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KMID : 0356920190720060576
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Korean Journal of Anesthesiology
2019 Volume.72 No. 6 p.576 ~ p.582
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Comparison of clinical performance of i-gelⓡ and Baska Maskⓡ during laparoscopic cholecystectomy
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Choi So-Ron
Lee Tae-Young
Kim Sung-Wan
Park Sang-Yoong
Chung Chan-Jong
Kim Jeong-Ho
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Abstract
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Background: The supraglottic airway device is an appropriate alternative to tracheal intubation in laparoscopic surgery. We compared the Baska Maskⓡ with i-gelⓡ by measuring the oropharyngeal leak pressure (OLP) and hemodynamic and respiratory parameters during laparoscopic cholecystectomy.
Methods: A total of 97 patients were randomly allocated to either i-gel group (n = 49) or Baska Mask group (n = 48). Insertion time, number of insertion attempts, fiber-optic view of the glottis, and OLP were recorded. Heart rate, mean arterial pressure, peak airway pressure (PAP), lung compliance, and perioperative complications were assessed before, during, and after pneumoperitoneum.
Results: There were no significant differences between the two groups regarding demographic data, insertion time, fiber-optic view of the glottis, and the use of airway manipulation. The OLP was higher in the Baska Mask group than in the i-gel group (29.6 ± 6.8 cmH2O and 26.7 ± 4.5 cmH2O, respectively; P = 0.014). Heart rate, mean arterial pressure, PAP, and lung compliance were not significantly different between the groups. The incidence of perioperative complications was small and not statistically significant.
Conclusions: Both the i-gel and Baska Mask provided a satisfactory airway during laparoscopic cholecystectomy. Compared with the i-gel, the Baska Mask demonstrated a higher OLP.
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KEYWORD
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Cholecystectomy, Hemodynamics, Laparoscopy, Laryngeal masks, Lung compliance, Pneumoperitoneum
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