Comparison of Clinical Performance of Baska Mask and Ambu AuraGain in Patients Undergoing Surgery: A Single-blinded, Randomised Comparative Trial

Overview

Journal Indian J Anaesth

Specialty Anesthesiology

Date 2024 Jan 8

PMID 38187974

Authors

Rajesh Raman

Rati Prabha

Surbhi Rampal

Tanmay Tiwari

Shefali Gautam

Ravi Prakash

Affiliations

Soon will be listed here.

Abstract

Background And Aims: The Baska mask (BM) and the Ambu AuraGain (AAG) have shown promising results in recent trials but have not been compared. Therefore, we aimed to compare the clinical performance of the BM and the AAG for airway management of adult patients.

Methods: In this randomised comparative study, patients aged 18-60 years and with an expected surgical duration of less than 2 h were enroled. Patients were randomly allocated to AAG (Group A, = 37) and BM (Group B, = 37) for airway management. After induction of anaesthesia, an allocated supraglottic airway device (SAD) was inserted. Oropharyngeal leak pressure (OLP), time taken to insert SAD, number of insertion attempts, leak fraction (LF), first-attempt success rate, overall success rate, ease of insertion, fiberoptic view of the glottis, and complications were compared. The data were analysed using Student's -test, Mann-Whitney test, and Fisher's exact tests.

Results: Baseline and demographic characteristics were comparable. OLP (31.32 ± 2.59 versus 27.54 ± 1.32 cmHO) was higher ( < 0.001), and LF (6.19% ± 1.20% versus 7.24% ± 1.72%) was lower ( = 0.003) in the BM group. First-attempt and overall success rate, time taken to insert, number of insertion attempts, ease of insertion, and fibreoptic view of glottis through the SADs were statistically similar between groups. However, the incidence of sore throat ( = 0.007) and cough ( = 0.028) was higher with AAG.

Conclusion: Clinical performance of BM was better than AAG as the former had higher OLP, lower LF and complications.

References

Kwanten L, Madhivathanan P . Supraglottic airway devices: current and future uses. Br J Hosp Med (Lond). 2018; 79(1):31-35. DOI: 10.12968/hmed.2018.79.1.31. View

Kumar C, Van Zundert T, Seet E, van Zundert A . Time to consider supraglottic airway device oropharyngeal leak pressure measurement more objectively. Acta Anaesthesiol Scand. 2020; 65(2):142-145. DOI: 10.1111/aas.13727. View

Prabha R, Raman R, Khan M, Kaushal D, Siddiqui A, Abbas H . Comparison of I-gel for general anesthesia in obese and nonobese patients. Saudi J Anaesth. 2018; 12(4):535-539. PMC: 6180705. DOI: 10.4103/sja.SJA_79_18. View

Sharma B, Sahai C, Sood J . Extraglottic airway devices: technology update. Med Devices (Auckl). 2017; 10:189-205. PMC: 5566319. DOI: 10.2147/MDER.S110186. View

Priya H, Sripriya R, Ravishankar M, Karthikeyan P, Charulatha R . Baska Mask is non-inferior to tracheal tube in preventing airway contamination during controlled ventilation in elective nasal surgeries: A randomised controlled trial. Indian J Anaesth. 2021; 65(8):586-592. PMC: 8445220. DOI: 10.4103/ija.IJA_237_21. View

Huang A, Sarver A, Widing A, Hajduk J, Jagannathan N . The design of the perfect pediatric supraglottic airway device. Paediatr Anaesth. 2019; 30(3):280-287. DOI: 10.1111/pan.13785. View

Zaballos M, Escriba F, Lopez S, Zaballos J, Montero J, Fernandez I . A multicenter and observational study of the Ambu™ AuraGain™ laryngeal mask in adult patients. Rev Esp Anestesiol Reanim (Engl Ed). 2020; 68(2):73-81. DOI: 10.1016/j.redar.2020.08.014. View

Sharma P, Rai S, Tripathi M, Malviya D, Kumari S, Mishra S . Comparison of LMA Supreme, i-gel, and Baska Mask for Airway Management during Laparoscopic Cholecystectomy: A Prospective Randomized Comparative Study from North India. Anesth Essays Res. 2022; 16(1):42-48. PMC: 9558661. DOI: 10.4103/aer.aer_23_22. View

Moser B, Audige L, Keller C, Brimacombe J, Gasteiger L, Bruppacher H . A prospective, randomized trial of the Ambu AuraGain™ laryngeal mask versus the LMA® protector airway in paralyzed, anesthetized adult men. Minerva Anestesiol. 2017; 84(6):684-692. DOI: 10.23736/S0375-9393.17.12254-6. View

10.

Yoo S, Park S, Kim W, Hur M, Bahk J, Lim Y . Influence of head and neck position on performance of the Ambu® AuraGain™ laryngeal mask: a randomized crossover study. Minerva Anestesiol. 2018; 85(2):133-138. DOI: 10.23736/S0375-9393.18.12579-X. View

11.

Parikh D, Jain R, Lele S, Tendolkar B . A cohort evaluation of clinical use and performance characteristics of Ambu AuraGain™: A prospective observational study. Indian J Anaesth. 2017; 61(8):636-642. PMC: 5579853. DOI: 10.4103/ija.IJA_285_17. View

12.

Deepak G, Kumar R, Agarwal M, Bharadwaj M, Kumar N, Sarma R . Comparison of Ambu AuraGain at low cuff pressure, Ambu AuraGain at high cuff pressure and i-gel in relation to incidence of postoperative upper airway complications. Indian J Anaesth. 2021; 65(6):439-444. PMC: 8252994. DOI: 10.4103/ija.IJA_189_21. View

13.

Agrawal N, Singh A, Gupta A . Comparative study of Baska mask with proseal LMA in adult patients undergoing elective surgery under general anesthesia with controlled ventilation. J Anaesthesiol Clin Pharmacol. 2022; 38(2):184-190. PMC: 9511871. DOI: 10.4103/joacp.JOACP_204_20. View

14.

Miller D . A proposed classification and scoring system for supraglottic sealing airways: a brief review. Anesth Analg. 2004; 99(5):1553-1559. DOI: 10.1213/01.ANE.0000134798.00069.2B. View

15.

Sachidananda R, Shaikh S, Mitragotri M, Joshi V, Ladhad D, Mallappa M . Comparison between the Baska Mask and I-Gel for Minor Surgical Procedures Under General Anaesthesia. Turk J Anaesthesiol Reanim. 2019; 47(1):24-30. PMC: 6598665. DOI: 10.5152/TJAR.2018.86729. View

16.

Copeland G, Zilevicius D, Bedolla C, Islas A, Guerra M, Salazar S . Review of Commercially Available Supraglottic Airway Devices for Prehospital Combat Casualty Care. Mil Med. 2022; 187(7-8):e862-e876. DOI: 10.1093/milmed/usac021. View

17.

Kumar B, Gupta B, Thakur A, Rana S, Garg M, Nehria M . Comparative evaluation of airway dynamics in patients undergoing laparoscopic cholecystectomy under general anaesthesia with controlled ventilation using ProSeal laryngeal mask airway, I-Gel™ and Baska mask. Indian J Anaesth. 2023; 66(12):842-848. PMC: 9842078. DOI: 10.4103/ija.ija_827_21. View

18.

Choi S, Lee T, Kim S, Park S, Chung C, Kim J . Comparison of clinical performance of i-gelⓇ and Baska MaskⓇ during laparoscopic cholecystectomy. Korean J Anesthesiol. 2019; 72(6):576-582. PMC: 6900424. DOI: 10.4097/kja.19195. View