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

ABSTRACTBackground 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™...

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Main Authors: Shady Rady Abdalla, Ahmed Abdalla Mohamed, Marianne Magdy Roshdy, Maha Mohamed Ismail, Ashraf Mohamed Abdelreheem, Walaa Mohamed Bahnas, Mahmoud Salem Soliman
Format: Article
Language:English
Published: Taylor & Francis Group 2023-12-01
Series:Egyptian Journal of Anaesthesia
Subjects:
Online Access:https://www.tandfonline.com/doi/10.1080/11101849.2023.2240662
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author Shady Rady Abdalla
Ahmed Abdalla Mohamed
Marianne Magdy Roshdy
Maha Mohamed Ismail
Ashraf Mohamed Abdelreheem
Walaa Mohamed Bahnas
Mahmoud Salem Soliman
author_facet Shady Rady Abdalla
Ahmed Abdalla Mohamed
Marianne Magdy Roshdy
Maha Mohamed Ismail
Ashraf Mohamed Abdelreheem
Walaa Mohamed Bahnas
Mahmoud Salem Soliman
author_sort Shady Rady Abdalla
collection DOAJ
description ABSTRACTBackground 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.
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spelling doaj.art-aaccf44b9d42490994dd212a07b83e7b2023-08-01T06:03:28ZengTaylor & Francis GroupEgyptian Journal of Anaesthesia1110-18492023-12-0139167367910.1080/11101849.2023.2240662Baska mask vs ProSeal Laryngeal mask on airway seal pressure in cases undergoing general anesthesia by mechanical ventilation: A randomized controlled trialShady Rady Abdalla0Ahmed Abdalla Mohamed1Marianne Magdy Roshdy2Maha Mohamed Ismail3Ashraf Mohamed Abdelreheem4Walaa Mohamed Bahnas5Mahmoud Salem Soliman6Critical Care and Pain Management Department, Faculty of Medicine, Cairo University, Cairo, EgyptSurgical ICU and Pain Management Department, Theodor Bilharz Research Institute, Giza, EgyptSurgical ICU and Pain Management Department, Kasr Al-Ainy Hospital, Cairo, EgyptSurgical ICU and Pain Management Department, Kasr Al-Ainy Hospital, Cairo, EgyptSurgical ICU and Pain Management Department, Kasr Al-Ainy Hospital, Cairo, EgyptSpecialist of Anesthesiology, Surgical Intensive Care and Pain Medicine Department, Faculty of Medicine, Cairo University, Cairo, EgyptSurgical ICU and Pain Management Department, Kasr Al-Ainy Hospital, Cairo, EgyptABSTRACTBackground 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.https://www.tandfonline.com/doi/10.1080/11101849.2023.2240662Baska maskProSeal Laryngeal maskairway seal pressuremechanical ventilation
spellingShingle Shady Rady Abdalla
Ahmed Abdalla Mohamed
Marianne Magdy Roshdy
Maha Mohamed Ismail
Ashraf Mohamed Abdelreheem
Walaa Mohamed Bahnas
Mahmoud Salem Soliman
Baska mask vs ProSeal Laryngeal mask on airway seal pressure in cases undergoing general anesthesia by mechanical ventilation: A randomized controlled trial
Egyptian Journal of Anaesthesia
Baska mask
ProSeal Laryngeal mask
airway seal pressure
mechanical ventilation
title Baska mask vs ProSeal Laryngeal mask on airway seal pressure in cases undergoing general anesthesia by mechanical ventilation: A randomized controlled trial
title_full Baska mask vs ProSeal Laryngeal mask on airway seal pressure in cases undergoing general anesthesia by mechanical ventilation: A randomized controlled trial
title_fullStr Baska mask vs ProSeal Laryngeal mask on airway seal pressure in cases undergoing general anesthesia by mechanical ventilation: A randomized controlled trial
title_full_unstemmed Baska mask vs ProSeal Laryngeal mask on airway seal pressure in cases undergoing general anesthesia by mechanical ventilation: A randomized controlled trial
title_short Baska mask vs ProSeal Laryngeal mask on airway seal pressure in cases undergoing general anesthesia by mechanical ventilation: A randomized controlled trial
title_sort baska mask vs proseal laryngeal mask on airway seal pressure in cases undergoing general anesthesia by mechanical ventilation a randomized controlled trial
topic Baska mask
ProSeal Laryngeal mask
airway seal pressure
mechanical ventilation
url https://www.tandfonline.com/doi/10.1080/11101849.2023.2240662
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