Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
Supraglottic airway devices (SGADs) are extensively utilised in modern anaesthesia due to their simple insertion, minimum invasiveness, and efficient airway management. The I‐Gel and Baska Mask are second‐generation supraglottic airway devices that have improved seal pressures and safety attributes, rendering them appropriate for laparoscopic procedures necessitating positive pressure ventilation. Laparoscopic cholecystectomy, marked by elevated airway pressures due to pneumoperitoneum, necessitates a reliable airway seal. Evaluating these devices enhances airway control strategies, hence improving surgical safety and patient outcomes. This study aimed to compare the clinical performance of the I‐Gel versus the Baska Mask in patients undergoing laparoscopic cholecystectomy under general anesthesia. A prospective, randomized comparative study was conducted on 60 adult patients scheduled for elective laparoscopic cholecystectomy under general anesthesia. Patients were randomly divided into two groups: Group I (I‐Gel, n=30) and Group B (Baska Mask, n=30). Key parameters such as ease of insertion, insertion time, oropharyngeal seal pressure (OSP), peak airway pressure, incidence of gastric insufflation, and postoperative complications (sore throat, cough, hoarseness) were evaluated. Results were analysed using SPSS 20.0 version. The Baska Mask demonstrated a significantly higher oropharyngeal seal pressure compared to the I‐Gel (p<0.001), which was crucial for maintaining ventilation in high airway pressure procedures like laparoscopy. Insertion time was slightly longer for the Baska Mask, but not statistically significant (p>0.05). Both devices had comparable success rates for first‐attempt insertions. The incidence of postoperative sore throat was slightly higher in the Baska group, though without statistical significance. No major complications were reported in either group. Both the I‐Gel and Baska Mask are effective and safe SGADs for laparoscopic cholecystectomy. However, the Baska Mask provides a better oropharyngeal seal, making it more suitable for procedures involving elevated airway pressures. The choice of device should be guided by patient characteristics, surgical needs, and anesthesiologist experience.
How to cite this article:
A. Balakrishnan and P. Madhu Priya. I‐GEL vs Baska Mask for General Anesthesia in Laparoscopic Cholecystectomy ‐ A Comparative Study.
DOI: https://doi.org/10.36478/makrjms.2025.4.171.176
URL: https://www.makhillpublications.co/view-article/1815-9346/makrjms.2025.4.171.176