COMPARISON OF BASKA MASK WITH I-GEL IN ADULT PATIENTS UNDERGOING DAYCARE SURGERIES UNDER GENERAL ANESTHESIA.

INTRODUCTION In daycare surgeries under general anaesthesia, securing a patent airway is crucial. Supraglottic airway devices (SADs), such as the Baska mask and I-Gel, offer advantages like ease of insertion and minimal airway trauma. OBJECTIVE Minor surgical procedures under general anaesthesia require a patent airway without the use of muscle relaxant. Supraglottic airway devices have been widely used for airway management. A study was undertaken to assess the efficacy and safety of Baska Mask and I-Gel in terms of airway sealing pressure, peak airway pressure, and hemodynamic changes, first-time insertion success rate, insertion time, sealing pressure and complications between the Baska® mask and I-gel. METHODS This randomized, prospective, single-blinded study (CTRI/2023/11/059853) was conducted at Dr. Moopen’s Medical College, Wayanad, Kerala, on 88 ASA I/II patients aged 18-60 years undergoing minor surgeries. Patients were randomized into two groups of 44 each to receive either the Baska mask or I-Gel. Key parameters such as peak airway pressure, airway sealing pressure, and hemodynamic parameters were recorded. Insertion time, ease of insertion, number of attempts, and postoperative complications were also measured. Data were analyzed using SPSS version 26.0, with a p-value of less than 0.05 considered statistically significant. RESULTS The Baska mask showed higher airway sealing pressure (27.91 ± 1.344 cmH2O) and mean oropharyngeal leak pressures (23.802 ± 1.27 cmH2O) compared to the I-Gel, with significant p-values of < 0.001. The I-Gel exhibited a lower mean peak airway pressure (13.7 ± 0.765 cmH2O) compared to the Baska mask (15.48 ± 0.792 cmH2O), with a p-value of < 0.002. No significant differences were observed in tidal volumes or blood pressure measurements. The Baska mask had a higher proportion of easy insertions (93.2%) and required fewer attempts compared to the I-Gel. The I-Gel showed significantly shorter insertion times. The incidence of blood staining and sore throat was higher with the I-Gel, while dysphagia was more common with the Baska mask. CONCLUSION The Baska mask demonstrated higher ease of insertion and airway sealing pressures. The I-Gel had lower peak airway pressures. Both SADs are effective with distinct advantages, making them suitable for airway management in daycare surgeries. [ABSTRACT FROM AUTHOR]