A Comparative Evaluation of Baska Mask Versus I-gel Supraglottic Airway Devices in Patients Undergoing Surgery Under General Anaesthesia: A Prospective Randomized Controlled Study
Year: 2026
Type: article
Study designs: Randomized Controlled Trial, Clinical Trial
Abstract: Background: Supraglottic airway devices (SGADs) have become an integral part of modern airway management because of their ease of insertion, reduced airway stimulation, and lower incidence of postoperative complications compared to endotracheal intubation. The Baska Mask and I-gel are advanced SGADs designed to provide effective airway sealing and ventilation during general anaesthesia. This study was conducted to compare the clinical performance of the Baska Mask and I-gel in patients undergoing elective surgical procedures. Materials and Methods: This prospective, randomized, comparative study was conducted on 60 adult patients (ASA physical status I–II) undergoing elective surgeries under general anaesthesia. Patients were randomly allocated into two groups of 30 each: Group B (Baska Mask) and Group I (I-gel). Parameters evaluated included insertion time, number of insertion attempts, ease of insertion, oropharyngeal leak pressure (OLP), hemodynamic responses, oxygen saturation, and postoperative complications. Statistical analysis was performed using SPSS version 25.0, and a p-value <0.05 was considered statistically significant. Results: The mean insertion time was slightly longer in the Baska Mask group than in the I-gel group (21.93 ± 8.05 seconds vs. 18.67 ± 4.02 seconds; p = 0.0531). First-attempt insertion success was achieved in 86.7% and 90.0% of patients in the Baska Mask and I-gel groups, respectively (p = 1.0000). The Baska Mask demonstrated a significantly higher oropharyngeal leak pressure compared with the I-gel (33.47 ± 3.05 mmHg vs. 28.57 ± 1.59 mmHg; p < 0.0001). Hemodynamic parameters were comparable between the groups, although transient differences in pulse rate and diastolic blood pressure were observed. Oxygen saturation remained within normal limits in both groups, with marginally higher values in the Baska Mask group. Postoperative complications were generally mild; trauma and pharyngeal pain were more frequent with the Baska Mask, while blood staining of the device and nausea occurred infrequently in the I-gel group. Conclusion: Both the Baska Mask and I-gel were effective and safe supraglottic airway devices for elective surgeries under general anaesthesia. The Baska Mask provided significantly higher oropharyngeal leak pressure and superior airway sealing, whereas the I-gel demonstrated slightly faster insertion and fewer airway-related complications. The choice of device should be guided by clinical requirements and operator preference.
Language: English
Subfield: Anesthesiology and Pain Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W7168083836