Hussain Darvish, Kundal Raksha, Kumar Anil, Sabharwal Nikki
Anaesthesiology, Lady Hardinge Medical College, New Delhi, IND.
Anaesthesiology, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, IND.
Cureus. 2022 Feb 25;14(2):e22592. doi: 10.7759/cureus.22592. eCollection 2022 Feb.
Background and objective Supraglottic airway devices are extensively used nowadays to secure the airway and minimize postoperative airway-related complications. This study aimed to evaluate whether the Baska mask (BM) provides higher seal pressure and a better first-time insertion compared to the laryngeal mask airway (LMA) ProSeal™ (LMA-P) in adult laparoscopic cholecystectomy. Methodology This prospective, randomized, single-blinded interventional study was performed after obtaining ethical approval from the Institutional Ethics Committee at the Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi. Sixty adult patients of both genders scheduled for laparoscopic cholecystectomy under general anesthesia were divided into two groups, with 30 patients in each group. Our study observed the number of insertion attempts, time of insertion, oropharyngeal seal pressure (OSP), number of patients requiring manipulation for proper placement of supraglottic airway devices, and ease of insertion. Results There were no significant differences in terms of insertion attempts, ease of insertion, and laryngopharyngeal morbidity between the groups. The mean OSP at five minutes was 31.55 ±2.23 cm HO, and that at 30 minutes was 35.86 ±3.70 cm H0 in the BM group, while in the LMA-P group, it was 24.17 ±3.74 cm H0 and 25.97 ±3.79 cm H0 respectively (p<0.001). In our study, the trend of OSP continued to increase in the BM group more than in the LMA-P group during surgery. Conclusion The BM provided better OSP than the LMA-P, which was observed throughout the surgery.
背景与目的 如今，声门上气道装置被广泛用于确保气道安全并将术后气道相关并发症降至最低。本研究旨在评估在成人腹腔镜胆囊切除术中，与喉罩气道（LMA）ProSeal™（LMA-P）相比，巴斯卡面罩（BM）是否能提供更高的密封压力和更好的首次插入成功率。方法 本前瞻性、随机、单盲干预性研究在获得新德里瓦尔丹·马哈拉施特拉医学院和萨夫达容医院机构伦理委员会的伦理批准后进行。60例计划在全身麻醉下进行腹腔镜胆囊切除术的成年患者，男女不限，被分为两组，每组30例。我们的研究观察了插入尝试次数、插入时间、口咽密封压力（OSP）、为正确放置声门上气道装置而需要操作的患者数量以及插入的难易程度。结果 两组在插入尝试次数、插入难易程度和喉咽发病率方面无显著差异。BM组5分钟时的平均OSP为31.55±2.23 cm H₂O，30分钟时为35.86±3.70 cm H₂O，而LMA-P组分别为24.17±3.74 cm H₂O和25.97±3.79 cm H₂O（p<0.001）。在我们的研究中，手术期间BM组的OSP上升趋势比LMA-P组更明显。结论 在整个手术过程中观察到，BM的OSP比LMA-P更好。
