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Comparison of Baska mask® and i-gel® supraglottic airway devices in elective laparoscopic surgery: A randomized clinical trial

Year: 2026
Type: article
Abstract: Background: Supraglottic airway devices are increasingly used in elective laparoscopic surgery, but direct comparative data between the Baska mask and i-gel remain limited. This study aimed to compare insertion characteristics, sealing performance during pneumoperitoneum, and postoperative laryngopharyngeal morbidity.Materials and Methods: In this prospective randomized trial, 70 ASA I-II adults undergoing elective laparoscopic abdominal surgery were enrolled and randomly assigned to Baska mask (n=35) or i-gel (n=35). The primary outcomes were first-attempt insertion success and ease of insertion. Secondary outcomes included insertion time, jaw thrust requirement, leak fraction during stable pneumoperitoneum measured at two time points, hemodynamic variables, procedure-related complications, and postoperative sore throat, cough, and hoarseness. Analyses were performed on an intention-to-treat basis for primary and safety outcomes and per-protocol for technical parameters.Results: First-attempt success (80.0% vs 94.3%; p=0.153) and device failure rates were comparable between groups. The i-gel demonstrated significantly shorter insertion time (25.2±5.8 vs 36.3±5.6 seconds; p
Language: English
Field: Medicine
Open Access status: diamond
OpenAlex ID: W7170149392
FWCI:
Cites: 16
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Related to: 10