Use of Baska mask for laparoscopic surgeries in adult patients: A prospective observational study
Journal Title: Medpulse International Journal of Anesthesiology - Year 2018, Vol 8, Issue 3
Abstract
Background:Baska mask is the first commercially available third generation, self-sealing supraglottic airway device that is recently introduced in India. This study is conducted to know the efficacy of the device in patients with normal airway when used for providing general anesthesia during laparoscopic surgeries.Materialand Methods: Hundred patients in the age group of 18-60 years, American society of Anesthesiologists-physical status I and II and body mass index of 20-30kg/m2 undergoing elective laparoscopic surgery were included in the study. Exclusion criteria included any history or predictors of difficult intubation, pregnancy and head and neck surgery. Primary objectives were ease of insertion, time and number of attempts to successfully place the device, leak fraction and airway sealing pressure. Secondary objectives were fiberoptic view of the glottis (Brimacombe score) following placement of the device, and any airway morbidity following the insertion. Statistical analysis was done using SPSS software version 22. Descriptive statistics like Mean±SD, t test and chi square test were used.Results: In the first attempt, the device was placed successfully in 94% of the patients; ease of insertion was very easy in 84% of the patients and mean insertion time of 10.21 seconds. Average airway sealing pressure was 41.46 cm of H2O with leak fraction of 8% and fiberoptic view of the glottis was grade I in 87% of the patients. On removal of the mask, mild bloodstaining was noticed in 2%.Conclusion:Baska mask can be considered as an efficient supraglottic airway device in patients undergoing laparoscopic surgeries owing to its fast and easy insertion, effective sealing pressure and minimal trauma to the oropharyngeal tissues.
Authors and Affiliations
Anil Kumar M R, Sarika M Shetty, Prashanth Parmar, Vyshnavi S, Archana S, Madhu B
Keywords
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