Baska mask vs ProSeal Laryngeal mask on airway seal pressure in cases undergoing general anesthesia by mechanical ventilation: A randomized controlled trial

Theodor Bilharz Research Institute

Bibliographic Information

Authors: Rady Abdalla S.; Mohamed A.A.; Roshdy M.M.; Ismail M.M.; Abdelreheem A.M.; Bahnas W.M.; Soliman M.S.

Journal: Egyptian Journal of Anaesthesia

Publisher: Taylor and Francis Ltd.

Publication Date: 31 July 2023

Volume / Issue: Volume 39 / Issue 1

Pages: 673–679

ISSN: 11101849

DOI: 10.1080/11101849.2023.2240662

Scopus: View on Scopus

Document Type: Article

Access: All Open Access; Hybrid Gold Open Access

Authors and Affiliations

Rady Abdalla S., Critical Care and Pain Management Department, Faculty of Medicine, Cairo University, Cairo, Egypt, Kasr Al-Ainy Hospital, Cairo, Egypt; Mohamed A.A., Surgical ICU and Pain Management Department, Theodor Bilharz Research Institute, Giza, Egypt; Roshdy M.M., Surgical ICU and Pain Management Department, Kasr Al-Ainy Hospital, Cairo, Egypt; Ismail M.M., Surgical ICU and Pain Management Department, Kasr Al-Ainy Hospital, Cairo, Egypt; Abdelreheem A.M., Surgical ICU and Pain Management Department, Kasr Al-Ainy Hospital, Cairo, Egypt; Bahnas W.M., Specialist of Anesthesiology, Surgical Intensive Care and Pain Medicine Department, Faculty of Medicine, Cairo University, Cairo, Egypt; Soliman M.S., Surgical ICU and Pain Management Department, Kasr Al-Ainy Hospital, Cairo, Egypt

Abstract

Background: Supraglottic Airway Devices (SGAs) are designed to counteract the drawbacks of endotracheal intubation. They have proven to be easy to use, robust, versatile, and usable in many difficult situations. This work aims to investigate the use of the Baska Mask (BM) airway and ProSeal™ Laryngeal Mask Airway (PLMA) as SGAs for ventilation. Methods: This randomized controlled trial was carried out on 74 cases aged 21–65 years old for elective surgery of a planned duration of up to 2 h during general anaesthesia with intermittent positive pressure ventilation. Cases were divided into two equal groups. Ventilation was done either by BM® Airway (group BM) or PLMA (group PLMA). Results: BM had a shorter insertion time and lower leak fraction versus PLMA, while seal pressure elevated significantly with BM versus PLMA (P < 0.001). PLMA had significantly more cases than the BM mask group complaining of a sore throat at 2 h (P = 0.042). Complication after gastric tube insertion was parallel between both groups. Conclusions: BM can be used successfully during anesthesia as it displays a shorter insertion time, lower leak fraction, higher seal pressure, and lower incidence of sore throat and gastric tube insertion complications than PLMA. © 2023 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.

Keywords

airway seal pressure; Baska mask; mechanical ventilation; ProSeal Laryngeal mask; cisatracurium; fentanyl; midazolam; ondansetron; propofol; ranitidine; sevoflurane; adult; airway pressure; Article; artificial ventilation; controlled study; dysphasia; elective surgery; female; general anesthesia; hoarseness; human; intermittent positive pressure ventilation; major clinical study; male; postoperative complication; randomized controlled trial; sore throat

Citation Information

Scopus Citations: 0

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