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Comparison of I-gel with Baska Mask Airway for Controlled Ventilation in Obese Patients Undergoing Ambulatory Surgery: A Prospective Randomized Trial

Received: 11 October 2017    Accepted: 26 October 2017    Published: 20 November 2017
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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.

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), 2024. Published by Science Publishing Group

Keywords

I-gel, Baska Mask, Obese Patient, Ambulatory Surgery, Oropharyngeal Sealing Pressure

References
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[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.
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[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.
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  • 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

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    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

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    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

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  • @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}
    }
    

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    AU  - Rehab Abdel Raof Abdel Aziz
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    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
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Author Information
  • Department of Anesthesia and Surgical Intensive Care, Faculty of Medicine, Alexandria University, Alexandria, Egypt

  • Department of Anesthesia and Surgical Intensive Care, Faculty of Medicine, Alexandria University, Alexandria, Egypt

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