EVALUATION OF AIRWAY ISOLATION WITH TWO CUFFLESS SUPRAGLOTTIC AIRWAY DEVICES: RANDOMIZED CLINICAL STUDY.
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Abstract
Minor gynaecological surgical procedures under general anaesthesia require a patent airway. Supraglottic airway devices have been widely used for airway management. A study was undertaken to compare sealing pressure of two cuffless supraglottic airway After approval from the institutional ethical committee, a randomised single-blinded study was conducted on 60 American Society of Anesthesiologists’ physical status I and II female patients aged 18–45 years who underwent minor surgical procedures under general anaesthesia. Patients were randomly categorized into two groups of 25 each; group Baska® mask and group I-gel, sealing pressure, brimacombe grading noted. The results were analysed using unpaired t-test, Mann-Whitney U test, Chi-square test and ANOVA. A p value <0.05 was considered to be statistically significant. Out of 50 patient’s airways for 25 were secured with I gel and for 25 were secured with baska based on sealing pressure at leak is visualized by fibreoptic broncoscope in both group for BASKA (mean=31.5), I GEL (mean=28.3). The Baska mask® with its unique morphological design and air shaft withstand high sealing pressure than i gel. The sealing pressures of the Baska mask® are superior to those of the I-gel and it is a better alternative airway device for short surgical procedures with minimum complications.