Comparison of clinical performance of i-gelⓇ and Baska MaskⓇ during laparoscopic cholecystectomy
- Author:
So Ron CHOI
1
;
Tae Young LEE
;
Sung Wan KIM
;
Sang Yoong PARK
;
Chan Jong CHUNG
;
Jeong Ho KIM
Author Information
- Publication Type:Original Article
- Keywords: Cholecystectomy; Hemodynamics; Laparoscopy; Laryngeal masks; Lung compliance; Pneumoperitoneum
- MeSH: Arterial Pressure; Cholecystectomy; Cholecystectomy, Laparoscopic; Glottis; Heart Rate; Hemodynamics; Humans; Incidence; Intubation; Laparoscopy; Laryngeal Masks; Lung Compliance; Masks; Pneumoperitoneum
- From:Korean Journal of Anesthesiology 2019;72(6):576-582
- CountryRepublic of Korea
- Language:English
- Abstract: BACKGROUND: The supraglottic airway device is an appropriate alternative to tracheal intubation in laparoscopic surgery. We compared the Baska MaskⓇ with i-gelⓇ by measuring the oropharyngeal leak pressure (OLP) and hemodynamic and respiratory parameters during laparoscopic cholecystectomy.METHODS: A total of 97 patients were randomly allocated to either i-gel group (n = 49) or Baska Mask group (n = 48). Insertion time, number of insertion attempts, fiber-optic view of the glottis, and OLP were recorded. Heart rate, mean arterial pressure, peak airway pressure (PAP), lung compliance, and perioperative complications were assessed before, during, and after pneumoperitoneum.RESULTS: There were no significant differences between the two groups regarding demographic data, insertion time, fiber-optic view of the glottis, and the use of airway manipulation. The OLP was higher in the Baska Mask group than in the i-gel group (29.6 ± 6.8 cmH₂O and 26.7 ± 4.5 cmH₂O, respectively; P = 0.014). Heart rate, mean arterial pressure, PAP, and lung compliance were not significantly different between the groups. The incidence of perioperative complications was small and not statistically significant.CONCLUSIONS: Both the i-gel and Baska Mask provided a satisfactory airway during laparoscopic cholecystectomy. Compared with the i-gel, the Baska Mask demonstrated a higher OLP.
