetings and conferences. The journal will publish articles I any field of Medicine and other fields which have relevance or implications for Medicine.