A comparison of two supraglottic airway devices in general anaesthesia: baska mask® vs. I-gel® The comparison of Baska mask® and I-gel® during general anesthesia

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Özlem Sezen


Objective: The aim of this was to compare the Baska® mask and the I-gel® airway in paralyzed patients during general anaesthesia in terms of clinical performance, the risk of aspiration, and intraoperative and postoperative characteristics.

Material and Methods: The two devices were compared in 100 paralyzed anesthetized adult patients. Primary outcomes of the study were to evaluate the characteristics of the airway devices within respect to the success of first insertion attempt, the insertion time, the ease of insertion, leak volume, and peak airway pressure. The blood staining on the mask, and the presence of gastric reflux or sore throat two hours postoperatively were evaluated. Hemodynamics, end-tidal CO2 and the peripheral oxygen saturation measurements were secondary outcomes.

Results: No statistically significant difference was observed between the groups in the criteria of first attempt success rate, ease of insertion, blood staining upon removal of the masks, gastric regurgitation, or sore throat two hours after the procedure. The insertion time was significantly longer for the Baska® mask compared with the I-gel® airway. The leak volume was significantly higher in the Baska® mask patients throughout the surgical procedure. The heart rate and mean arterial pressure measurements were significantly higher in the Baska® mask patients.

Conclusions: Both the Baska® mask and the I-gel ® device can be used effectively for selected paralyzed patients under general anaesthesia. The insertion time was significantly longer for the Baska® mask compared with the I-gel® device.


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How to Cite
Sezen, Özlem. (2019). A comparison of two supraglottic airway devices in general anaesthesia: baska mask® vs. I-gel® . Medical Science and Discovery, 6(12), 333-339. https://doi.org/10.36472/msd.v6i12.331
Research Article


1. Michalek P, Donaldson W, Vobrubova E, Hakl M. Complications associated with the use of supraglottic airway devices in perioperative medicine. Biomed Res Intern. 2015; 2015:746560. doi: 10.1155/2015/746560. Epub 2015 Dec 13.

2. https://www.intersurgical.com/info/igel (access date 29/10/2018).

3. http://www.baskamask.com.au (access date 29/10/2018).

4. Shanmugavelu G, Kanagarajan T. Comparing the functional analysis of I-gel with Baska mask in laparoscopic surgeries: an observational study. Int J Res Med Sci. 2018; 6(4): 1440-43.

5. Rehab Abdel Raof Abdel Aziz, Yasser Mohamed Osman. Comparison of I-gel with Baska mask airway for controlled ventilation in obese patients undergoing ambulatory surgery: A prospective randomized trial. Journal of Anesthesiology. 2017; 5(4): 29-35.

6. Alexiev V, Ochana A, Abdelrahman D, et al. Comparison of the Baska® mask with the single-use laryngeal mask airway in low-risk female patients undergoing ambulatory surgery. Anaesthesia. 2013; 68 (10): 1026-32.

7. Al-Rawahi SAS, Aziz H, Malik AM, Khan RM, Kaul N. A comparative analysis of the Baska® mask vs. Proseal® laryngeal mask for general anaesthesia with IPPV. Anaesth Pain &Intensive Care. 2013; 17(3): 233-236.

8. Durrani HD, Butt KJ, Sadaf S, Rehan A, Khan AM, Umar A. Comparison of LMA Classic and I-gel in anesthetized spontaneously breathing patients during elective surgical procedures. Anaesth Pain& Intenive Care. 2013; 17(3): 274-78.

9. Fotedar S. A comparison between the i-gel and the Baska mask in spontaneously ventilating anaesthetised patients. Int J Sci Res. 2018; 7(4): 23-6.

10. Shivani Fotedar, Lt (Gen), Sujan Singh, Col RK Tripathi. The Baska Mask trial in patients undergoing laparoscopic cholecystectomies. Intenational Journal of Scientific Research Publications (IJSRP). 2018; 8(3) (ISSN: 2250-3153) DOI: http://dx.doi.org/10.29322/IJSRP.8.3.2018.p7515.

11. Zundert Tv, Gatt S. The Baska Mask®- A new concept in self-sealing membrane cuff extraglottic airway devices, using a sump and two gastric drains: A critical evaluation. J Obstet Anaesth Crit Care. 2012; 2(1): 23-30.

12. Alexiev V, Salim A, Kevin LG, Laffey JG. An observational study of the Baska® mask: a novel supraglottic airway. Anaesthesia. 2012; 67 (6): 640-45.

13. https://www.random.org/(Access date: 12/11/ 2018)

14. Rehab Abdel-Raof Abdel-Aziz, Yasser Mohamed Osman. Evaluation of Head and Neck Position on Oropharyngeal Leak Pressure with Baska Mask and Streamlined Liner of Pharyngeal Airway (SLIPA™): A Randomized Clinical Trial. Journal of Anesthesiology. 2017; 5(5): 36-41.

15. Mahajan SR, Mahajan M, Chaudhary U, Kumar S. Evaluation of Baska mask performance in laparoscopic cholecystectomies. Journal of Dental and Medical Sciences. 2018 17(4): 74-78.

16. Taghavi Gilani M, Miri Soleimani I, Razavi M, Salehi M. Reducing sore throat following laryngeal mask airway insertion: comparing lidocaine gel, saline, and washing mouth with the control group. Rev Bras Anestesiol. 2015; 65(6):450-454.

17. Sengupta S, Roy MB. Use of lubricating jelly for laryngeal mask airways. Indian J Anaesth. 2011; 55(5):545.

18. Sidaras G, Hunter JM. Is it safe to artificially ventilate a paralysed patient through the laryngeal mask? The jury is still out. Br J Anaesth. 2001; 86 (6): 749–53.

19. Devitt JH, Wentsone R, Noel AG, O’Donnell MP. The laryngeal mask airway and positive-pressure ventilation. Anesthesiology. 1994; 80 (3): 550–5.

20. Weiler N, Latorre F, Eberle B, Goedecke R, Heinrichs W. Respiratory mechanics, gastric insufflation pressure, and air leakage of the laryngeal mask airway. Anesth Analg. 1997; 84 (5): 1025–8.

21. Asai T, Kawashima A, Hidaka I, Kawashi S. The laryngeal tube in comparison with the laryngeal mask: insertion, gas leak and gastric insufflation. Br J Anaesth. 2002; 89 (5): 729–32.

22. Miller DM, Light D. Storage capacities of the laryngeal mask and laryngeal tube compared and their relevance to aspiration risk during positive pressure ventilation. Anesth Analg. 2003; 96 (6): 1821–2.

23. Helmy AM, Atef HM, El-Taher EM, Henidak AM. Comparative study between I-gel, a new supraglottic airway device, and classical laryngeal mask airway in anesthetized spontaneously ventilated patients. Saudi J Anaesth. 2010; 4 (3): 131-6.

24. In CB, Cho SA, Lee SJ, Sung TY, Cho CK. Clinical performance of airway management with the i-gel and laryngeal mask airway supreme in geriatric patients: a prospective and randomized study Korean J Anesthesiol. 2019;72(1):39-46. doi: 10.4097/kja.d.18.00121. Epub 2018 Oct 22.

25. Schmidbauer W, Genzwürker H, Ahlers O, Proquitte H, Kerner T. Cadaver study of oesophageal insufflation with supraglottic airway devices during positive pressure ventilation in an obstructed airway. Br J Anaesth. 2012; 109 (3): 454-58.

26. Saracoglu KT, Demir A, Pehlivan G, Saracoglu A, Eti Z. Analysing the efficacy of the I-gel supraglottic airway devices in the supine and lateral decubitus positions. Anaesthesiol Intensive Ther. 2018;50(4):259-262