Comparison of I-gel and Baska mask in elective surgery: a meta-analysis.

Shen, Jiaxin; Miao, Xiaoyun; Wang, Hao; Zhao, Jinglin; Shi, Jiaxiao; Dai, Qingchun · BMJ Open · 2024

meta_analysis · Level I

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Abstract

The supraglottic airway device is a viable alternative to tracheal intubation for elective surgery. To conduct a comparative analysis of the advantages and disadvantages associated with use of the Baska mask and I-gel across various dimensions. A comprehensive search was conducted across PubMed, Embase, Cochrane Library, Web of Science, and other relevant databases to identify randomised controlled trials (RCTs) involving patients who used the Baska mask and I-gel. Twelve studies were identified for comparison of clinical indices. The Baska mask device demonstrated general feasibility in oropharyngeal leak pressure at insertion time and 30 min post-insertion, as well as in the assessment of dysphonia. However, the I-gel had superior efficacy in reducing sore throat compared with the Baska mask. Based on current evidence, the Baska mask demonstrates superior intraoperative performance compared with I-gel; however, it is associated with a higher incidence of a sore throat post-extubation. Nevertheless, the overall quality of existing studies is suboptimal, underscoring the need for additional high-quality RCTs to substantiate these findings.

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