Comparative Efficacy and Safety of Baska Mask and I-Gel in Short Surgical Procedures: A Meta-Analysis
Background: The Baska Mask and I-gel are popular supraglottic airway devices (SGADs) because they are easy to use and maintain a functional airway without endotracheal insertion. Both devices are widely used, although there is limited evidence of their usefulness and safety in minor surgery. This me...
Saved in:
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2025-01-01
|
| Series: | Bali Journal of Anesthesiology |
| Subjects: | |
| Online Access: | https://doi.org/10.4103/bjoa.bjoa_299_24 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850271823596355584 |
|---|---|
| author | Richa Tripathi Rajesh Kumar |
| author_facet | Richa Tripathi Rajesh Kumar |
| author_sort | Richa Tripathi |
| collection | DOAJ |
| description | Background: The Baska Mask and I-gel are popular supraglottic airway devices (SGADs) because they are easy to use and maintain a functional airway without endotracheal insertion. Both devices are widely used, although there is limited evidence of their usefulness and safety in minor surgery. This meta-analysis aimed to evaluate and compare the clinical performance of the Baska and I-gel masks in terms of ease of insertion, insertion success rates, oropharyngeal leak pressure (OLP), insertion time, and postoperative complications. Materials and Methods: Our systematic literature search included PubMed, Google Scholar, Web of Science, and the Cochrane Library from 2010 to 2023. Seven minor and laparoscopic surgical studies were included. Single-attempt success rate, ease of insertion, OLP, insertion time, and postoperative complications were evaluated. Data were analyzed using RevMan 5.3, and heterogeneity was determined using the I2 statistic. Results: Both devices show comparable single-attempt success rates (odds ratio [OR]: 0.82, 95% confidence intervals [CIs]: 0.48–1.41) and complications (OR: 1.49, 95% CI: 0.83–2.69). Baska Mask shows significant advantages in terms of ease of insertion (OR: 0.50, 95% CI: 0.29–0.87) and lower OLP (standardized mean differences [SMD]: 3.20 cm H2O, 95% CI: 1.37–5.03, P < 0.001). Meanwhile, I-gel shows less time required for insertion (SMD: 2.05 s, 95% CI: 0.43–3.68, P = 0.01). Conclusion: In emergency or time-critical situations, the rapid insertion and ease of use of the I-gel mask are advantageous. However, the improved OLP of the Baska Mask benefits high-pressure ventilation. Both devices are safe, so they can be used in many therapeutic contexts. |
| format | Article |
| id | doaj-art-da9446fd91654ec0adb2b346f91ed768 |
| institution | OA Journals |
| issn | 2549-2276 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Bali Journal of Anesthesiology |
| spelling | doaj-art-da9446fd91654ec0adb2b346f91ed7682025-08-20T01:52:06ZengWolters Kluwer Medknow PublicationsBali Journal of Anesthesiology2549-22762025-01-0191283410.4103/bjoa.bjoa_299_24Comparative Efficacy and Safety of Baska Mask and I-Gel in Short Surgical Procedures: A Meta-AnalysisRicha TripathiRajesh KumarBackground: The Baska Mask and I-gel are popular supraglottic airway devices (SGADs) because they are easy to use and maintain a functional airway without endotracheal insertion. Both devices are widely used, although there is limited evidence of their usefulness and safety in minor surgery. This meta-analysis aimed to evaluate and compare the clinical performance of the Baska and I-gel masks in terms of ease of insertion, insertion success rates, oropharyngeal leak pressure (OLP), insertion time, and postoperative complications. Materials and Methods: Our systematic literature search included PubMed, Google Scholar, Web of Science, and the Cochrane Library from 2010 to 2023. Seven minor and laparoscopic surgical studies were included. Single-attempt success rate, ease of insertion, OLP, insertion time, and postoperative complications were evaluated. Data were analyzed using RevMan 5.3, and heterogeneity was determined using the I2 statistic. Results: Both devices show comparable single-attempt success rates (odds ratio [OR]: 0.82, 95% confidence intervals [CIs]: 0.48–1.41) and complications (OR: 1.49, 95% CI: 0.83–2.69). Baska Mask shows significant advantages in terms of ease of insertion (OR: 0.50, 95% CI: 0.29–0.87) and lower OLP (standardized mean differences [SMD]: 3.20 cm H2O, 95% CI: 1.37–5.03, P < 0.001). Meanwhile, I-gel shows less time required for insertion (SMD: 2.05 s, 95% CI: 0.43–3.68, P = 0.01). Conclusion: In emergency or time-critical situations, the rapid insertion and ease of use of the I-gel mask are advantageous. However, the improved OLP of the Baska Mask benefits high-pressure ventilation. Both devices are safe, so they can be used in many therapeutic contexts.https://doi.org/10.4103/bjoa.bjoa_299_24airway managementbaska maski-gelminor surgeryoropharyngeal leak pressuresupraglottic airway devices |
| spellingShingle | Richa Tripathi Rajesh Kumar Comparative Efficacy and Safety of Baska Mask and I-Gel in Short Surgical Procedures: A Meta-Analysis Bali Journal of Anesthesiology airway management baska mask i-gel minor surgery oropharyngeal leak pressure supraglottic airway devices |
| title | Comparative Efficacy and Safety of Baska Mask and I-Gel in Short Surgical Procedures: A Meta-Analysis |
| title_full | Comparative Efficacy and Safety of Baska Mask and I-Gel in Short Surgical Procedures: A Meta-Analysis |
| title_fullStr | Comparative Efficacy and Safety of Baska Mask and I-Gel in Short Surgical Procedures: A Meta-Analysis |
| title_full_unstemmed | Comparative Efficacy and Safety of Baska Mask and I-Gel in Short Surgical Procedures: A Meta-Analysis |
| title_short | Comparative Efficacy and Safety of Baska Mask and I-Gel in Short Surgical Procedures: A Meta-Analysis |
| title_sort | comparative efficacy and safety of baska mask and i gel in short surgical procedures a meta analysis |
| topic | airway management baska mask i-gel minor surgery oropharyngeal leak pressure supraglottic airway devices |
| url | https://doi.org/10.4103/bjoa.bjoa_299_24 |
| work_keys_str_mv | AT richatripathi comparativeefficacyandsafetyofbaskamaskandigelinshortsurgicalproceduresametaanalysis AT rajeshkumar comparativeefficacyandsafetyofbaskamaskandigelinshortsurgicalproceduresametaanalysis |