Comparison of I-gel and Baska mask in elective surgery: a meta-analysis

Objective The supraglottic airway device is a viable alternative to tracheal intubation for elective surgery. To conduct a comparative analysis of the advantages and disadvantages associated with use of the Baska mask and I-gel across various dimensions.Design A comprehensive search was conducted ac...

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Bibliographic Details
Main Authors: Hao Wang, Jiaxin Shen, Jiaxiao Shi, Xiaoyun Miao, Jinglin Zhao, Qingchun Dai
Format: Article
Language:English
Published: BMJ Publishing Group 2024-12-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/14/12/e085832.full
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Summary:Objective The supraglottic airway device is a viable alternative to tracheal intubation for elective surgery. To conduct a comparative analysis of the advantages and disadvantages associated with use of the Baska mask and I-gel across various dimensions.Design A comprehensive search was conducted across PubMed, Embase, Cochrane Library, Web of Science, and other relevant databases to identify randomised controlled trials (RCTs) involving patients who used the Baska mask and I-gel.Main results Twelve studies were identified for comparison of clinical indices. The Baska mask device demonstrated general feasibility in oropharyngeal leak pressure at insertion time and 30 min post-insertion, as well as in the assessment of dysphonia. However, the I-gel had superior efficacy in reducing sore throat compared with the Baska mask.Conclusions Based on current evidence, the Baska mask demonstrates superior intraoperative performance compared with I-gel; however, it is associated with a higher incidence of a sore throat post-extubation. Nevertheless, the overall quality of existing studies is suboptimal, underscoring the need for additional high-quality RCTs to substantiate these findings.
ISSN:2044-6055