The ideal supraglottic airway device must have high airway seal pressures during spontaneous and positive pressure ventilation also low resistance to the flow of gases. This study compared the utility of I-Gel with Baska Mask during general anesthesia in obese patients undergoing elective ambulatory surgeries. The study was conducted on sixty obese patients with body mass index (BMI) of ≥ 25 and ≤ 40 kg.m2, ASA I, II, III, 18-60 years old of either sex scheduled for short duration (<3 hr). I-gel was successfully inserted in 25 patients on the first attempt and in 2 patients on the second attempt (overall success rate = 90%). Baska mask was successfully inserted in 27 patients on the first attempt and in 2 patients on the second attempt (overall success rate = 96.97%). Successful insertion time was significantly shorter in the I-gel group. Oropharyngeal sealing pressure (OSP) was significantly higher following Baska mask insertion. Intra- and postoperative airway morbidity rates were not significantly different between both groups. So Concluded that both I-gel and Baska mask are suitable for ventilation in obese patients, but Baska mask gave a better laryngeal seal.
Published in | Journal of Anesthesiology (Volume 5, Issue 4) |
DOI | 10.11648/j.ja.20170504.12 |
Page(s) | 29-35 |
Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
Copyright |
Copyright © The Author(s), 2017. Published by Science Publishing Group |
I-gel, Baska Mask, Obese Patient, Ambulatory Surgery, Oropharyngeal Sealing Pressure
[1] | Weber U, Oguz R, Potura LA, Kimberger O, Kober A, Tschernko E. Comparison of the I -gel and the LMA-Unique laryngeal mask airway in patients with mild to moderate obesity during elective short-term surgery. Anaesthesia 2011; 66: 481-7. |
[2] | Almeida G, Costa AC, Machado HS. Supraglottic Airway Devices: A Review in a New Era of Airway Management. J Anesth Clin Res 2016, 7: 7 DOI: 10.4172/2155-6148.1000647. |
[3] | Ramaiah R, Das D, Bhananker SM, Joffe AM. Extraglottic airway devices: A review. International Journal of Critical Illness and Injury Science 2014; 4 (1): 77-87. |
[4] | Miller DM. A proposed classification and scoring system for supraglottic sealing airways: a brief review. Anesth Analg 2004; 99: 1553-1559. |
[5] | Radaideh K, Alhowary A, and Bani Hani D. Comparison of the Disposable Streamlined Liner of the Pharynx Airway and the Disposable I-gel in Anaesthetized, Paralyzed Adults: A Randomized Prospective Study. Anesthesiol Res Pract 2015; 2015: 971059. doi: 10.1155/2015/971059. |
[6] | Singh J, Yadav MK, Marahatta SB. Randomized crossover comparison of the laryngeal mask airway classic with i-gel laryngeal mask airway in the management of difficult airway in post burn neck contracture patients. Indian Journal of Anaesthesia 2012; 56(4): 348–52. |
[7] | Foucher-Lezla A, Lehousse T, Monrigal JP, Granry JC, and Beydon L. “Fibreoptic assessment of laryngeal positioning of the paediatric supraglottic airway device i-gel,” European Journal of Anaesthesiology 2013; 30(7): 441–42. |
[8] | Frca TC, Frca BH. Supraglottic airway devices: recent advances. Continuing Education in Anaesthesia, Critical Care & Pain 2011; 11 (2): 56-61. |
[9] | Alexiev V, Ochana A., Abdelrahman, D, Coyne J, McDonnel JGl, Toole DPO, Neligan P and Laffey JG. Comparison of the Baska_ mask with the single-use laryngeal mask airway in low-risk female patients undergoing ambulatory surgery. Anaesthesia 2013, 68, 1026–32. |
[10] | Alexiev V, Salim A, Kevin LG, Laffey JG. An observational study of the Baska_ mask: a novel supraglottic airway. Anaesthesia 2012; 67: 640–5. |
[11] | Zundert TV, Gatt S. The Baska Mask® — A new concept in Self-sealing membrane cuff extraglottic airway devices, using a sump and two gastric drains: A critical evaluation. Journal of Obstetric Anaesthesia and Critical Care 2012; 2 (1): 23-30. |
[12] | El-Radaideh K, Amarin Z, Rashdan Y, Rabadi D, Khraise W, and Omari M. The perilaryngeal airway and the laryngeal tube in short ophthalmic procedures in adults: a prospective randomized comparative study. Journal of Anesthesia & Clinical Research 2011; 2 (170): 1-5. |
[13] | Roberts M, Mani M., Wilkes A., Flavell E., and Goodwin N. A randomised crossover study comparing the disposable laryngeal mask airway Supreme with the laryngeal mask airway Proseal in unparalysed anaesthetised patients,” The Internet Journal of Anesthesiology 2012; 30(2): 1-7. |
[14] | Francksen H, Renner J, Hanss R, Scholz J, Doerges V, Bein B. A comparison of the i-gel with the LMA Unique in non-paralysed anaesthetised adult patients. Anaesthesia 2009; 64: 1118–24. |
[15] | Janakiraman C, Chethan D, Wilkes AR, Stacey MR, Goodwin N. A randomised crossover trial comparing the i-gel supraglottic airway and classic laryngeal mask airway. Anaesthesia 2009; 64: 674–8. |
[16] | Uppal V, Gangaiah S, Fletcher G, Kinsella J. Randomized crossover comparison between the i-gel and the LMA-Unique in anaesthetized, paralysed adults. British Journal of Anaesthesia 2009; 103: 882–5. |
[17] | Trivedi Vand Patil B. A clinical comparative study of evaluation of Proseal LMA V/S I-GEL for ease of insertion and hemodynamic stability; a study of 60 cases. The Internet Journal of Anesthesiology 2009; 27(2): 1-7. |
[18] | Bamgbade OA, Macnab WR, Khalaf WM. Evaluation of the i-gel airway in 300 patients. Eur J Anaesthesiol 2008; 25: 865–6. |
[19] | Radhika KS, R. Sripriya, Ravishankar M, Kumar VR, Jaya V1, Parthasarathy S. Assessment of suitability of i‑gel and laryngeal mask airway‑supreme for controlled ventilation in anesthetized paralyzed patients: A prospective randomized trial. Anesth Essays Res 2016; 10 (1): 88-93. doi: 10.4103/0259-1162.167849. |
APA Style
Rehab Abdel Raof Abdel Aziz, Yasser Mohamed Osman. (2017). Comparison of I-gel with Baska Mask Airway for Controlled Ventilation in Obese Patients Undergoing Ambulatory Surgery: A Prospective Randomized Trial. International Journal of Anesthesia and Clinical Medicine, 5(4), 29-35. https://doi.org/10.11648/j.ja.20170504.12
ACS Style
Rehab Abdel Raof Abdel Aziz; Yasser Mohamed Osman. Comparison of I-gel with Baska Mask Airway for Controlled Ventilation in Obese Patients Undergoing Ambulatory Surgery: A Prospective Randomized Trial. Int. J. Anesth. Clin. Med. 2017, 5(4), 29-35. doi: 10.11648/j.ja.20170504.12
AMA Style
Rehab Abdel Raof Abdel Aziz, Yasser Mohamed Osman. Comparison of I-gel with Baska Mask Airway for Controlled Ventilation in Obese Patients Undergoing Ambulatory Surgery: A Prospective Randomized Trial. Int J Anesth Clin Med. 2017;5(4):29-35. doi: 10.11648/j.ja.20170504.12
@article{10.11648/j.ja.20170504.12, author = {Rehab Abdel Raof Abdel Aziz and Yasser Mohamed Osman}, title = {Comparison of I-gel with Baska Mask Airway for Controlled Ventilation in Obese Patients Undergoing Ambulatory Surgery: A Prospective Randomized Trial}, journal = {International Journal of Anesthesia and Clinical Medicine}, volume = {5}, number = {4}, pages = {29-35}, doi = {10.11648/j.ja.20170504.12}, url = {https://doi.org/10.11648/j.ja.20170504.12}, eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ja.20170504.12}, abstract = {The ideal supraglottic airway device must have high airway seal pressures during spontaneous and positive pressure ventilation also low resistance to the flow of gases. This study compared the utility of I-Gel with Baska Mask during general anesthesia in obese patients undergoing elective ambulatory surgeries. The study was conducted on sixty obese patients with body mass index (BMI) of ≥ 25 and ≤ 40 kg.m2, ASA I, II, III, 18-60 years old of either sex scheduled for short duration (<3 hr). I-gel was successfully inserted in 25 patients on the first attempt and in 2 patients on the second attempt (overall success rate = 90%). Baska mask was successfully inserted in 27 patients on the first attempt and in 2 patients on the second attempt (overall success rate = 96.97%). Successful insertion time was significantly shorter in the I-gel group. Oropharyngeal sealing pressure (OSP) was significantly higher following Baska mask insertion. Intra- and postoperative airway morbidity rates were not significantly different between both groups. So Concluded that both I-gel and Baska mask are suitable for ventilation in obese patients, but Baska mask gave a better laryngeal seal.}, year = {2017} }
TY - JOUR T1 - Comparison of I-gel with Baska Mask Airway for Controlled Ventilation in Obese Patients Undergoing Ambulatory Surgery: A Prospective Randomized Trial AU - Rehab Abdel Raof Abdel Aziz AU - Yasser Mohamed Osman Y1 - 2017/11/20 PY - 2017 N1 - https://doi.org/10.11648/j.ja.20170504.12 DO - 10.11648/j.ja.20170504.12 T2 - International Journal of Anesthesia and Clinical Medicine JF - International Journal of Anesthesia and Clinical Medicine JO - International Journal of Anesthesia and Clinical Medicine SP - 29 EP - 35 PB - Science Publishing Group SN - 2997-2698 UR - https://doi.org/10.11648/j.ja.20170504.12 AB - The ideal supraglottic airway device must have high airway seal pressures during spontaneous and positive pressure ventilation also low resistance to the flow of gases. This study compared the utility of I-Gel with Baska Mask during general anesthesia in obese patients undergoing elective ambulatory surgeries. The study was conducted on sixty obese patients with body mass index (BMI) of ≥ 25 and ≤ 40 kg.m2, ASA I, II, III, 18-60 years old of either sex scheduled for short duration (<3 hr). I-gel was successfully inserted in 25 patients on the first attempt and in 2 patients on the second attempt (overall success rate = 90%). Baska mask was successfully inserted in 27 patients on the first attempt and in 2 patients on the second attempt (overall success rate = 96.97%). Successful insertion time was significantly shorter in the I-gel group. Oropharyngeal sealing pressure (OSP) was significantly higher following Baska mask insertion. Intra- and postoperative airway morbidity rates were not significantly different between both groups. So Concluded that both I-gel and Baska mask are suitable for ventilation in obese patients, but Baska mask gave a better laryngeal seal. VL - 5 IS - 4 ER -